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One of the main challenges for hospitals is the loss of services. Natural disasters can cut off the electricity, water and supply chain in many locations. In most hospitals, generators are more than fifty years old and are found in the basement, where they are not protected from flooding. Many hospitals are unable to foot the bill to move their generators, and the state is not likely to cover the tab. Another issue is the lack of regulation for installing backup generators, and there is no transparency for the public when dealing with hospitals that fail generator tests.