Everyone is focused on the military side of a possible confrontation with Iran. But there’s another threat almost no one in Washington is talking about: drug shortages here in the United States.

Many of the ingredients used to manufacture prescription medications travel through global shipping routes that depend on stable energy prices and open sea lanes. If conflict with Iran disrupts oil flows through the Strait of Hormuz, energy prices could spike overnight. And when oil surges, the entire supply chain tightens—cargo shipping slows, transportation costs explode, and critical goods get delayed.

That matters because the United States already depends heavily on overseas manufacturing for many prescription drugs and their raw ingredients. If oil prices soar and global shipping is disrupted, pharmacies could start seeing shortages of everything from antibiotics to blood pressure medications.

So while politicians debate strategy in the Middle East, Americans should be asking a much more personal question: Could the next escalation with Iran hit us where it hurts most—our own medicine cabinets?

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