FILE – In this Saturday, June 6, 2015, file photo, South Korean soldiers wear masks as a precaution against MERS virus during a ceremony to mark South Korea’s 60th Memorial Day at the National Cemetery in Seoul, South Korea. Sales of surgical masks surged amid fears of the deadly, poorly understood virus this week. (AP Photo/Lee Jin-man, File)

Fox News’ Brit Hume posted a Twitter thread written by Paul Matzko, an editor at the Cato Institute, which explains why we’re facing a shortage of masks and respirators.

People wonder why such a technologically advanced country as the United States can’t simply produce more masks and respirators to help Americans fight the Chinese virus. Many, particularly those on the left, choose to blame President Trump’s ineptness. They would be surprised to find that the real reason for the shortfall has nothing to do with Trump. It has everything to do with the time consuming, and capital consuming, set of FDA regulations which govern the production process. Surgical masks are considered to be “medical devices” by the FDA and are subject to these regulations.

If a company were to initiate the process today, the current crisis would be over by the time it had navigated through all of the steps required by the FDA. This is why only companies who already manufacture these products are willing to make them.

If the government would agree to temporarily relax the standards for the sake of increasing the supply of medical devices, we would have enough to meet the crisis.

Read Matzko’s incredible thread below.

The Covid 19 emergency meets the regulatory state. The regulatory state is winning. Thread. https://t.co/h0KmFeE6HS — Brit Hume (@brithume) March 26, 2020

Paul Matzko’s Twitter Thread

(For ease of reading, I have removed Matzko’s content from the individual tweets, but they can be accessed here.)

Wondered why it’s been so hard to ramp up production of surgical masks and respirators? Why haven’t private companies flooded into the market to meet peak demand?

Because they are regulated medical devices & new versions require FDA approval which can take months to obtain.

Take a look at this FDA regulation, intended to ease (!) the application process for “premarket notification.” That means you have to do all of this–and get FDA sign off–before your new surgical mask gets anywhere near shelves.

Let’s say that you’re a garment manufacturer in NYC, but, of course, retail sales are down, so you’re looking for another revenue stream. Why not make surgical masks, keeping your doors open, employees employed, and saving lives? It’s a win-win-win!

But how long do you think it would take you to jump through these hurdles, and do you think someone without an army of regulatory compliance officers would be reasonably able to do so at all?

To start, you must: – do a compositional side-by-side analysis of your mask vs all other masks currently sold. Hire a few materials scientists, okay. – measure “tensile strength” & “impact resistance.” Hire the Mythbusters and have them whack it with a hammer.

– perform detailed “risk analysis,” for fluid/bacteria resistance and “flammability.” Hmmm, better open a branch office for all those extra materials scientists and medical researchers. This is multiple major studies (though a Boring Company flamethrower might work in a pinch.)

– but wait, don’t forget that masks touch skin! What if it gives you a rash!!! Okay, fine, we’ll fill out the “standard ISO-10993,” yeah, you know, the one for “Biological Evaluation of Medical Devices Part 1: Evaluation and Testing.” Sprinkle in a couple more clinicians.

I could go on and on. There is no world in which any company not already deeply invested in manufacturing surgical masks could jump through these hurdles in time to mitigate the desperate shortage of PPE for medical professionals on the COVID-19 front lines. None.

Matzko: Just as the FDA waived its COVID-19 testing regs (after weeks of delay), it should waive its surgical mask/respirator regulations for the duration.And we could have a discussion over whether these steps are necessary in ordinary times. But we aren’t living in ordinary times.

Just as the FDA waived its COVID-19 testing regs (after weeks of delay), it should waive its surgical mask/respirator regulations for the duration.

But since it hasn’t, the supply of officially-approved masks has remained artificially constricted. New entrants are effectively barred from selling unapproved masks.

If willing to expose themselves to immense legal liability, new manufacturers could give masks away, but you’re not going to get meaningful quantities that way. It’s merely fodder for pleasant 5 o’clock news stories about making a few 1000s for donation to the local clinic.

But because most people are unaware that masks/respirators are considered medical devices and just how onerous the applicable rules are, it leaves people thinking that the PPE crisis is a market failure, when it is anything but.

That leads folks to consider towards heavy-handed measures, like the government seizing the means of mask production. This is problematic for a bunch of reasons (& likely less effective), but it’s also completely unnecessary if the FDA would just DROP THE DAMN RULES.

Take a look at this FDA regulation, intended to ease (!) the application process for "premarket notification." That means you have to do all of this–and get FDA sign off–before your new surgical mask gets anywhere near shelves. 2/ https://t.co/fNzWcXKeFl — Paul Matzko (@PMatzko) March 25, 2020



MBA, former financial consultant, options trader

Mom of three grown children, grandmother

Email Elizabeth at



Writer at RedStateMBA, former financial consultant, options traderMom of three grown children, grandmotherEmail Elizabeth at [email protected] Read more by Elizabeth Vaughn