Millions of Americans depend on medical devices — pacemakers, infusion pumps and patient monitors — to stay alive. But some of that equipment is made in China and it may be spying on us – or worse.

In January 2025, the Food and Drug Administration and the Cybersecurity and Infrastructure Security Agency issued a stark joint warning: patient monitors made by Contec Medical Systems, a Chinese company based in Qinhuangdao, contain a hidden backdoor. These devices, used in hospitals across the United States, can transmit sensitive patient data to a hard-coded IP address in China. Even more troubling, the backdoor allows remote code execution, potentially letting an adversary manipulate displayed vital signs and trigger dangerous clinical decisions.

There is no patch to fix it. For China, it’s a feature, not a bug.

China’s 2017 National Intelligence Law requires every Chinese company to assist state intelligence operations on demand. When Beijing says open the door, the company complies. The implications for any Chinese Communist Party (CCP)-linked device in America’s health care system are clear and unacceptable.

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President Donald Trump recognized the danger early. In September 2025, his administration launched a Section 232 national security investigation into medical equipment imports, citing the risk that foreign powers could weaponize supply chains. Investigators discovered CCP-linked devices even in U.S. government-funded research labs.

Dependence on an adversarial foreign supplier using state subsidies to dominate American competitors is bad enough. But add to that, the threat of sudden export cutoffs in a crisis as we saw during COVID-19 and the peril is heightened. If hospitals rely on compromised supply chains, patients could be left without lifesaving technology when it matters most.

Thankfully, Texas is not waiting on Washington for further needed action. While congressional gridlock has stalled federal progress, the Lone Star State acted.

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Republican Gov. Greg Abbott banned CCP-affiliated technologies from state government systems and, in June 2025, signed legislation creating the Texas Cyber Command to hunt down and eliminate threats from hostile foreign nations. Late last year, the governor expanded the state’s prohibited technology list to include 26 more China-linked companies — hardware makers and AI platforms with direct CCP ties. Texas Attorney General Ken Paxton has filed multiple lawsuits against these firms operating inside our borders.

The public supports this stand. Texans understand that national security doesn’t stop at the border or the battlefield — it extends to the devices monitoring our loved ones in the hospital.

Statutory tools already exist. What’s needed now is to extend those protections directly into state health care procurement. That’s exactly where Texas Republicans are stepping up.

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In recent days, the Texas Public Policy Foundation — where we work — sent a letter to state leaders urging further action. The letter, cosigned by 53 members of the legislature, calls for commonsense measures: direct state health agencies to adopt procurement standards barring medical devices from CCP-linked companies; establish a review process for existing contracts and equipment to root out vulnerabilities; and partner with lawmakers to offer grants and preferences that incentivize American-made medical devices.

In our Army careers, one of us was an intelligence officer and the other, a doctor. We spent years studying national security threats and this fight is personal. Critical infrastructure — including health care — must never become the soft underbelly of America’s defenses. No Texas patient should have their medical data transmitted to a server in China, or potentially their medical care disrupted or held hostage by the CCP. No Texas hospital should remain one firmware update away from undetected interference. And no state that has already confronted CCP aggression should leave its medical infrastructure as the last open door.

Texas is once again showing the nation how to lead. We have the framework. We have the public mandate. We have the resolve. Now we must finish the job — before a crisis forces our hand.

The rest of America is watching. Let’s show them what real action looks like.

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Dr. Clifford Porter, MD, PhD is a senior fellow, Healthcare Policy at the Texas Public Policy Foundation and a retired U.S. Army colonel. 

Team USA is headed back to the World Baseball Classic (WBC) final, as they toppled the Dominican Republic, 2-1, in a thriller in Miami on Sunday night. 

The U.S., who fell to Japan in the WBC final in 2023, will look for redemption against either Venezuela or Italy, who play their semifinal matchup on Monday night.

The hype and hysteria coming into this contest between two world baseball powerhouses lived up to it all despite what the box score said. Both teams came in clutch during key moments, while matching the raucous energy of the crowd. 

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Of course, the Dominican Republic dugout and faithful went ballistic when Junior Caminero, the 22-year-old Tampa Bay Rays rising star, belted a hanging breaking ball from Skenes in the bottom of the second inning with two strikes. The ball was pelted to left field at over 400 feet, and their patented celebration ensued. 

The D.R. got the first strike off Skenes, who had been looking forward to this start against a lineup littered with some of the best baseball players in MLB. But two innings later, it was Team USA’s own young stars who turned the game around in their favor. 

Gunnar Henderson, who manager Mark DeRosa chose to play at third base, his secondary position as a shortstop for the Baltimore Orioles, over Alex Bregman, one of the best defensive players at the hot corner in MLB, due to how well he hit Luis Severino. The veteran right-hander was amped for his start for the D.R., and his emotion showed it. 

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However, DeRosa’s decision came down to how much success Henderson had against Severino. The decision paid off, as Henderson hit a moon shot over the right-center field fence to tie the game at one apiece. 

Severino was pulled after one more batter for Gregory Soto, who was facing Boston Red Sox phenom Roman Anthony, the 21-year-old who has had a great first appearance in the WBC. After running the count full, Anthony took advantage of a fastball right down the middle, launching it over the center field wall to take a 2-1 lead. 

The entire American dugout was on the field, as Anthony motioned across his chest, showing off his pride as he celebrated with teammates. 

It was just what Team USA needed in the top of the fourth inning, especially after having runners at second and third with one out in the previous frame and not being able to get runs across. Aaron Judge and Kyle Schwarber both struck out to end the inning, which fired up Severino who screamed toward Team USA’s dugout. 

But Judge clearly let that go from his head, as he had a crucial defensive play in the bottom of the third inning when he gunned down Fernando Tatis Jr. trying to go from first base to third. Tatis, who is a fast runner, was out by a mile, with Judge proving his elbow, which caused issues in 2025, is more than fine heading into the 2026 season. 

The Dominicans ultimately chased Skenes from the game after 4.1 innings, as his final line read six hits, one earned run on the Caminero homer and two strikeouts. Severino lasted 3.1 innings, giving up five hits while striking out six Team USA hitters in an impressive outing that saw triple-digit fastballs on the radar gun. 

The U.S. knew a 2-1 lead was not enough, but as the Dominican bullpen continued to stifle their bats, and Julio Rodriguez appeared to rob a home run from Judge, they needed their own relievers to come through. After Tyler Rogers and Griffin Jax did their jobs, David Bednar found himself in some trouble with runners on second and third with one out – the same situation Judge and Schwarber found themselves in – in the bottom of the seventh. 

But Bednar, who escaped a similar situation against Canada in the quarterfinals, struck out Tatis and Ketel Marte to get out of the jam and keep the score the same. 

Garrett Whitlock was solid in the eighth inning to keep the one-run lead alive, which led for the easiest decision for DeRosa on the night: Mason Miller to pitch the ninth. 

The San Diego Padres All-Star closer got a strikeout to start the inning, but things got interesting when he walked Rodriguez and Will Smith couldn't handle a pitch from Miller that allowed a free pass to second base. 

Oneil Cruz moved Rodriguez to third on a groundnut to Bobby Witt Jr., leaving Geraldo Perdomo as the D.R.'s last hope. He had a clutch at-bat earlier in the game, one that could've tied it up if Wells read the line drive to center field better from second base. 

But Miller got Perdomo looking on a 3-2 slider at the bottom of the zone to secure Team USA's spot in the WBC final.

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