We have to withdraw from the global economy in certain sectors essential to our national stability and health and safety.
That means surgical equipment, weapons, drugs and other essentials must be produced in the UK by British businesses, not shipped in on the cheap.
Substandard surgical tools from Pakistan are putting UK patients at risk of potentially deadly injury and infection, BBC Panorama has found.
Faults include rough edges, steel burrs that can splinter during operations and corroded metals.
All surgical instruments have to meet regulatory standards but only one of the more than 180 NHS trusts and boards conducts rigorous tests on every tool.
Barts and the London NHS Trust reject almost 20% of tools as unsafe for use.