More than 600 of the nation's physicians sent a letter to President Trump this week calling the coronavirus shutdowns a "mass casualty incident" with "exponentially growing negative health consequences" to millions of non COVID patients. "The downstream health effects ... are being massively under-estimated and under-reported," according to the letter initiated by Simone Gold, M.D., an emergency medicine specialist. "Suicide hotline phone calls have increased 600%," the letter said. Other silent casualties: "150,000 Americans per month who would have had new cancer detected through routine screening." From missed cancer diagnoses to untreated heart attacks and strokes to increased risks of suicides, "We are alarmed at what appears to be a lack of consideration for the future health of our patients." The physicians' letter focuses on the impact on Americans' physical and mental health. "The millions of casualties of a continued shutdown will be hiding in plain sight, but they will be called alcoholism, homelessness, suicide, heart attack, stroke, or kidney failure. In youths it will be called financial instability, unemployment, despair, drug addiction, unplanned pregnancies, poverty, and abuse. "It is impossible to overstate the short, medium, and long-term harm to people's health with a continued shutdown," the letter says. "Losing a job is one of life's most stressful events, and the effect on a person's health is not lessened because it also has happened to 30 million [now 38 million] other people."