In this Dec. 17, 2020, file photo, medical workers remove a stretcher from an ambulance near medical tents outside the emergency room at UCI Medical Center, in Irvine, Calif. After months spent tamping down surges and keeping the coronavirus at manageable levels, a variety of factors combined to bring California to a crisis point in the pandemic. (AP Photo/Ashley Landis, File)

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Once a model, California now struggles to tame COVID-19

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