COVID-19 has made the inadequacy of our public health and hospital-based health care system to identify, mitigate, and resolve pandemic disaster self-evident. Gaps in hospital-based preparedness capacity are abundant, including the inadequacy of stockpiles for personal protective equipment (PPE), ventilators, medications, lack of surge inpatient and ICU capacity, and an inability to rapidly scale testing or interventions to meet pandemic demands. The initial outcry placed blame on Federal and State governments, ...

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