When you place all those people back in the city without a health care infrastructure, it is a risky proposition. We're going to have a second disaster in this city.

It could be life-threatening to those people. Those people are already living on a precipice and could be pushed off. Those people are encouraged not to come back to the city.

Now my fear is the entire country will think it's appropriate to care for our patients in a tent. I don't think the rest of the country appreciates we are seeing people in a tent.

Without a Level I Trauma Center, you're offering second-level care.

The second wave of disaster is when you welcome the people back and the infrastructure of the city is not in place.