Even before the COVID-19 pandemic, 30 million people in the U.S. had no health insurance, and about 50 million were underinsured. The pandemic has caused millions more to lose coverage because of losing their jobs. Indeed the pandemic has given us perspective on an array of injustices in our health care delivery system — including the lack of an adequate public health infrastructure, the racial disparities in access to care, the rationing of care based on ability to pay, and hospitals’ concentration on lucrative cardiac and orthopedic services rather than mental health and primary care.
The U.S. spends twice as much per capita on health care as other high-income countries that provide universal coverage, and yet our health outcomes are worse.
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