I live where there may well be a Mega Thrust (above 9.0 on the Richter Scale) earthquake. There is ONE airport here that can take large aircraft and it is built on landfill out into the delta waters. This is where the geologists know “liquifaction” will happen to the earth, so that airport may well be inoperable after such a huge earthquake, so I really do understand how badly things can turn very quickly.
The entire area is connected by bridges that have NOT been retrofitted to withstand this magnitude of disaster, so those bridges will collapse.
This will cut off almost all possibility of getting emergency supplies anywhere but the main area.
There is one minor airport outside the area, but it is situated well beyond the limits of the major metropolitan area and bridges MUST be crossed to get from there to the cities along the delta.
Now to Haiti. The airport there IS on land, not built on landfill, so it is operable. Yes, there is but one runway, and the aid is forced to get through a bottleneck, but at least they can get it to the island!
Decisions are tough at any time, but when competing demands are ALL urgent, some decisions become life or death, and the price is high no matter which way the decision is made.
Imagine trying to decide whether to cut a limb off and know the chance of living is better if you do, but also try to imagine that cutting off that limb would require surgery, which may not come! Nasty choices but those choices are done minute by minute in Haiti. Most people would freeze, not sure which way to turn, wanting to have some kind of guarantee of the outcome, but in this type of situation, there are NO GUARANTEES!
I understand the need that people have to survive, and yes, if it came down to it, I would be looting too. Food or items CAN be replaced, lives cannot.
When it comes to getting people out, it becomes a reverse flow to the airport, unless there are sea craft that can get to those same people and load them onto ships, boats, or any carriers. So what choices do people make? Do I move those orphans out before I move injured? Who gets priority? If I choose to move the injured out, they may live, but the orphans may die, and if I move the orphans, then those who are injured may die; either way someone will lose.
If it comes to my own life and decisions like this, I know I would grieve for every decision that cost someone pain or death. But, brutal as it is, those decisions must be made, inaction is NOT the answer.
The lessons I have learned from this are going to be applied to my own preparations here. I KNOW there will be no possibility of help, probably for at least 10 days. I am far more fortunate than those in Haiti because I do have the forewarning, the knowledge, the lessons, and I can prepare as best as possible for disaster here.
All I can do is to give what support I can, understand the suffering and do as much as possible to help, even from a very long distance.