Universal healthcare as pandemic preparedness: The lives and costs that could have been saved during the COVID-19 pandemic

@article{Galvani2022UniversalHA,
  title={Universal healthcare as pandemic preparedness: The lives and costs that could have been saved during the COVID-19 pandemic},
  author={Alison P. Galvani and Alyssa S Parpia and Abhishek Kumar Pandey and Pratha Sah and Kenneth Antonio Col{\'o}n and Gerald Friedman and Travis Campbell and James G. Kahn and Burton H. Singer and Meagan C. Fitzpatrick},
  journal={Proceedings of the National Academy of Sciences of the United States of America},
  year={2022},
  volume={119}
}
Significance The fragmented and inefficient healthcare system in the United States leads to many preventable deaths and unnecessary costs every year. Universal healthcare could have alleviated the mortality caused by a confluence of negative COVID-related factors. Incorporating the demography of the uninsured with age-specific COVID-19 and nonpandemic mortality, we estimated that a single-payer universal healthcare system would have saved 212,000 lives in 2020 alone. We also calculated that US… 

Universal healthcare and the pandemic mortality gap

  • D. Fisman
  • Medicine
    Proceedings of the National Academy of Sciences of the United States of America
  • 2022
TLDR
This paper provides one possible explanation of the Canada-US gap in pandemic outcomes, including a higher prevalence of unmanaged chronic illnesses that predispose to worse health outcomes, delay in presenting to hospital due to fear of financial ruin, undervaccination due to lack of access to trusted primary care providers, and lack of resources in cash-strapped hospitals that serve uninsured or underinsured populations.

Excess mortality in the general population versus Veterans Healthcare System during the first year of the COVID-19 pandemic in the United States

TLDR
Despite access to comprehensive medical care, active users of the VA had similar relative mortality increases from all causes compared with the general US population, and factors that influenced baseline rates of death and that mitigated viral transmission in the community are more likely to have influenced the impact of the pandemic.

Prevalence and Outcomes of COVID-19 among Hematology/Oncology Patients and Providers of a Community-Facing Health System during the B1.1.529 (“Omicron”) SARS-CoV-2 Variant Wave

(1) Background: the SARS-CoV-2 (COVID-19) pandemic continues, and patients actively receiving chemotherapy are known to be at enhanced risk for developing symptomatic disease with poorer outcomes.

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