The document discusses first world problems in education and options and their impact. It mentions math, chronic respiratory diseases affecting 1 in 7 people, spirometry testing to measure lung function, and apps like SpiroSmart and Bilicam that can perform spirometry and jaundice testing using a phone with results within 5% of a real device or doctor visit. The author is an assistant professor who provides his contact information and says he doesn't know what the reader should do but shares what he does to potentially help address first world issues.