During the COVID-19 pandemic peak, the author deployed twice to an emergency Alternate Care Site in Porterville, California. The provision of oxygen to patients there, as seen from a physician’s perspective, does not fully support the description in a recently published article of how the State of California approached oxygen logistics during the COVID-19 surge. To inform future planning, an adequate logistical assessment must include not only approaches for solving technical resource challenges, but also reliable numbers regarding end-user resource utilization, and non-utilization, as well as program costs, benefits, and unintended consequences.