5.4 million Americans lost health insurance

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Roughly 5.4 million adults in the U.S. lost their health insurance from February to May after losing their jobs, according to a new estimate from Families USA, a group that favors the Affordable Care Act.

Why it matters: There are more adults under 65 without insurance in Southern states, which are the same states setting new records for single-day coronavirus infections along with rising hospitalizations, Axios’ Orion Rummler writes.

What they found: 3.9 million adults lost health insurance over one year during the Great Recession, per Families USA’s analysis. It only took four months in this current crisis for an estimated 5.4 million Americans to lose health insurance.

  • More than 20% of adults in Georgia, Florida, South Carolina, North Carolina, Mississippi, Oklahoma and Texas were without insurance as of May.
  • All of these states have set new records in the past two weeks for their highest number of coronavirus infections in a single day, per data from the COVID Tracking Project.
  • 46% of adults who lost coverage due to the pandemic came from five states: Florida, New York, Texas, California and North Carolina.

The backdrop: 21 million Americans were unemployed in May, according to the Bureau of Labor Statistics’ nonfarm payrolls report.

 

 

 

 

More Republicans say they’re wearing masks

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Trump dons face mask during Walter Reed visit - Axios

Nearly two-thirds of Americans — and a noticeably increasing number of Republicans — say they’re wearing a face mask whenever they leave the house, according to the Axios-Ipsos Coronavirus Index.

Why it matters: A weakening partisan divide over masks, and a broad-based increase in the number of people wearing them, would be a welcome development as most of the country tries to beat back a rapidly growing outbreak, Axios’ Sam Baker writes.

By the numbers: 62% of those surveyed said they’re wearing a mask “all the time” when they leave the house — up from 53% when we asked the same question two weeks ago.

  • The biggest jump was among Republicans: 45% say they’re wearing a mask all the time, up from 35% at the end of June.
  • Even though it’s narrowing, there’s still a big partisan divide: 95% of Democrats say they wear a mask some or all of the time outside the house, compared with 74% of Republicans.

Between the lines: These numbers may seem high — do two-thirds of the people you pass on the street have a mask on? But the fact that more people are claiming to wear them is at least a sign that masks are increasingly seen as important.

  • Among people who said they wear a mask sometimes, 32% reported that they’ve been denied entry into an establishment because they weren’t wearing one, and 21% said someone else has told them to put one on.
  • 15% said they’ve told someone else to put on a mask.

 

 

 

Despite seeing great risk, Americans slow to make major changes to deal with COVID

https://www.ipsos.com/en-us/news-polls/axios-ipsos-coronavirus-index

Chart

New Axios-Ipsos Coronavirus Index study finds that social distancing continues to decline except for mask use.

Washington DC, July 14, 2020

Fewer Americans report self-quarantining now than any point since the start of the pandemic according to our latest Axios-Ipsos Coronavirus Index. This corresponds with socializing and commercial activity remaining high, if not quite to pre-pandemic levels. However, more Americans see returning to a pre-coronavirus life as a large risk now than at any time since the high-point of the initial wave in mid-April.

Detailed findings:

1. Despite the surge in cases across the South and West, Americans continue to venture out of the home at higher rates and do not re-embrace major social distancing.

  • Fewer than one in five (19%) of Americans report self-quarantining the last week, the lowest level since tracking began at the eve of the outbreak in early March.
  • Just under half of Americans (47%) report visiting friends and relatives in the last week, a third (30%) report going out to eat, and about one in six (16%) visited elderly relatives in the last week – all essentially unchanged from levels in mid-June before the current spike in cases.

2. However, as cases surge, Americans are increasingly seeing normal activities as posing large risks.

  • A third of Americans (33%) see attending in-person gatherings of friends as a large risk to their health. Additionally, over a third (37%) say dining out, just under a third (30%) say going to a salon, and over a quarter (27%) of Americans working remote or temporarily not working say returning to their normal place of employment is a large risk. All are the highest levels since mid to late May.
  • As debate about back-to-school rages, a large majority of parents (71%) say sending their child to school in the fall is a large or moderate risk.

Chart 2

3. Most Americans appear to be embracing mask use as a tool to cope with the coronavirus pandemic.

  • As of July, three in five Americans (62%) report wearing a mask at all times when leaving the home with an additional 23% reporting sometimes wearing a mask (85% total). This is the highest level of mask use since tracking began in April.
  • Among the approximately two in five (38%) Americans who do not wear a mask at all times when out of the home…
    • A third (32%) report not being allowed into an establishment without a mask (about 12% of the total population).
    • One in five (21%) report being told to wear a mask by another person (about 8% of the total population), up from 15% at the end of May.

4. As the pandemic continues, public trust in both the federal government and state governments has fallen to a low in this tracking.

  • A third of Americans (32%) have a fair amount or great deal of trust in the federal government to look out after the best interests of their family. This is down from 53% in mid-March.
  • Just over half (55%) trust their state governments, down from 71% in mid-March. Trust in the state government is lowest in the states currently hit the hardest (47% average cross AZ, FL, GA, and TX).

Washington DC, June 30, 2020

As June ends, the latest wave of the Axios-Ipsos Coronavirus Index finds that American fears of the coronavirus pandemic have resurged to levels last seen during the acute parts of the initial wave. This comes, however, as Americans continue to leave the home more frequently, albeit while taking protective measures.

