Thank you @gehan , I’m impressed with your post and I read it with great joy. You have a knack for putting things in a larger picture and it helps me, as someone who doesn’t have the capacity at the moment.
I hope we get to discuss this more next week! Open Insulin is, for me, an attempt at prototype for the long term vision you describe. There is now a branch forming that looks at the infrastructure for stewarding the knowledge and production factors that go into the supply chain of the medicine.