I work in emergency management at a hospital in NY...
So first of all, there was/is a crisis of hospital beds and staff. The greater NYC area had roughly 22,000 hospital beds (before the Comfort and Javitz and all that). As many as 19,000 of those were used for COVID related admissions. I believe right now we're closer to 18,500 and hopefully that continues to fall. That left about 3,000 beds for EVERY THING ELSE. 3,000 beds for NYC for everything else is nothing. Folks are absolutely packed into hospitals right now. Additionally, most of those beds are not in ICUs. There were many folks treated on regular medical/surgical units that should have been in ICUs, but ICU space wasn't available (yes, ICU beds were added to handle the surge, but it is far from ideal). Two months ago, there were about 1,600 ICU beds in NYC. Right now there are over 3,500 people in ICU beds. It was a crisis. I can't even describe how incredibly taxing that is.
As far as staff, it takes special training to work in an ICU and with medically fragile patients. If you look at the raw numbers of licensed healthcare providers, it might look ok, but you don't want a gynecologist trying to help you keep breathing, right? Ideally in an ICU you'd have one nurse dedicated to one patient. People are in ICUs because they can crash at any time. If nurses were continuously running 12 hour shifts back to back, that's a minimum of 7,000 critical care nurses. Obviously no one can work 12 hours straights so you need folks to cover bathroom and meal breaks, so let's say that's 8,000 critical care nurses working 12 hour shifts back to back to back to back. That's in addition to respiratory therapists, physicians, aides, and everyone else involved. They're also doing this without all of the required PPE.
As far as the numbers of cases and fatalities, so far we're lucky. We're lucky that the shutdowns happened and we're lucky that people complied. Imagine how much worse it would be. That said, we're only about half way through is, and we'll blow 35,000 deaths out of the water. Just look at the numbers. We're storing bodies in food trucks and burying them in shallow graves. NYC isn't the only city doing that either.
Please tell me how we over dramatized the situation and please tell me how it wouldn't have been worse without the shutdown.