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

  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},
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
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

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

It is confirmed that COVID-19 remains a formidable infection in terms of cancer patients’ treatment as well as livelihood, and continues to result in considerable health care disparities for disadvantaged populations.

Beyond Sex: Human Monkeypox Virus is an Emerging Threat to Marginalized Populations

Abstract The human version of the monkeypox virus (MPXV) is establishing itself to various degrees across the globe. While substantial attention has been focused on sexual risk, particularly among

COVID-19 pandemic relief funding—a lifeline for equity



Projecting hospital utilization during the COVID-19 outbreaks in the United States

It is highlighted that the growing coronavirus disease 2019 (COVID-19) outbreak in the United States could gravely challenge the critical care capacity, thereby exacerbating case fatality rates, and policies that encourage self-isolation may delay the epidemic peak, giving a window of time that could facilitate emergency mobilization to expand hospital capacity.

Count the cost of disability caused by COVID-19.

The COVID-19 pandemic is well into its second year, but countries are only beginning to grapple with the lasting health crisis, and a much clearer picture of the burden of the disease than currently exists is needed.

Long COVID and Health Inequities: The Role of Primary Care

Policy measures should include strengthening primary care, optimizing data quality, and addressing the multiple nested domains of inequity in patients with long COVID.

Diabetes is most important cause for mortality in COVID-19 hospitalized patients: Systematic review and meta-analysis

Reduced lymphocyte and platelet count, along with increased D-dimer levels, all significantly contributed to increased mortality and the optimization of glucose profile along with an adequate thrombotic complications preventive strategy must become routine practice in diseased SARS-CoV-2 infected patients.

Potential Implications of SARS-CoV-2 Delta Variant Surges for Rural Areas and Hospitals.

The implications of a surge in COVID-19 cases due to the Delta variant of SARS-CoV-2 on rural areas of the US and its health care safety net warrant careful and prompt appraisal. In early July, 2

Uncompensated Care for the Uninsured in 2013: A Detailed Examination

Anticipating fewer uninsured people and lower levels of uncompensated care, the Affordable Care Act reduces certain Medicare and Medicaid payments and could pose challenges to some providers, particularly in states that have not adopted the Medicaid expansion or where implementation of health care reform is proceeding slowly.

What other states can learn from Vermont's bold experiment: embracing a single-payer health care financing system.

The team developed a viable single-payer proposal that served as the foundation of Vermont's law and described how this plan was designed, and lessons for other states considering health system reform are discussed.