So how to do other countries deal with these issues? Like Canada, Australia, EU? Do they not purchase drugs from these Indian companies? I presume they do their own inspections?
However we have a single payer health system for the most part (you can get medications that aren’t through the system, but you pay full non-US market price), so the big stick is “well we’ll buy from someone else”, easier said than done of course but it seems to work.
Our medical regulator (different body to the purchaser) doesn’t do inspections overseas but does random tests on the products imported to check the quality.