Being tough on China will Make America Healthy Again

On February 1, President Donald Trump announced a 10% tariff on Chinese goods to help stop “the flow of contraband drugs like fentanyl to the United States, through illicit distribution networks,” which “has created a national emergency, including a public health crisis.”  

Trump was correct when he stated that “Chinese officials have failed to take the actions necessary to stem the flow of precursor chemicals to known criminal cartels and shut down money laundering by transnational criminal organizations.” This is consistent with what I advised him when I served as secretary of Health and Human Services in his first term.  

Among the most significant health crises confronting the nation is the continued manufacturing, shipping and distribution of fentanyl from Chinese companies. Fentanyl, a synthetic opioid more potent than morphine, has been a major contributor to the opioid overdose crisis in the United States.  

FENTANYL’S FINANCIAL GRIP ON US SKYROCKETED TO $2.7T AT HEIGHT OF BIDEN ADMIN: STUDY

It is estimated that over 80,000 people are killed every year in the United States by fentanyl. Nationally, fentanyl has emerged as the leading cause of death for individuals aged 18 to 45. The Drug Enforcement Administration has identified China as the primary source of fentanyl and its related substances trafficked into the U.S., often through international mail and express consignment channels.  

We’re all hopeful that new tariffs, which include provisions that suspend the duty-free exemption for low-value shipments under $800 — a loophole that has been exploited to smuggle fentanyl and its precursor chemicals into the United States, will go a long way toward stopping the problem at hand.  

Unfortunately, however, fentanyl is no longer the only product being smuggled in from China that is threatening Americans’ health and safety.  

China also has a state-owned corporation with chartered monopoly status to sell nicotine products. This monopoly provides the communist regime with a significant amount of annual funding. In 2023, its receipts clocked in at $210 billion, $10 billion shy of funding the entire People’s Liberation Army.  

One of China’s most important nicotine products is its flavored vapes, which the country continues illegally smuggling into the United States.  

In 2023, over 60% of disposable vapes sold in the U.S. were illicit, with the majority originating from China. This is concerning because there is increasing evidence that some of these products contain harmful contaminants, such as heavy metals, pesticides and other toxins, due to lax manufacturing standards in Chinese factories.  

This raises the question: now that the U.S. has taken significant action to squelch the prevalence of Chinese fentanyl within our borders, what can it do to stop the scourge of these dangerous Chinese nicotine products?  

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First, the administration must crack down on illicit Chinese vape imports through targeted customs enforcement and stricter penalties for distributors of illegal e-cigarettes. A concerted effort to increase inspections at ports of entry, penalize bad actors in the supply chain as needed and will significantly reduce their presence.  

Second, the administration, including incoming Commerce Secretary Howard Lutnick, and incoming Trade Representative Jamieson Greer, should override former President Joe Biden’s appointees at the International Trade Commission’s decision to ban the only legal, U.S.-produced flavored vaping products from the marketplace within the 60-day window that they have to do so. If it goes into effect, this prohibition will allow China’s illicit marketplace to grow stronger.  

China also has a state-owned corporation with chartered monopoly status to sell nicotine products. This monopoly provides the communist regime with a significant amount of annual funding. In 2023, its receipts clocked in at $210 billion, $10 billion shy of funding the entire People’s Liberation Army.  

Finally, and perhaps most importantly, the administration should work with Congress to reintroduce and pass legislation that holds Chinese companies accountable for violating U.S. safety and trade laws. The halt of illegal fentanyl imports through the Phase One tariffs in 2020 showed that trade measures can pressure China into compliance. Extending these policies to cover unsafe vape products would protect American consumers from dangerous, unregulated imports.  

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From the devastating fentanyl crisis that precipitated the imposition of tariffs on China to the resurgence of youth vaping driven by illegal flavored e-cigarettes, the pattern is clear — China does not follow the rules.  

Protecting our families, especially our children, from these dangers must remain a top national priority.  

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