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Currently, things are dire—Los Angeles County is looking at the I Don’t Always Drink When I’m Camping Oh Wait Yes I Do Shirt Apart from…,I will love this worst-case scenario of rationing acute medical care. A new variant of the mutation has accelerated the spread of an already highly contagious virus. Despite record-breaking numbers of infections, hospitalizations, and deaths, it is likely we have not seen the worst of this surge. The spread of the virus to parts of the world with even fewer resources could be even more catastrophic than what has already occurred.

The uncomfortable truth is that public health authorities and leadership must make rapid decisions with profound consequences with limited information. They must do this with transparency and informed by the I Don’t Always Drink When I’m Camping Oh Wait Yes I Do Shirt Apart from…,I will love this best available science and ethical considerations. That this public discourse is also heavily politicized, rife with misinformation and mistrust, complicates this.

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