I have heard there was once a thriving pharmaceutical industry in Puerto Rico. If we have to use cheap developing world places, lets at least use sources close to home that we have some control over.
From Wikipedia - Pharmaceutical companies originally came to Puerto Rico in the late 1960s and 1970s to take advantage of the now-expired federal tax incentive known as Section 936. This incentive allowed U.S.-based manufacturers to send all profits from local plants to stateside parent plants without having to pay any federal taxes.
It hasn’t been all that long since China got dinged for adding ground up Melmane (sp/) to pet food sold in the US for its nitrogen content. Tests for protein check for nitrogen, thus Melmane = Chinese protein. One tends to wonder what the tests for medicines from China are?