Not having advanced medical equipment or doctors is one way to have a health system that doesn't work. Not hiring a programmer to write you a script to connect two systems during the worst unemployment event in almost a hundred years is another one. As are so many of the other reasons here. We are finding out that our healthcare system really isn't up to par not only because we don't have equipment, but because due to lack of regulations that benefit profit seeking, the system barely works. If only we had some sort of over arching entity that could force all these disparate systems to work together based on a set of rules ... you know, a government and specifically a government that works not one that's constantly being dismantled by idiots who think the corona virus is a hoax. In the end, the crisis always boils down to not having an effective, functioning government and leadership. This would be unacceptable in many places, but the US has extremely low standards in general so it's business as usual.