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It isn't a ceteris paribus comparison, because we don't live in a society where you can force people of expertise to work where you would like them to.

They get to choose.

So you end up with the CDC in Atlanta or Ft. Detrick 50 miles away from Washington, DC. If you said "We're only going to do BSL-4 work at Enewetak," then a lot of work simply wouldn't get done, either because of logistical challenges or because no one wants to relocate there.

And on a personal note, as someone who's lived < 5 miles away from a BSL-4 lab, I slept like a baby. I knew that if the worst happened, from the environment outside the lab or the lab itself, the nearest ICU and associated institutions were staffed by some of the best infectious disease experts on the planet.




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