In March 2020 much of the country watched from afar as urban areas like Seattle, New York, and New Orleans struggled to contain the virus—but it was just a matter of time before the pandemic spread to understaffed and under-resourced rural health systems. A year and a half after taking pictures in the subzero temperatures of Fairbanks’ spring, with the state’s vaccination rates stalled well below the national average, Alaska’s health system began rationing care. Images were published at Vox.