If your neighbor’s apartment is on fire, do you hoard all the water until the flames are at your door? That seems to be the U.S. response to the risk of avian influenza. The U.S. strategy (see Owen Barder’s summary U.S. Plans for Avian Flu is mostly "U.S. first." It emphasizes stockpiling existing anti-viral medications and pushing research on vaccines to serve the U.S. Particularly in the face of a global shortage, such massive stockpiling is off-base.