Centers for Disease Control and Prevention Director Rochelle Walensky says hospitals in certain U.S. regions “are in dire straits” as the COVID-19 Delta variant rages on and has forced some states to mull rationing care.

“That means that we are talking about who is going to get a ventilator, who is going to get an ICU bed,” Walensky said on CBS’s “Face the Nation” on Sunday. “Those are not easy discussions to have, and that is not a place we want our health care system to ever be.”

Idaho, among the U.S.’s least-vaccinated states, and Alaska have said that hospitals can begin to ration medical care if needed. A major hospital in Montana also implemented so-called “crisis of care standards” to prioritize who is treated. Health officials warned the measure could be widened across the state.

The delta surge has moved in intensity around the U.S., now hitting the northwest. Nationwide, the number of people dying in hospitals appears to have peaked, according to U.S. Department of Health and Human Service data.

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