India’s COVID surge is getting worse. There were 400,000 new cases on Saturday — and a stream of critical cases arriving at hospitals already over full. Everywhere, there is a shortage of oxygen. In the hospitals, and on the street, where family members line up for an hour to refill tanks for patients at home. A Sikh temple in East Delhi even set up curbside oxygen for the very sickest. The country managed to beat its first COVID wave a year ago and opened up, even to mass religious and political gatherings. Now Indian families especially the poor are now paying the price.

As funeral pyres burn day and night, Indians are both devastated and furious.

India has opened COVID-19 vaccinations to all adults on Saturday in hopes of taming a monstrous spike in infections. The huge inoculation effort, however, was sure to tax the limits of the federal government, the country’s vaccine factories, and the patience of its 1.4 billion people. The world’s largest maker of vaccines was still short of critical supplies — the result of lagging manufacturing and raw material shortages that delayed the rollout in several states. And even in places where the shots were in stock, the country’s wide economic disparities made access to the vaccine inconsistent.

So far, government vaccines have been free, and private hospitals have been permitted to sell shots at a price capped at 250 rupees, or around $3. That practice will now change: Prices for state governments and private hospitals will be determined by vaccine companies. Some states might not be able to provide vaccines for free since they are paying twice as much as the federal government for the same shot, and prices at private hospitals could rise.

India is definitely in the worst condition right now and it gives a lesson to everyone around the globe to stay at home and follow SOPs as much as they can. COVID-19 isn’t over and India is living proof of it.