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dc.contributor.authorGalvani, Alison P
dc.contributor.authorParpia, Alyssa S
dc.contributor.authorPandey, Abhishek
dc.contributor.authorSah, Pratha
dc.contributor.authorColón, Kenneth
dc.contributor.authorFriedman, Gerald
dc.contributor.authorCampbell, Travis
dc.contributor.authorKahn, James G
dc.contributor.authorSinger, Burton H
dc.contributor.authorFitzpatrick, Meagan C
dc.date.accessioned2022-06-22T13:58:18Z
dc.date.available2022-06-22T13:58:18Z
dc.date.issued2022-06-13
dc.identifier.urihttp://hdl.handle.net/10713/19235
dc.description.abstractThe 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.en_US
dc.description.urihttps://doi.org/10.1073/pnas.2200536119en_US
dc.language.isoenen_US
dc.publisherNational Academy of Sciences of the United States of Americaen_US
dc.relation.ispartofProceedings of the National Academy of Sciences of the United States of Americaen_US
dc.subjectcosts saveden_US
dc.subjectlives saveden_US
dc.subjectpandemic preparednessen_US
dc.subjectuniversal healthcareen_US
dc.titleUniversal healthcare as pandemic preparedness: The lives and costs that could have been saved during the COVID-19 pandemic.en_US
dc.typeArticleen_US
dc.identifier.doi10.1073/pnas.2200536119
dc.identifier.pmid35696578
dc.source.journaltitleProceedings of the National Academy of Sciences of the United States of America
dc.source.volume119
dc.source.issue25
dc.source.beginpagee2200536119
dc.source.endpage
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States


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