We need well-coordinated action but if the people on site see that the action is not actually coordinated well, then they need to take proper actions anyway. A

We need well-coordinated action but if the people on site see that the action is not actually coordinated well, then they need to take proper actions anyway. All other things being equal, central control has many advantages, but I strongly disagree that central control is the most important thing. A good example is the situation in Washington state - we only found out about the cases in Seattle because local labs defied CDC and tested themselves after being reportedly denied. It's definitely a good thing that they diverged from the central control, and it would definitely be a harmful thing to satisfy central control and let community spread in Seattle remain undetected. I'm not saying that a random call center employee should arbitrarily decide, but if a local institution has enough skills, expertise and information to make an informed decision in the best interest of their patients, then they definitely should defy central control.