karkowsky's absolutely right. you get to that point and you get to the point where you want to repent for that and you want that redemption for not getting it and taking those steps further but you know, at that point a lot of times unfortunately it's too late. >> yeah. you point out that, dr. karkowsky, most people are now choosing to get hospitalized with covid. are health care workers having conversations about how to use limited resources now? it sounds very harsh. but is there an argument to be had that these people made a decision and now they're facing the consequences? >> i want to reinforce that that's not how we treat people. right? you come to the hospital, we take care of you, the patient, not your bad decisions. or even your decisions. that's not relevant. and i don't think it will become relevant. i think we've all worked very hard over the last year to provide a really high quality of care. what i am seeing is that i think providers are getting burnt out. and so what you're having is either provider