The document discusses long term manufacturing strategies for biopharmaceutical companies. It notes shifts in the manufacturing paradigm due to legacy facilities, evolving technologies, and portfolio growth. External factors like regulations, competition, and pricing also impact strategies. Options discussed include using internal manufacturing by expanding existing facilities or building new ones, versus external manufacturing by partnering with contract manufacturing organizations. The best approach requires understanding current and future product needs, guidelines on internal vs. external manufacturing, and comprehensive evaluation of capacity, costs, risks and other factors for different strategic options.