interesting contrast vs the us congress, which is trying a price cap
as with every build-vs-buy problem, you don't know if you'll actually be able to do it until you do it. I'm wondering what a state government has ever done that is as complex as manufacturing a medicine -- maybe road building / big water projects?
if they succeed it would be a new chapter in state capacity + really exciting, especially if they are transparent about accounting and show that they're not warping the market
I think biohacker group open insulin https://openinsulin.org/ was founded in oakland -- they're working on lispro, the fast-acting kind in humalog
the humalog plant in puerto rico cost 200-500 million dollars in the early 2000s [1]. there are 3+ million californians w/ diabetes (per diabetes.org), and it costs north of $5k per year per person, so that's like 15 billion. you don't have to dent that # much to get ROI on this.
1. https://www.pharmaceutical-technology.com/projects/eli_lilly...