“I sort of think we’re in a version of what our reality is going to be for the foreseeable future,” Bob Wachter, chairman of the University of California, San Francisco Department of Medicine, told Axios.

“Maybe it gets 10 or 20% better, maybe it gets 10 or 20% worse. But I can’t see it getting 90% better or 90% worse,” he said.

State of play: A critical mass of Americans have been vaccinated — some even boosted — or have some natural immunity after having the illness. And vaccines for kids are expected soon.