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PArt of the issue is ever changing technology. During the 1918 (Spanish) flu there were no vents so there were no questions concering ethics and who gets a vent and for how long. Also in previous pandemics there was limited knowledge about isolation ventilation, personal protective equipment. Add to this limited manufacturing, much of which is still outside of the U.S. and dependency on a limited number of suppliers and shippers not to mention closure of the Suez Canal for seven days further choacking supplies and you have a perfect storm ready to happen all over again.