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The author contends that the Drug Supply Chain Security Act (DSCSA), while a step forward, is too reactive because it only mandates tracking when a product is suspected of being counterfeit. To close this loophole, the paper recommends implementing 'end-of-commerce' scanning—proactive verification and decommissioning of serial numbers at the point of dispense. This is framed as a national security priority, particularly for the Department of Defense and HHS stockpiles, given that over 58% of US-procured pharmaceuticals originate overseas. The document suggests an Executive Order to mandate these practices across federal health systems by 2027 and calls for international collaboration and the re-shoring of pharmaceutical manufacturing to mitigate risks from adversarial nations.

The report identifies the intersection of food insecurity and climate change as a critical threat to US national security, citing risks such as political instability, the weaponization of food by adversaries, and geopolitical competition over agricultural technology and fish stocks. It highlights gaps in the US policy landscape, including institutional silos and underfunding of agricultural R&D. To address these, the authors propose 'The Feeding Resilience Plan,' which recommends a new Food Security Executive Order, a standing National Security Council process, expanded forecasting via FEWSNET, increased investment in climate-resilient agricultural innovation, and diplomatic engagement to oppose food weaponization and cooperate with partners and competitors like China.