India’s death toll from COVID-19 has surpassed 200,000 as a virus surge sweeps the country, rooted in so-called super-spreader events that were allowed to happen in the months after India thought it had the pandemic under control. Now India is enduring its darkest chapter yet, with mass funeral pyres, burials and a collapse of the health system compounded by shortages of oxygen, ventilators, and hospital beds. Now the surge is sending its health system toward collapse. Hospitalizations and deaths have reached record highs. Patients are suffocating because hospitals are using up their oxygen supplies. Fires at overwhelmed crematoriums are lighting up night skies.