Life is slowly approaching normal around much of the nation although some states, including New Hampshire, are experiencing slight upticks in COVID-19 cases over recent weeks. The spike of new cases has yet to give the Centers for Disease Control (CDC) pause to rethink its latest mask guidance nor has it given the Biden administration a reason to extend the COVID-19 Public Health Emergency (PHE) for the ninth time. While the expiration of the PHE is a positive sign that we are tracking in the right direction, it could also leave millions of Americans without health care and state and federal health agencies overwhelmed.