new cases. what more worrisome thing cases is that in cities like new york, d.c. and chicago, hospitalization are exceeding rates even though the vaccine wasn t available. over 66.5% is fully vaccinated. and we have millions of unvaccinated people who are going to end up hospitalized. as doctor craig spencer writes this influx of coronavirus positive piece and is also creating another source of infection for health care workers who are being sidelined in numbers i ve never seen before. the domino effect will affect all levels of the health care system, from shortstop nursing homes to ambulances taking longer to respond to 9-1-1 calls. doctor craig spencer is an emergency er doctor at the director of global health in emergency medicine. and we also have megan ranney at the brown emergency medicine