What are the essentials of President Bush's plan for bird flu pandemic preparedness? The plan calls for a $7.1 billion total expenditure. The president proposes that $2 billion of this would be devoted to stockpiling antiviral medications and 20 million doses of an experimental vaccine against the bird flu strain H5N1. $2.7 billion would go toward vaccine research and upgrading our methods of vaccine manufacture. Federal dollars would be invested in an international flu-surveillance network, and federal funding to state and local public health agencies would be boosted by $100 million. Critics of the plan say that far too little is designated for the state and local agencies or for fighting bird flu in Asia, where it is currently (only $251 million would be spent overseas). Critics also have complained that the plan doesn't provide for improving the hospital infrastructure for disaster response. According to Dr. Irwin Redlener ... at Columbia University: Less than seven percent of that budget could be construed as going towards anything that would help bolster a very ailing hospital system in the United States. Which in fact would be the only recourse that we would have if, in fact, we're dealing with a race against time. And if it becomes real that we get a pandemic prior to the development of sufficient capacity to contain, to vaccinate and to treat with specific antivirals, then all we have left is a health and hospital system ... we'll find that we don't have sufficient isolation beds, intensive care beds, ventilators, et cetera, et cetera."