Nah, this was one of those seasonal anti-civ/anprim arguments on Twitter where one side genuinely argues against industry. To then overgeneralize and accuse all anarchists of being anti-industry would be ridiculous, but I don't see it happening here.

Yeah I read this as a refusal to engage with someone who thinks anarchy means starting over from scratch with caveman tech

They'd produce the medicine in a factory and distribute it according to need, which would be tracked with a communal system

I recently listened to this podcast episode featuring an anarchist with some interesting ideas on this very topic: https://www.liveliketheworldisdying.com/tag/open-source-medical-chemistry/