Imitation is the sinceriest form of flattery... I wonder how many "counterfeit" drugs are chemically the same, like generics sold before patent expiration, vs. sugar pills or worse something harmful. Same with electronics, how much is a just a manager running the line a little longer at Foxconn and selling the extra on Alibala?
Counterfeit drugs are usually not up to the standards of the real thing.
That would be "by definition." The best which for which we could hope would be generic drugs in counterfeit packaging.
This points to one of the inherent inefficiencies of the BME. Government imposed standards and regulations allow people to trust the name on the package. When that is gone, one has to trust the person holding the package. This greatly reduces the potential market for any product.