You have to take a look at the 1918 experience and realize if 50 to 100 million people died and those numbers come from a recent study from a group of historians that went country by country to determine that number, ... Today we that have three times the number in the world — those numbers are roughly at 180 to 360 million could die. The bottom line is the way these people die. Our medical care delivery system in the modern world isn't any better prepared than in 1918. Michael Osterholm