Washington Post September 15, 2021
Frances Stead Sellers

When the pandemic hit, the little health center on Vinalhaven, an island 15 miles off the coast of Maine, was prepared in ways many larger facilities were not. The Islands Community Medical Services had long been using telehealth to provide primary and behavioral care to its 1,500-strong year-round community, relying on grants to cover costs. As the public health emergency lifted many restrictions on virtual care, the clinic ramped up its offerings.

“We were able to pivot pretty quickly,” said former operations director Christina R. Quinlan, describing a scramble to add specialized medical and social care.

Across the country, in urban and suburban settings, the same pattern played...

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