I am increasingly coming to the conclusion that this pandemic could cause a collapse of the underlying structure of the American healthcare system.

I don& #39;t think we& #39;re gonna run out of hospital beds or ICU beds (outside NY). But lotsa hospitals could run into financial problems.

There& #39;s no way our hospital system can handle a pandemic like this cuz there& #39;s no mechanism to shift resources from where there& #39;s excess to areas where there isn& #39;t enough resources. And the regions with excess capacity come under severe financial constraints.

Certain regions have way more resources they need to handle outbreaks. Other regions don& #39;t have the resources to even handle a small outbreak.

If certain areas are inundated with patients who are uninsured, there& #39;s not much those hospitals can do.

This is what I& #39;m talking about. Hospitals with razor thin margins and few resources can& #39;t handle a shock like this. A lot of rural hospitals could go under. https://twitter.com/HMBroughMD/status/1248729005014028288?s=19">https://twitter.com/HMBroughM...