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I keep hearing this thing about some state only getting x number of tests.  Last I heard, the tests required particular equipment and not all places have that equipment.  This isn't a case of the strep test where you swab and then check it a few minutes later.  This has to have the RNA replicated on machines, then reagents mixed properly and applied, then time to wait for a result.  Some places have one or the other part.  The US has no approved that that you can just take at any hospital.  There are a ton of reasons for that, but FDA rules not being waved soon enough and low availability of known virus samples are a huge part of it.