Maybe, but I'd be surprised if it's really changed that much in the last 13 years. I went back to school later in life, and as working thru school until 2007, which really isn't that long ago. It sucks, and it's definitely not easy, but it can be done when it's what needs to be done.
I'm not following you, here. What flags?
I don't think bholler even meant to compare PA to NY, but the population density averaged across the entire greater metropolis area of Philadelphia (i.e. the "city-county") is over 11,000 per sq.mi., and several times that in some sections of the city. I would not be surprised at all if it's higher than 27,000 per sq.mi. in some parts of the city.
The big difference, for me anyway, is the distribution. It may be true that many more die from other causes, but the likelihood of me or my family being affected by this thru no fault or action of our own is high enough to cause serious concern. Aside from that, I know three people who died from this disease last week, and I don't normally know three people that die in a given week, let alone from the same random contraction of a disease.
Allergy and immunology are inextricably linked:
https://www.abai.org/