California's situation (blue in the graphs) is now mimicking New York's troubles (gray) in the spring, but not on a population-adjusted basis. Percent of hospital beds dedicated to COVID in California is also rising sharply.
Texas (pink) is reprising its experience in the summer in all categories.
Pennsylvania (not shown) is having a similar experience right now to number three New York.
Systems which find themselves under pressure from the pandemic have lattitude to refrain from performing elective procedures to free up beds. Doing so, however, comes at a cost to hospitals which depend on those procedures to remain profitable.