RNAO and others remains gravely concerned by the late and insufficient efforts to control the second pandemic wave,which is once again overwhelming long term care (LTC) institutions, in particular nursing homes across the province, adding anguish to residents, staff and the families of both. This “too little, too late approach”continues to disadvantage populations compromised by their social conditions. These are the communities at risk due to precarious employment or unemployment and low income that often also live in tougher housing conditions. These are the same communities that suffered the burden of illness during the first wave of this pandemic. In this second wave the lateness in acting is overwhelming also Ontario hospitals, and this will have renewed repercussions on thousands of Ontarians needing diagnostics and procedures for non-COVID illnesses, who will see delays in access to health-care services.