COVID-19 and US Health Financing: Perils and Possibilities

International Journal of Health Services : Planning, Administration, Evaluation
Adam GaffneySteffie Woolhandler

Abstract

While the COVID-19 pandemic presents every nation with challenges, the United States' underfunded public health infrastructure, fragmented medical care system, and inadequate social protections impose particular impediments to mitigating and managing the outbreak. Years of inadequate funding of the nation's federal, state, and local public health agencies, together with mismanagement by the Trump administration, hampered the early response to the epidemic. Meanwhile, barriers to care faced by uninsured and underinsured individuals in the United States could deter COVID-19 care and hamper containment efforts, and lead to adverse medical and financial outcomes for infected individuals and their families, particularly those from disadvantaged groups. While the United States has a relatively generous supply of Intensive Care Unit beds and most other health care infrastructure, such medical resources are often unevenly distributed or deployed, leaving some areas ill-prepared for a severe respiratory epidemic. These deficiencies and shortfalls have stimulated a debate about policy solutions. Recent legislation, for instance, expanded coverage for testing for COVID-19 for the uninsured and underinsured, and additional reforms have bee...Continue Reading

References

Sep 1, 1985·European Journal of Epidemiology·L Ajello, L Polonelli
Apr 9, 2004·Proceedings of the National Academy of Sciences of the United States of America·Christophe FraserNeil M Ferguson
Jun 10, 2004·Critical Care Medicine·Neil A HalpernRobert J Greenstein
Jan 24, 2007·Biosecurity and Bioterrorism : Biodefense Strategy, Practice, and Science·Eric Toner, Richard Waldhorn
Sep 4, 2008·Critical Care Medicine·Hannah WunschKathryn M Rowan
Apr 15, 2010·JAMA : the Journal of the American Medical Association·Kim G SmolderenPaul S Chan
Apr 8, 2011·American Journal of Respiratory and Critical Care Medicine·Hannah WunschKathryn M Rowan
Mar 9, 2012·American Journal of Public Health·Debra DeBruinMary Faith Marshall
Jul 11, 2012·Intensive Care Medicine·A RhodesR P Moreno
Aug 22, 2013·Critical Care Medicine·Hannah WunschScott D Halpern
Dec 19, 2014·American Journal of Respiratory and Critical Care Medicine·David J WallaceJeremy M Kahn
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Robert A FowlerUNKNOWN Canadian ICU Capacity Group
Nov 13, 2015·American Journal of Public Health·David U Himmelstein, Steffie Woolhandler
Jan 18, 2018·American Journal of Preventive Medicine·Jonathon P LeiderElizabeth Harper
Oct 3, 2018·Critical Care Nurse·Annette Bourgault
Jan 21, 2019·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Genesis R Bojorquez, Eileen K Fry-Bowers
Feb 7, 2019·American Journal of Public Health·David U HimmelsteinSteffie Woolhandler
Apr 2, 2019·JAMA Internal Medicine·Arjun K VenkateshKumar Dharmarajan
Jan 7, 2020·Annals of Internal Medicine·David U HimmelsteinSteffie Woolhandler
Jan 21, 2020·Annals of Internal Medicine·Ryan CrowleyUNKNOWN Health and Public Policy Committee of the American College of Physicians
Mar 3, 2020·The Lancet Global Health·Joel HellewellRosalind M Eggo
Mar 4, 2020·JAMA : the Journal of the American Medical Association·C Jason WangRobert H Brook
Mar 9, 2020·The Lancet Infectious Diseases·Annelies Wilder-SmithVernon J Lee
Mar 11, 2020·Lancet·Helena Legido-QuigleyDavid Heymann
Mar 14, 2020·Lancet·Roy M AndersonT Déirdre Hollingsworth
Mar 14, 2020·JAMA : the Journal of the American Medical Association·Stephen M Parodi, Vincent X Liu
Mar 18, 2020·Lancet·Andrea Remuzzi, Giuseppe Remuzzi
Apr 8, 2020·Annals of Internal Medicine·Steffie Woolhandler, David U Himmelstein

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