The world is no longer unipolar. China, India have their own tech sector and will compete with the USA. In biotech, they may actually enjoy a competitive advantage, because they have fewer institutional and legal restraints.
Unless you can prevent people from traveling overseas to receive anti-aging treatments, clinics will spring up from Costa Rica to Indonesia. The US, even if it wanted to protect the IP of the few very hard, will have to weigh it against the risk that a systemic competitor like China will provide treatments for artificially low price just out of spite and to gain some sympathy points.
Look at the Cold War. During the conflict with the Communist Bloc, inequality in the West actually went down. In presence of ideological competitors, Western governments learnt to mitigate the worst excesses of their own systems.
Unless you can prevent people from traveling overseas to receive anti-aging treatments, clinics will spring up from Costa Rica to Indonesia. The US, even if it wanted to protect the IP of the few very hard, will have to weigh it against the risk that a systemic competitor like China will provide treatments for artificially low price just out of spite and to gain some sympathy points.
Look at the Cold War. During the conflict with the Communist Bloc, inequality in the West actually went down. In presence of ideological competitors, Western governments learnt to mitigate the worst excesses of their own systems.