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fake drugs are a major problem in poorer countries like the Philippines and Africa...and some “brand name” drugs turn out to be counterfeit.
A major killer, espcially of those who need antibiotics or treatment for malaria...and probably contributes to antibiotic resistance.
And that doesn’t count things like fake parts for machines, cars etc. Blame China...people will pay more to buy from the US, Japan or Germany at good stores, but the poor figure it might work so sometimes are bilked by shoddy workmanship.