All comes down to a complete and total failure of leadership. I think that most states and health systems would be fine with the Feds seizing all medical supplies if they had any confidence in the Feds' plan to then distribute the supplies. I work for a very large health system, and we get basically everything we want and need all the time. That's great for us, but it's not so great for the community hospitals who don't have the purchasing clout of a multi-billion dollar teaching hospital. If Trump could get out of his own way (literally impossible, I know), I think it's a good idea for a coordinated federal response. As is, I don't think anyone would be surprised if we found out that FEMA was just giving the shit to Don Jr. to put on his eBay page.