> We don’t have enough coronavirus tests, or test materials — including, amazingly, cotton swabs and common reagents. We don’t have enough ventilators, negative pressure rooms, and ICU beds. And we don’t have enough surgical masks, eye shields, and medical gowns — as I write this, New York City has put out a desperate call for rain ponchos to be used as medical gowns. Rain ponchos! In 2020! In America!
This passage is followed by a long list of things we urgently need but don't have in America, from a great educational system to a great healthcare system. I agree 100% with that list of things and the urgent need for them. I'm also happy to see this on the front page of HN!
> The problem is desire. We need to want these things. The problem is inertia.
"Lack of desire" and "inertia" are surely NOT the root of the problem. All of us already want all those good things.
The root of the problem, I think, is that during normal times people and companies have strong economic/competitive incentives NOT TO INVEST in the kind of expensive, robust (i.e., inefficient/redundant) infrastructure that everyone agrees is necessary but on which the payback is highly uncertain, highly diffuse, or might not be recouped until after everyone today is dead.
For example, any company that during normal times heroically decides to make the investments necessary to survive rare events like a global pandemic or world war will quickly go out of business as more nimble competitors sidestep all those costs. Financially it makes more sense for the company "temporarily to ignore" the possibility of such rare events in the future so it can remain competitive today.
No amount of exhortation will change that.