COVID-19 has caused a multilayered crisis: Dwindling health supplies, overworked medical staff, impacts on hospital operational budgets, and the rapid deployment of telehealth. The pandemic has also aggravated systemic healthcare inequities. Communities deprived of access to adequate care now face further limits on diagnosis and treatment. Up to 12 million Americans may have lost employer-sponsored health coverage due to COVID-19; state budgets face more than $200 billion in shortfalls, which will shrink Medicaid budgets for rising numbers of patients relying on public assistance. What lessons has COVID-19 taught for improving access to care? Will current trends continue once the turmoil is over? Can we stabilize operations to ensure that patients receive adequate diagnosis and treatment, even as the pandemic continues to ravage the country?