The "NewCo" model, where a new company is formed around assets licensed from an existing firm, is a key strategy for Western investors to access a deep well of innovation from Chinese companies like Heisco, which are largely unknown in the West but possess broad, innovative pipelines.

To bypass stringent Western regulations, medical pioneers are establishing operations in Special Economic Zones. By striking deals with governments for more flexible rules, these zones, like the one in Roatán, Honduras, become crucial testbeds for controversial interventions like gene therapy.

Contrary to perceptions of rigid control, China accelerates tech progress by empowering local regulators to be agile. These regulators create urban "test beds" for technologies like autonomous taxis, which entices talent and investment, turbocharging development cycles far ahead of Western counterparts.

China has developed a first-rate biotech effort, enabling U.S. firms to buy or license preclinical assets more efficiently than building them domestically. This creates an arbitrage opportunity, leveraging China's R&D capabilities while relying on U.S. expertise and capital for global commercialization.

Dan Wong argues that the West wrongly separates 'innovation' (its domain) from 'scaling' (China's domain). Chinese workers innovate daily on factory floors, giving them a practical edge. For instance, Tesla's Shanghai Gigafactory workers are over twice as productive as their California counterparts due to superior automation and process improvements.

China is no longer just a low-cost manufacturing hub for biotech. It has become an innovation leader, leveraging regulatory advantages like investigator-initiated trials to gain a significant speed advantage in cutting-edge areas like cell and gene therapy. This shifts the competitive landscape from cost to a race for speed and novel science.

China's biotech infrastructure enables companies to move from discovery to initial human proof-of-concept in under two years for less than $2 million per molecule. This rapid, low-cost development, particularly in new modalities like RNAi, presents a significant competitive threat that many Western innovators underestimate.

BeiGene's success demonstrates a new model for biotech growth. It started in China and expanded globally, but critically maintains China as a core hub for innovation. This challenges the traditional view that biotech innovation flows primarily from the West and must be built from a US headquarters.

China is poised to become the next leader in biotechnology due to a combination of structural advantages. Their regulatory environment is moving faster, they have a deep talent pool, and they can conduct clinical trials at a greater speed and volume than the U.S., giving them a significant edge.