Manufacturing drugs in India is like manufacturing them in Haiti. Why would anyone think that would be a good idea?
It’s substantially better than it used to be. FWIW I believe the people of India deserve to have proper sanitation.
Yet they landed on the moon [1], how about that. I assume they're theoretically capable of producing medicine.
-Who owns the pharmaceutical plants? What are their incentives?
Private companies own the pharmaceutical plants in India, their incentive is to maximize profit.. in a country with lots of corruption and poor sanitation.
I’m not making the claim that 10% of India defecating in the open is a moral or cultural failure, I’m saying that, in conjunction with the corruption, it does not inspire confidence in manufacturing goods that need to be sterile.
It's the same kind of brag the USA has. We have this giant military but have a broken health care system.
India has a space program, but a huge portion of their population doesn't have toilets.