AirToAll: Another guest post by Steve Ebin

Scott’s foreword: Today I’m honored to host another guest post by friend-of-the-blog Steve Ebin, who not only published a beautiful essay here a month ago (the one that I titled “First it came from Wuhan”), but also posted an extremely informative timeline of what he understood when about the severity of the covid crisis, from early January until March 31st. By the latter date, Steve had quit his job, having made a hefty sum shorting airline stocks, and was devoting his full time to a new nonprofit to manufacture low-cost ventilators, called AirToCall. A couple weeks ago, Steve was kind enough to include me in one of AirToAll’s regular Zoom meetings; I learned more about pistons than I had in my entire previous life (admittedly, still not much). Which brings me to what Steve wants to talk about today: what he and others are doing and how you can help.

Without further ado, Steve’s guest post:

In my last essay on Coronavirus, I argued that Coronavirus will radically change society. In this blog post, I’d like to propose a structure for how we can organize to fight the virus. I will also make a call to action for readers of this blog to help a non-profit I co-founded, AirToAll, build safe, low-cost ventilators and other medical devices and distribute them across the world at scale.

There are four ways we can help fight coronavirus:

1. Reduce exposure to the virus. Examples: learn where the virus is through better testing; attempt to be where the virus isn’t through social distancing, quarantining, and other means.
2. Reduce the chance of exposure leading to infection. Examples: Wash your hands; avoid touching your face; wear personal protective equipment.
3. Reduce the chance of infection leading to serious illness. Examples: improve your aerobic and pulmonary health; make it more difficult for coronavirus’s spike protein to bind to ACE-2 receptors; scale antibody therapies; consume adequate vitamin D; get more sleep; develop a vaccine.
4. Reduce the chance of serious illness leading to death. Examples: ramp up the production and distribution of certain drugs; develop better drugs; build more ventilators; help healthcare workers.

Obviously, not every example I listed is practical, advisable, or will work, and some options, like producing a vaccine, may be better solutions than others. But we must pursue all approaches.

I’ve been devoting my own time to pursuing the fourth approach, reducing the chance that the illness will lead to death. Specifically, along with Neil Thanedar, I co-founded AirToAll, a nonprofit that helps bring low-cost, reliable, and clinically tested ventilators to market. I know lots of groups are working on this problem, so I thought I’d talk about it briefly.

First, like many groups, we’re designing our own ventilators. Although designing ventilators and bringing them to market at scale poses unique challenges, particularly in an environment where supply chains are strained, this is much easier than it must have been to build iron lungs in the early part of the 20th century, when Zoom conferencing wasn’t yet invented. When it comes to the ventilators we’re producing, we’re focused on safety and clinical validation rather than speed to market. We are not the farthest along here, but we’ve made good progress.

Second, our nonprofit is helping other groups produce safe and reliable ventilators by doing direct consultations with them and also by producing whitepapers to help them think through the issues at hand (h/t to Harvey Hawes, Abdullah Saleh, and our friends at ICChange).

Third, we’re working to increase the manufacturing capacity for currently approved ventilators.

The current shortage of ventilators is a symptom of a greater underlying problem: namely, the world is not good at recognizing healthcare crises early and responding to them quickly. While our nonprofit helps bring more ventilators to market, we are also trying to solve this greater underlying problem. I look at our work in ventilator-land as a first step towards our ultimate goal of making medical devices cheaper and more available through an open-source nonprofit model.

I am writing this post as a call to action to you, dear Shtetl-Optimized reader, to get involved.

You don’t have to be an engineer, pulmonologist, virologist, or epidemiologist to help us, although those skillsets are of course helpful and if you are we’d love to have you. If you have experience in data science and modeling, supply chain and manufacturing, public health, finance, operations, community management, or anything else a rapidly scaling organization needs, you can help us too. 

We are a group of 700+ volunteers and growing rapidly. If you’d like to help, we’d love to have you. If you might be interested in volunteering, click here. Donors click here. Everyone else, please email me at steven@airtoall.org and include a clear subject line so I can direct you to the right person.