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Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, said Wednesday the U.S. is at a “very critical time” with about 90% of hospitals across the country in ‘hot zones.'”

“The reality is December and January and February are going to be rough times,” Redfield said at an event hosted by the U.S. Chamber of Commerce. “I actually believe they’re going to be the most difficult in the public health history of this nation, largely because of the stress that’s going to be put on our health-care system.”

Many hospitals around the country are already worn out from months of work treating the relentless inflow of Covid patients, along with patients who still require medical attention for other ailments. Dr. Megan Ranney, an emergency physician and director of the Brown-Lifespan Center for Digital Health, said she’s hearing from colleagues around the country of situations similar to that of “low-income countries,” where medical care must be rationed.

“We’re running out of beds, and we’re also going to run out of staff,” she said. “Our health-care system is full even in normal times, so to add an extra 100,000 patients on top of our existing burden of disease and injury is almost unfathomable.”