Maya Goode, a COVID-19 technician, left, talks with Sami Perez, 12, after he received a COVID-19 test outside Asthenis Pharmacy in Providence, R.I., Tuesday, Dec. 7, 2021. Even as the U.S. reaches a COVID-19 milestone of roughly 200 million fully-vaccinated people, infections and hospitalizations are spiking, including in highly-vaccinated pockets of the country like New England. (AP Photo/David Goldman)