In hard-hit areas, testing restricted to health care workers, hospital patients

As cases spike sharply, officials are hunkering down for an onslaught, and directing scarce resources where they are most needed to save people’s lives. The shift in tone and strategy — coming after weeks of calls for greater testing capacity — signals another tipping point in the U.S. response to the virus, a change other states are likely to embrace as disease counts climb.

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