As we write this editorial, the first phase of the COVID-19 pandemic is hitting with a huge impact in New York City and many other communities. As inpatient and intensive care unit care surge, most primary care virtualizes, and elective procedures disappear, it is clear that health care is being transformed dramatically and quickly. It is also clear that the impact of COVID-19 on the organization of health care will last much longer than the pandemic—and not just telehealth. With many clinicians working without adequate protective equipment, practices facing bankruptcy in weeks, and hospitals furloughing many staff members, the psychological and financial impact will be felt for a long time.