The book in question was unusually well written. Read it cover to cover the first time I picked it up.<p>TLDR- The active ingredients for most of the US generic drug supply come from India and China. The labs and factories in those countries have an agreement where they are held to the same standards the FDA holds US companies to. The only difference is that know ahead of time when inspections happen and do things by the book while the FDA people are inspecting- the rest of the year is total chaos. As a result our generic drug supply has poor quality active ingredients, is not absorbed into the body in the same way and so much active ingredients for NAME BRAND medications come from these same shoddy factories that we can't even really trust a lot of the medications we are taking these days. Fun stuff.