Given the deadly and complex nature of the U.S. fentanyl crisis, overcoming challenges and making the best of cooperation have become daunting tasks. The United States needs to act to stem domestic demand instead of accusing China of complicity.

Washington and Beijing display stark contrasts in their approaches to the world and to each other. The dividing lines highlight the extremes — perpetrators and victims, oppressors and the oppressed, aggressors and defenders.

China and the U.S. should not entangle themselves in trade imbalances and tariffs but find a new, innovative perspective. The future will be shaped by AI, big data, quantum computing and telecom. Both countries have tremendous common interests.

The country is far more resilient today than it was four years ago and in a good position to counter Donald Trump’s promised tariffs — or unexpected moves yet to come. It has diversified markets for Chinese goods, reduced the chances that countries in the region will form anti-China alliances and is welcoming foreign investment.

Despite heightened tensions between China and the U.S., sub-national diplomacy remains a critical channel for fostering collaboration. However, rising security concerns in the U.S. and differing priorities in China pose challenges, underscoring the need for transparency, trust, and a focus on mutual interests to sustain these efforts.

One of Jimmy Carter’s biggest feats in the Oval Office was the establishment of relations between the U.S. and China, opening a door for a relationship that is one of the world’s most dynamic factors today. Though the current state of affairs is far from a best-case scenario, it’s worth looking back at the hopes Carter and his counterparts had when their momentous deal unfolded.

In an era of growing tensions between the United States and China, Roberta Lipson brings a valuable perspective shaped by decades of experience across the two cultures. As an American who has spent nearly half a century in Beijing building a network of 11 hospitals and 25 clinics, Lipson understands the complex interplay between business, healthcare, and international relations. In this conversation with KJ Kerr of China-US Focus on the sidelines of the U.S.-China Hong Kong Forum in November, she speaks about her remarkable journey and offers thoughtful analysis on the future of bilateral relations amid uncertain political times.

Donald Trump is likely to seek a fresh start when he returns to the White House, creating an opportunity to build a healthy and sustainable China-U.S. relationship. The world is big enough for the two major powers to grow and prosper together and avoid veering into a vicious tech rivalry — or even a new cold war.

To a large degree, the new agglomeration is the result of Washington’s “great power competition” strategy. While it looks a bit like the military-industrial complex of the Cold War era, it is truly a different entity, but it’s one whose long-term impact on China-U.S. ties must be understood.

China must see to its own domestic affairs and promote all-around socioeconomic progress. Externally, it must walk the path of peaceful development without wavering, adhere to an independent foreign policy of peace and hold fast to multilateralism to foster solidarity with other nations. Only in this way can we overcome the severe challenges that are coming our way.