In a letter addressed to President Trump, Andrew Cuomo, the governor of New York, writes:

[Y]ou must anticipate that, without immediate action, the imminent failure of hospital systems is all but certain. According to one projection, as many as 214 million people in our country could be infected over the course of the epidemic. Of those, as many as 21 million people could require hospitalization.

This would crush the nation’s medical system. New York State has just 53,470 hospital beds, only 3,186 of which are intensive-care beds. Our country as a whole has fewer than one million staffed hospital beds, fewer proportionately than China, South Korea or Italy.

Ask your experts, how many intensive-care beds do we need for our vulnerable populations, and how many do we have now? The scarcity portends a greater failing and a worse situation than what we are seeing in Italy, where lives ‎are being lost because the country doesn’t have the health care capacity.

States cannot build more hospitals, acquire ventilators or modify facilities quickly enough. At this point, our best hope is to utilize the Army Corps of Engineers to leverage its expertise, equipment and people power to retrofit and equip existing facilities — like military bases or college dormitories — to serve as temporary medical centers. Then we can designate existing hospital beds for the acutely ill.

We believe the use of active duty Army Corps personnel would not violate federal law because this is a national disaster. Doing so still won’t provide enough intensive care beds, but it is our best hope. [Continue reading…]