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The difference is we are not shut down, healthcare workers ALL OVER THE COUNTRY are exhausted beyond anything like the first giant wave. Those original US high covid cases and deaths were mostly concentrated in a few key spots and health care workers were recruited to help out. Now the conflagration is all over the country and I don't think there are fresh healthcare workers available to travel to a few hot spots.

We are in an extremely dire place. Below is from a steve203 xpost currently on Best of. This is specific to Tennessee, but it is still true in many, many states, most of them in the center of the country.
The White House Coronavirus Task Force warns the COVID-19 risk to Americans is at a historic high and has jarring new recommendations for Tennesseans ahead of an expected post-Thanksgiving virus surge, a report obtained by 10News said.

Tennesseans older than 65 must avoid indoor spaces where people are unmasked. People under 40 must assume they were infected during Thanksgiving celebrations as COVID-19 hits a "very dangerous place," the task force warned.

"It must be made clear that if you are over 65 or have significant health conditions, you should not enter any indoor public spaces where anyone is unmasked due to the immediate risk to your health; you should have groceries and medications delivered," the report said.
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