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Home » Transcript: How To Actually Fix The U.S. Economy – Elisabeth Reynolds

Transcript: How To Actually Fix The U.S. Economy – Elisabeth Reynolds

Read the full transcript of Professor Elisabeth Reynolds’ talk titled “How To Actually Fix The U.S. Economy” at TEDxBerkshires 2025 conference.

TRANSCRIPT:

TRANSCRIPT:

From Textile Mills to Regenerative Medicine

ELISABETH REYNOLDS: I grew up in Manchester, New Hampshire, a city of about 100,000 people, and at the home of Amoskeag Mills. Amoskeag Mills were the largest mills in the world at the beginning of the 20th century for cotton textile production. And at one point in time, they had over 17,000 workers in those mills. But like all of the mills in New England, it went through a transition in the 20th century. From production moving to the South, to labor strife, the Great Depression, outsourcing, such that when I was growing up in Manchester in the 70s, the mills were boarded up, they were closed down, and my back-to-school shoes were made not in New England, but in China.

Fast forward 50 years, and we have some incredible things going on at Amoskeag Mills. Some of the most advanced manufacturing in regenerative medicine around cells, around tissue, around organs, all of this providing new windows and frontiers for addressing human health issues, from heart disease to cancer to wound healing for soldiers and for the population at large.

So this trajectory from industrialization to de-industrialization to re-industrialization is actually representative of a transformation going on in U.S. manufacturing today. U.S. manufacturing is at an inflection point, and there are a number of factors that are bringing this about. Global forces, changes in our public policy paradigm, advances in manufacturing technology are all leading to a convergence in which we have an extraordinary opportunity to rebuild the industrial base in this country, to start and grow new frontier industries, and to create quality jobs that support families and communities.

Global Forces Reshaping Manufacturing

So let me start and talk about what are some of these global forces that are at work. First and foremost, supply chains.

I went down to Washington, I had a real privilege of working for the National Economic Council in the White House as Special Assistant President for Manufacturing. And I went down, my first job in government, very enthusiastic with a lot of ideas about how to revitalize manufacturing in this country. And from day one to my final day, I was working on supply chain crises in this country.

Everyone will recall the global pandemic and what havoc that wreaked to global supply chains, to our transportation and logistics systems. We had problems accessing low-commodity projects like PPE, personal protective equipment for our first responders. We had challenges accessing semiconductors, high-value-added inputs to our auto industry and medical device industries. We saw the U.S. economy very, very vulnerable. And supply chains actually threatened our national and economic security.

Critical Supply Chain Vulnerabilities

First, semiconductors themselves. Who knew that 90% of our advanced semiconductors were actually sourced from one company in one region in the world? Well, actually, a lot of people did. We knew this for a long time. But at the time, we’d been emphasizing efficiency, not resiliency. And so this wasn’t perceived as a problem for the country. But of course, it was a problem for the country, and in fact, it had a very direct impact on our economy. A third of inflation in 2021 was generated by the auto industry and the shortage of semiconductors.

Another example, chassis, intermodal chassis. You may not remember, but I certainly do, that at one point in time, we had over 100 ships at anchor at the port of L.A. Long Beach, trying to bring goods into this country. It was a very serious challenge. And one of the challenges we had was we did not have enough intermodal chassis, the chassis that you put on the back of a truck and move a container from a ship onto the truck and to its final destination.

So we needed more chassis. Where could we find more chassis? Well, it turns out that several years beforehand, a number of chassis manufacturers in the U.S. had filed a petition to the U.S. government and said, “You know, our industry has been wiped out by a flooding of the market, by Chinese imports that undercut our prices.” And in May of 2021, the U.S. government put a 200 percent tariff on the importation of Chinese chassis manufacturers, who, by the way, today control 85 percent of the market. But we, at that time, we did not have domestic production ready to go, and we didn’t have imports. So it really exacerbated the challenge.

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Third example, drug manufacturing, our generic drugs, 90 percent of prescriptions are filled with generic drugs, which is a great thing. Generic drugs come at a cheaper price, and that’s really good for consumers. At the same time, that cheaper price comes at a cost, which means we don’t invest a lot in innovation. We don’t invest in a lot of resilience in the supply chain. So 85 percent of generic drug ingredients, the active pharmaceutical ingredient, is made in India and China. And over the pandemic and over longer years than that, we’ve had real supply chain challenges with our drug supply. In fact, this year, at the beginning of the year, we had 300 different drugs that were considered in active shortage. And so for the benefits of the cheaper drugs, we’re also dealing with a really challenging supply chain, where a concentration of the supply is putting at risk our health security.

Climate Change and Economic Impact

The next challenge, climate change, and it’s very sobering to talk about this topic today after we’ve seen the impact of Hurricane Milton last night and Hurricane Helene last week. But climate change is an existential threat to the planet. But even if you didn’t believe that, you would have to take seriously the economic impact of these adverse weather effects we’re having.

So in 2023, we had the most number of billion-dollar weather events for the country, 28 of them, which added up to over about $95 billion of economic impact on the economy.