Universal healthcare as pandemic preparedness: The lives and costs that could have been saved during the COVID-19 pandemic.
Universal healthcare as pandemic preparedness: The lives and costs that could have been saved during the COVID-19 pandemic.
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DOI：
10.1073/pnas.2200536119
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发表时间：
2022-06-21
影响因子：
11.1
通讯作者：
中科院分区：
文献类型：
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作者：
美国支离破碎且效率低下的医疗保健系统每年导致许多可预防的死亡和不必要的费用。全民医疗本可以减轻与covid - 19相关的负面因素共同造成的死亡率。结合无保险人口统计数据、特定年龄的COVID-19和非大流行死亡率，我们估计，单付款人的全民医疗保健系统仅在2020年就能挽救21.2万人的生命。我们还计算出，全民医疗保险制度本可以避免1056亿美元与COVID-19住院治疗相关的医疗费用。美国支离破碎且效率低下的医疗保健系统每年导致许多可预防的死亡和不必要的费用。在大流行期间，相对于现状，单一付款人全民医疗保健系统所挽救的生命和经济效益将更大。对于没有保险和保险不足的美国人来说，COVID-19护理的经济障碍延迟了诊断并加剧了传播。与此同时，除COVID-19之外的死亡人数来自无保险的背景率。全民医疗将减轻这些因素共同造成的死亡率。为了评估2020年不完全保险覆盖的影响，我们计算了因雇主赞助的保险损失和无保险背景率而导致的死亡率升高，并将低保险覆盖导致的COVID-19死亡率上升汇总在一起。将未投保人口统计数据与特定年龄的COVID-19和非大流行死亡率相结合，我们估计，单付款人的全民医疗保健系统仅在2020年就可以挽救约21.2万人的生命。我们还计算出，在大流行期间，单一付款人的全民医疗保健系统本可以避免1056亿美元与COVID-19住院相关的医疗费用。除了这些经济效益之外，在非大流行年份，单一付款人全民医疗保健预计可节省4380亿美元。
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$105.6 billion of medical expenses associated with COVID-19 hospitalization could have been averted by a Medicare for All system. The fragmented and inefficient healthcare system in the United States leads to many preventable deaths and unnecessary costs every year. During a pandemic, the lives saved and economic benefits of a single-payer universal healthcare system relative to the status quo would be even greater. For Americans who are uninsured and underinsured, financial barriers to COVID-19 care delayed diagnosis and exacerbated transmission. Concurrently, deaths beyond COVID-19 accrued from the background rate of uninsurance. Universal healthcare would alleviate the mortality caused by the confluence of these factors. To evaluate the repercussions of incomplete insurance coverage in 2020, we calculated the elevated mortality attributable to the loss of employer-sponsored insurance and to background rates of uninsurance, summing with the increased COVID-19 mortality due to low insurance coverage. 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 about 212,000 lives in 2020 alone. We also calculated that US$105.6 billion of medical expenses associated with COVID-19 hospitalization could have been averted by a single-payer universal healthcare system over the course of the pandemic. These economic benefits are in addition to US$438 billion expected to be saved by single-payer universal healthcare during a nonpandemic year.
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影响因子：
8.2
作者：
Corona G;Pizzocaro A;Vena W;Rastrelli G;Semeraro F;Isidori AM;Pivonello R;Salonia A;Sforza A;Maggi M
通讯作者：
Maggi M
DOI：
10.1016/s0140-6736(19)33019-3
发表时间：
2020-02-15
期刊：
Lancet (London, England)
影响因子：
--
作者：
Galvani AP;Parpia AS;Foster EM;Singer BH;Fitzpatrick MC
通讯作者：
Fitzpatrick MC
影响因子：
13.8
作者：
Anderson KE;McGinty EE;Presskreischer R;Barry CL
通讯作者：
Barry CL
影响因子：
158.5
作者：
Gupta, Anil;Gonzalez-Rojas, Yaneicy;Shapiro, Adrienne E.
通讯作者：
Shapiro, Adrienne E.
影响因子：
13.8
作者：
Groff D;Sun A;Ssentongo AE;Ba DM;Parsons N;Poudel GR;Lekoubou A;Oh JS;Ericson JE;Ssentongo P;Chinchilli VM
通讯作者：
Chinchilli VM