Investments in health infrastructure that address the need of the solo practice, small to medium size healthcare provider groups often play catch-up in a for-profit system controlled by large corporations and insurers and a government that often hands down laws and regulations that can be selectively punitive on these groups, leaving a swat of primary care providers at a subsistence level, to fend, scavenge in what might sometimes look like a rat race mixture of MDs, DOs and NPs etc. This is in spite of the fact that time and time again it has been proven that these healthcare and primary care providers (HCP and PCP) are an indispensable group in the health of a nation and worse still will now come into the frontline of a fight against an outbreak as the deadly rapidly evolving COVID-19, that now is in a community transmission phase. As we watch history repeat itself, large organizations, corporations ,Wall Street, Airlines etc. both government and private, have put in place early measures to address the pandemic, implementing programs geared primarily towards mitigating economic losses (as is in the case of most large corporations in private sector) and secondarily to protect staff and public. But the little man HCP and PCP industry who is at the frontline is often ill-prepared, having been left to fend for himself or herself. This group will confront choices, in an effort to keep their Hippocratic oath go on to source and maybe borrow to make available resources needed to keep their doors open to patients and at the same time reduce the risk of contracting and/or passing a deadly virus to his/her poor patients and staff or to shut down the office. And while they may be denied reimbursement of services offered to patients even in these circumsatnces by the insurance companies and third party payors, the role of these frontline providers cannot be underestimated, the least of which is to relieve the pressure on resources that would otherwise be placed on our system at the Emergency Departments, at the secondary and tertiary care levels where the sickest have to be managed. Frankly, a decision to shut down when and if a provider cannot scale to provide the necessary conditions to ensure safety of staff and patients, is the right decision well within the interest of patients, staff and larger community. It is a moral duty and the ethical thing to do. And very often there is no capacity to scale and allocate required and appropriate resources and funds in order to follow accurately the simple CDC guidelines however simple it is made to appear. This predicament that confronts the small, solo and medium practices replays itself time and time again as we saw when there was a requirement to implement the EHR system years ago. Unlike the EHR example the HCP and PCP's life and that of patients and staff depend on observing these life saving guidelines as issued by the CDC to the letter and keeping a close tab on local health directives as we watch the epidemiology of COVID-19 evolve. It is now that these groups must think through these scenarios and be prepeared to take the correct actions.