Much of the response to Covid at the state and the federal level has been characterized by a failure to quickly adapt to changing circumstances. State policymakers failed to understand that preserving hospital capacity, the primary concern when the outbreak began, should have taken a back seat to preventing deadly clusters in nursing homes once it became clear that hospitals would not be overwhelmed in the way early models suggested. It took state policymakers weeks to understand the dynamic and their insistence that nursing homes accept known Covid carriers back in to their care cost lives in the meantime.