Bucktail Medical Center (Soure: BMC Facebook) EDITOR’S NOTE: Timothy J. Reeves has witnessed the pandemic on the front lines of the rural American health-care system. What follows are his personal reflections on that experience. Disclaimer: The views and opinions expressed here are the author’s views only and do not in any way reflect the views and opinions of the medical center, its board of directors, staff, other affiliated persons, or anyone directly or indirectly referenced within. Bucktail Medical Center Bucktail Medical Center is a 43-bed Skilled Nursing Facility (SNF), 16-bed Critical Access Hospital (CAH) community Rural Health Clinic (RHC), and Basic Life Support (BLS) ambulance service. Located in the middle of Pennsylvania’s northern tier and within the Pennsylvania Wilds; BMC is likely the most remote health care facility in the state. The hospital dates back to 1909 as Renovo Hospital. In 1979 the facility was moved across the West Branch of the Susquehanna River to South Renovo when the SNF was added to the hospital and renamed The Bucktail Medical Center. BMC has always struggled financially: On October 02, 2015 the facility filed a voluntary petition for Chapter 11 reorganization. We successfully emerged from Chapter 11 on March 26, 2018. Almost exactly two years later, we began our response to SARS-CoV-2, commonly known as Covid-19.