The risk (i.e., caseload growth rates) just isn't that much different for different communities. Everywhere COVID-19 gets started, it usually has a doubling time of 2-3 days unless measures are taken to reduce transmission. Pick pretty much any community in the country that has a couple of weeks or more of caseload data, and you will likely find exponential growth with a doubling time of 2-3 days. Doesn't matter that much if it is NY City, Vermont, Connecticut, whatever. When that growth continues for a month unabated, it overwhelms the local healthcare system. The math is predictable. So is the hospitalization rate, and the fatality rate. Comparing current caseloads between regions is futile, because they are not at the same point of their outbreak. It is like comparing baseball scores in the 1st and 7th innings. New York and Washington state just have the distinction of having their outbreaks start earlier. Everyone else will get theirs later.