See this article, Confusion and frustration still reign a week after FEMA takes over coronavirus response.
FEMA was brought in late and handed a mission that there had been no pre-planning for.
And, there is so much yin and yang going on, any person would have trouble figuring out what the overall goal is when it appears, there are no goal posts sent in concrete. I don't even think there are goal posts.
On the supply side, I've heard that this is the supply chain-request-delivery process that FEMA has settled on, with all medical needs being filtered from the county/local health officer to state to HHS then handled by FEMA/HHS/DOD logistics command. But then, the Pete Gaynor letter says everything goes through emergency management channels, which, to the best of my knowledge, is how it is working in Washington state.
More fog, please!