At least 75,000 Americans in nursing homes and other long-term care facilities have already died from COVID-19—and the devastation is far from over. After a decrease earlier this summer, the death toll is now rising once again, and as the country heads into the fall and then flu season, millions of Americans who require institutional long-term care remain at the greatest risk. But, so far, the Trump Administration has talked a big talk—and mostly failed to deliver. The White House trumpeted its efforts to send personal protective equipment (PPE) and testing materials to long-term care facilities, but the supplies that actually arrived have been limited in quantity and sometimes unusable.