Massachusetts had (as of 3/29/2020) 399 patients hospitalized. If 10% of those are in ICU (I can’t verify that percentage), then that is 39, which doesn’t sound like a lot, BUT ICU beds are not only for COVID-19 patients and our ICUs are generally not empty (think of critical care heart attacks, strokes, emergency heart bypass patients, etc. who continue to need care whether or not there is a pandemic on top of it) so not every ICU bed on the books is available AND we are still early on in the pandemic. The peak is not here, and as cases continue to grow there is a good chance that in many areas our hospitals will be overwhelmed, unless we space these cases out by reducing the rate of spread. Even if we can find enough new equipment and space to meet the demand, it would not be that easy to find additional trained staff to monitor all those patients (critical care medicine, ICU nursing, respiratory therapy, etc. all require extensive schooling which can’t be done overnight).