FILE - In this Sept. 22, 2020, file photo, healthcare workers line up for free personal protective equipment in front of a mural by artist Romero Britto at Jackson Memorial Hospital in Miami. The pandemic began with devastation in the New York City area, and was followed by a summertime crisis in the Sun Belt. But it is now striking cities with much smaller populations, often in conservative corners of America where anti-mask sentiment runs high, creating problems at hospitals and schools in the Midwest and West. (AP Photo/Wilfredo Lee)