This passage didn’t appear in one of Richard Stark’s crime novels or in the script of an East Coast reshoot of Breaking Bad. It was published in the New England Journal of Medicine, describing a hospital’s desperate efforts to secure a shipment of personal protective equipment.

This is not simply a story about the United States. It reflects a much bigger change from a world of predictable trade and exchange to one of government blockades and daring heists—a change triggered by the coronavirus pandemic. The United States intercepted medical masks being shipped from Thailand to Germany and redirected them for its own purposes, in a move German officials described as piracy. Germany itself blocked the export of masks and other medical equipment at a time when its fellow European Union member Italy was begging for help. India restricted the export of key pharmaceuticals and drug precursors. Newspaper reports describe a chaotic global marketplace where governments and health care officials consort with dubious middlemen for medical supplies, acting on rumors and personal connections, fighting to outbid and undercut each other. And this behavior has spread to other sectors like auto manufacturing; experts worry that the next battles may be over foods.

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