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Ireland’s Profits From Weight-Loss Drugs Draw Trump’s Attention

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(Bloomberg) -- Artisan craft stores jostle with fish restaurants around the harbor of Kinsale on the southwest coast of Ireland. On the town’s edge, earth movers and concrete mixers are at work on a construction site for new housing.

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Long a tourist destination, Kinsale is booming. A chief reason for the town’s vibrancy lies a ten-minute drive away along the winding roads of County Cork. It’s here among rolling hills and lush farmland that Eli Lilly & Co. produces an active ingredient for its blockbuster Mounjaro and Zepbound drugs.

The US pharma giant employs more than 1,200 people on a sprawling campus the size of an 18-hole golf course, creating demand throughout the region for housing, school places and generating revenue for local businesses.

It’s the kind of development that President Donald Trump says the US shouldn’t have allowed to happen.

“This beautiful island of five million people has got the entire US pharmaceutical industry in its grasp,” Trump said at a White House meeting with Irish Prime Minister Micheal Martin last week. While saying he “does not want to do anything to hurt Ireland,” Trump insisted that the trade relationship must be based on “fairness.”

That sounds like a threat to a nation whose economy is built — and thrives — upon its attractiveness to US multinationals. Ireland plays host to the European headquarters of companies including Apple Inc., Salesforce Inc. and Intel Corp., helping the island state to rack up the largest trade surplus with the US of any European Union country except Germany.

It leaves Ireland particularly exposed to Trump’s trade tariffs.

“We have lots of global supply chains that are operating out of Ireland when it comes to goods exports,” said Loretta O’Sullivan, EY Ireland Chief Economist. “The bulk of them are pharma and hence the concern and the exposure there.”

Lilly recently announced a $27 billion investment in domestic US manufacturing as it braces for possible tariffs. But the pain may already be coming for Ireland. If Trump follows through on his threat of 200% tariffs on alcoholic drinks from the EU, then Irish whiskey will take a hit. The US has meanwhile said it will apply reciprocal tariffs worldwide from April 2.

If Washington slaps broader levies on EU goods of even 10%, which is at the lower end of the spectrum floated, they would still be unprecedented for Ireland, said Dan O’Brien, chief economist with the Institute of International and European Affairs in Dublin.


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