From the Bloomberg article: “I was under the impression the brand-name drug was the same as the generic, but that is not the case,” said Miranda Janvrin, a researcher who is working on a drug quality study the US military is conducting through the Henry M. Jackson Foundation for the Advancement of Military Medicine. “This was not something taught at school.”

She told the audience that making generic drugs is like attempting to bake your late grandma’s prized cookies — but without the recipe. Generic drugmakers know the key ingredients in a brand medication but they have to figure out the best way to actually manufacture that treatment without the exact directions.

There are differences that result when each company has to find their own way, she said.

The conference was put on by the Uniformed Services University of the Health Sciences, which offers medical training for military members. The university is working with the independent lab Valisure on the medication quality study. Valisure has been behind several revelatory findings in recent years of contaminated drugs and personal-care products.

That drug quality study was also the focus of a Senate Armed Services subcommittee hearing last month looking at ensuring military members receive safe and effective medications.

Ah, OK, you're referring specifically to medical care. My care was excellent, but interactions since I kept the military with their medical system has been limited to pharmacy departments. Remember, however, the system in the military is designed to support younger people - and, then to reflect care in civilian SoC systems. Increasingly, any specialty care is done by civilian sector.