ArticleProceedings of the National Academy of Sciences of the United States of America2022
Universal healthcare as pandemic preparedness: The lives and costs that could have been saved during the COVID-19 pandemic.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 65 citations in OpenAlex.
- Psychosocial, organizational, and health aspects related to the labor of community health workers in the trans- and post-COVID-19 pandemic period in Brazil's Northeast Region.BMC global and public health · 2025Article
- Associations between previous local health expenditures and COVID-19 mortality outcomes large cities in the united states: results from a forward-selecting linear regression analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Universal health coverage-Exploring the what, how, and why using realist review.PLOS global public health · 2025Article
- Charity coverage and decreased COVID-19 mortality among uninsured patients in Texas: A retrospective cohort study.PloS one · 2025Article
- Generating opposition to universal health care policies in the United States: An analysis of private health industry advertising on Meta platforms.PLOS global public health · 2025Article
- "I Can't Afford the Copays, So Guess I'll Die?" Using Discounting Methodology to Quantify How Cost Affects Health-Care Utilization.Behavior and social issues · 2024Article
- Universal health coverage saves more lives among severely ill COVID-19 patients: A difference-in-differences analysis of individual patient data in South Korea.Health research policy and systems · 2024Article
- COVID-19 Hospitalization in Hawai'i and Patterns of Insurance Coverage, Race and Ethnicity, and Vaccination.JAMA network open · 2024Article
- Mortality and morbidity ramifications of proposed retractions in healthcare coverage for the United States.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Examining universal access to acute hospital care in Ireland during the first three months of COVID-19: Lessons from the policy process.HRB open research · 2024Article
- Impact of the COVID-19 Pandemic and Vaccine Availability on Utilization of Breast Imaging in a Multistate Radiology Practice.Radiology research and practice · 2024Article
- Improving Pathways to Care for Ethnic Minority Communities.Advances in experimental medicine and biology · 2024Review
- The application of machine learning algorithms for predicting length of stay before and during the COVID-19 pandemic: evidence from Wuhan-area hospitals.Frontiers in digital health · 2024Article
- Spatial-temporal analysis and spatial drivers of hepatitis-related deaths in 183 countries, 2000-2019.Scientific reports · 2023Article
- Fitting Early Phases of the COVID-19 Outbreak: A Comparison of the Performances of Used Models.Healthcare (Basel, Switzerland) · 2023Article
- Multimorbidity and social determinants of health in the US prior to the COVID-19 pandemic and implications for health outcomes: a cross-sectional analysis based on NHANES 2017-2018.BMC public health · 2023Article
- Technical Innovation in Critical Care in a World of Constraints: Lessons from the COVID-19 Pandemic.American journal of respiratory and critical care medicine · 2023Article
- Relative pandemic severity in Canada and four peer nations during the SARS-CoV-2 pandemic.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2023Article
- Article
- Inaugural editorial post COVID-19 global society: issues, challenges and edging forward.Discover global society · 2023Article
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.