A heartening email I received from a Emergency physician friend who spends half her time in the upper peninsula of Michigan, after I sent her the above info:
How about the small rural communities. I came back last week to Iron River, MI and quarantained at home, distance myself at much as possible...RURAL COMMUNITIES are completely defenseless. We have currently, because it is winter around 3000-4000 people, but we have only 4 vents and one need to stay clean for emergency surgeries. There are 4 ICU beds only. They only can be staffed for 3-4 days as per federal rules, which have not changed. The monther (sic) hospital in Wisconsin says they will make room for 50 more patients.... but Aspirus Hospital cover the whole western UP, this are about 50.000 to 70.000 mostly elderly people with various co-morbities! THIS IS NOT ENOUGH! [Our large hospital system in Detroit] has sufficient resources and can actually overbid other systems when it come purchasing power, here we do not have this. I fear we will have worse case fatality numbers than other countries, but we won't test, so we won't know.