I really don't understand why states have to bid against each other for essential items such as medical supplies. When you get into bidding wars, the consumers are the ones who lose.
Put 50 people in an auction for a product and the one who wins is the manufacturer, not the ones purchasing.
My wife works for a multi-national corporation. If she is importing or exporting goods, she doesn't determine what the costs will be; this is already determined through the corporate offices that negotiate worldwide movement of products. The large volume allows them to get the best available prices and service.
If she is shipping 50 kilos of product A to Brazil, she knows exactly what it will cost. If she is importing 100 kilos of product B from Germany, she knows exactly what the ocean cost will be and what the air freight cost would be and then decide. In any case, her division of the company is not bidding against another division of the company for space on a freighter or aircraft. For office supplies, they have a national contract with Staples. No need to negotiate with other companies for computer paper, coffee, toilet paper, etc. When possible, they fly Delta or one of its partners due to their negotiated international corporate discount.
With the massive buying power of the US, I don't understand why they don't use it to benefit all, especially on essential items instead of pitting one against the other and driving up prices.
Rub a Dub