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Health policy pundits often observe that COVID-19 exposes healthcare's grave deficiencies, inequities and underdeveloped capacities - factors hobbling Canada's COVID-19 pandemic response. This issue of Healthcare Quarterly explores some of these weaknesses, illuminating systemic problems that persist despite the cascading damage they cause. It also features accounts of how healthcare leaders, providers and stakeholders did what was possible - not perfect - to contain COVID-19's consequences. Other submissions remind us that even with