An extreme similar example of this is Mckesson [0], which does $260bn of revenue a year (mostly buying pills from pharma companies and re-selling them to pharmacies) but only $11bn of gross profit, since they spend $250bn/year just buying those pills.
[0]https://www.mckesson.com/About-McKesson/Newsroom/Press-Relea...
I get it, hindsight in 20/20 etc., but those pills were prescribed by highly-trained doctors and fulfilled by highly-trained pharmacists who thought they were doing the right thing and you expect some non-M.D. to have the foresight and understanding to say 'Sure, CVS is ordering this amount from us because they have this many pharmacist-approved scripts (keep in mind, this is one of thousands of items CVS is ordering), but I think something is fishy.'
It just seems like that expectation diffuses blame from the actual villains here (the pharma companies that specifically worked to manipulate pharmacists and doctors into writing/approving those scripts).
And yeah, distributors for sure have experts and resources to hire experts. And they were repeatedly warned/directed to stop the insane volume. They knew of this. They weren't ignorant, even on purpose.
The opiate lobbyists slyly got the law changed so the DEA couldn't enforce with stop notices.
IIRC In Gibney's documentary they interviewed some of the Congresspeople who voted for it and they thought the bill did the opposite.
pharmacists also had the right to refuse and some did! but Purdue often intervened and pressured them to fill the scripts. I think that was shown either in gibney or maybe the great hulu purdue miniseries?
wapo "THE DRUG INDUSTRY’S TRIUMPH OVER THE DEA"
That doesn't mean I approve of everything they do. That doesn't mean I can't or won't decry their putting thumbs on scales toward a certain type of bien-pensant ideology. That does mean that, overall, I am very, very glad that they are American instead of Russian, Chinese, or even British, French, or German.
They've got a huge market cap at an absurd P/E ratio, but they don't have anything approaching a huge market share of vehicles, quick search shows 19% of the EV market, which is only 10-20% of the overall vehicle market.
MAMAA: Microsoft. Apple. Meta. Amazon. Alphabet
It's not an accident.
Choosing to do this with a US nexus for most purposes was intentional and helped this outcome.
For an example of this combination. Baidu is a chinese search engine and advertising platform.
It is incorporated in the Cayman Islands, its board members and management are several US citizens living in the US, several are Chinese. Its primary operations are in China with several subsidiaries in other countries. The shares are repackaged as foreign depository receipts to trade on the US Nasdaq. And also trades on a Hong Kong exchange as of 2021.
You only limit yourself with this kind of nationalism.
The chosen regulatory environment does affect the potential size of the business. Its a choice for the company, and the management. A low growth French or German company chooses to stay in France or Germany.
(sorry! sorry, as someone from MN, I'm sorry Canada! don't hurt me)