New York, NY (May 29, 2019) Sitting at my desk about 14 hours after the 14 hour flight back, I'm reflecting through the brain fog the time zone change brings. I think my underlying impression, and one that is so hard to communicate to those that haven't experienced it, is the sheer scale of almost everything in China. Both problems and their solutions have a totally different perspective when one considers a population of 1.3 billion people. Seeing 10,000 patients a day in an outpatient facility, moving 2 million people out of Mianyang after the 2008 earthquake because a breach in the dam threatened the city, reconstruction of the bridges, tunnels, roads and buildings after the earthquake, the burden of cataract blindness with 1.2 million people blind from cataract in Sichuan province alone. The whole issue
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