People are appropriately concerned about the capability of hospitals to care for everyone who may need care as a result of CV-19 or otherwise. As I have explained before, the US has embarked on a concerted campaign for the last two decades to reduce inpatient hospital utilization, which means reduction of capacity and running at a high level of capacity utilization. This minimizes per stay costs. But it means that we don’t have a lot of empty hospital beds typically sitting around. I have also explained that most hospital beds can be used for most patients, and ICU typically means more intensive monitoring and equipment use, but for most patients a typical ward, if properly staffed, could serve the same purpose. So the line between ICU and regular hospital bed isn’t that stark. The charts below show current hospital utilization overall versus the average for the past three years by state. In general it looks okay. Partly this is because we aren’t seeing flu hospitalizations in typical numbers and people and institutions may have deferred certain hospitalizations. I agree with those who say staffing may be a bigger issue. But my parting thought is that in regard to the areas currently seeing a fall surge, this was very predictable given the typical seasonal pattern of coronavirus, governments have had many, many months to prepare for the likelihood of a fall surge and if we aren’t prepared it is completely due to an ineffective and incompetent government response to a known likely occurrence–a large number of cases in the fall, some percent of which would require hospitalization.