While a small subset of patients with COVID-19 will inevitably require hospitalization, the majority will be seen first and solely by primary care because the majority of infected individuals experience only mild to moderate symptoms. In Ontario, as of August 28, 2020, 11.6% of cases had ever been hospitalized, meaning that almost 90% of cases were managed in the community.11 Treating as many patients in the community as possible also removes strain from the hospital system, reducing the risk of overwhelming hospital capacity.12 Furthermore, reflecting on their experiences of COVID-19 in Italy, a group of intensive care physicians wrote, “We are learning that hospitals might be the main COVID-19 carriers, as they are rapidly populated by infected patients, facilitating transmission to uninfected patients. . .This disaster could be averted only by massive deployment of outreach services. Pandemic solutions are required for the entire population, not only for hospitals.”13 Similarly, a model based on pandemic influenza and SARS found that a higher concentration of hospitals is linked with greater spread and mortality, while a higher concentration of community-based primary care clinics to triage, diagnose and treat the pandemic illness was associated with reduced transmission and mortality.14 Hence, primary care of COVID-19 in the community is critical to keep as many patients out of hospital as possible to reserve constrained hospital resources and prevent institutional outbreaks.