Detailed Findings:

1. Levels of concerns have returned to levels last seen in early May as the pandemic spreads across the South and West.

  • Almost two-thirds (60%) of Americans are very concerned about the coronavirus outbreak, with an additional quarter (24%) somewhat concerned.
  • Over three quarters (78%) are at least somewhat concerned about the possibility of getting sick, up 9 points from the beginning of June.
  • Three quarters (76%) are concerned about their community re-opening too soon, the highest level in our tracking.

corona concerns

2. Correspondingly, perceptions of risk also continue to increase, particularly views of activities that may bring the respondent into contact with large groups of people.

  • Over two-thirds (70%) currently say that returning to their pre-COVID life is a moderate or large risk.

3. Risk aversion may also put a damper on the upcoming Fourth of July holiday with 78% saying attending celebrations is a large or moderate risk.

Risky Business

4. Americans have started curtailing social engagement, however the number engaging in out of home commercial activities remains stable or continues to increase.

  • Less than half (45%) of Americans say they visited friends and family in the last week, down from the post-COVID high of 49% last week. Additionally, visiting elderly relatives is flat at 14%.
  • However, going out to eat continues to increase, now with 31% of Americans reporting having done so in the last week. Visiting a salon or retail store is flat from last week.

Washington DC, June 23, 2020

Our latest Axios-Ipsos Coronavirus Index finds that Americans are increasingly concerned about coronavirus and seeing ‘regular’ activities as increasingly risky after sentiment moderated earlier in June. This uptick in fears comes as Americans address a possible second wave and reflect on their potential to re-enter social distance quarantines if major warning thresholds are met.

Detailed Findings:

1. American concern with the coronavirus outbreak, while not as widespread as during early April, has increased notably over the past two weeks.

  • Currently, 85% of Americans are at least somewhat concerned with the outbreak, including 56% who are extremely or very concerned. This is up from 80% and 48% respectively in early June.
  • Concern with communities re-opening too soon (to 71% from 64%) and the possibility of getting sick (to 76% from 69%) are also up 7 percentage points over the last two weeks.
  • Eighty-five percent of Americans are concerned about a second wave of the coronavirus, including 59% who are extremely or very concerned.

2. “Normal” activities are seen as increasingly risky by many including doing their job, going to the grocery store, or socializing with friends after multiple weeks of minimizing concerns.

Chart

3. Americans continue to report that if a second wave hits their state, they will substantially withdraw to protect their health. They also express that they are watching for a wide range of signals of a second wave indicating it may not be official announcements that trigger a rebound in behavior.

  • About four in five Americans say they are likely to stay home and avoid others as much as possible if…
    • The CDC issued guidelines for people in their state to stay home.
    • Their state’s governor issued guidelines for people to stay home.
    • There is a new spike in cases in their state.
    • Nearby hospital ICUs report full or near-full capacity.
    • Someone they know tests positive for the virus.
    • Someone they know is dying from the virus.

Chart

4. Social distancing behaviors continue to subside, but geographical differences remain in people’s experiences.

  • Half of Americans (49%) visited friends or relatives in the last week, up from 47% last week and 19% in early April. However, in the states with the greatest increase in cases (AZ, FL, SC) socializing with friends has declined from 52% to 44% in the last two weeks.
  • The number of Americans working remotely has also begun to decline, this week at 37% of all employed persons from 43% last week.

5. One percent of the U.S. population has tested positive for coronavirus at this point.

  • About one in ten Americans have been tested (11%) and about one in ten (9%) of those tested, tested positive, equal to about 1% of the overall population.

Washington DC, June 16, 2020

At the end of our third month of tracking America’s response to the coronavirus pandemic, the Axios-Ipsos Coronavirus Index finds that even while Americans are increasingly engaging with each other outside the home, concerns about a second wave and perceived risks of regular activities mount.

Detailed Findings:

1. More Americans are very concerned about the overall COVID-19 outbreak than last week as a majority express high levels of concern about a second wave of the coronavirus.

  • Fifty-four percent of Americans are extremely or very concerned about the outbreak, up from 48% last week, while 56% report being extremely or very concerned about a second wave.
  • Sixty-four percent view returning to their pre-COVID life as risky right now, up from 57% last week.

2. If there is a second wave, large majorities of Americans report that they are likely to pull back into more socially distancing behaviors.

  • Two-thirds (65%) say they are somewhat or very likely to self-quarantine in the event of a second wave in their state and almost all (85%) report they will take steps to social distance.
  • This extends to social interactions – 79% report they are likely to stop gathering with friends or family – and commercial behavior – 73% report they would stop going to non-grocery retail stores.

3. As discussion of a second wave mounts, Americans report seeing many ‘normal’ activities as being more risky than just a week ago.

  • The number of Americans who report viewing gatherings of friends and family as risky has climbed 5 percentage points from last week (57% moderate or large risk from 52%).
  • Additionally, views of dining in at a restaurant (64% risky from 60%), shopping at a retail store (57% risky from 52%), or going to a barber or salon (58% risky from 54%) have all increased this week.
  • Large gatherings remain highly suspect with 89% viewing attending protests and 74% viewing attending Fourth of July celebrations as a risk to their health or well-being.

Visual

4. Over a third of Americans know someone who has tested positive for coronavirus.

  • While 35% know someone who has tested positive, it remains more prevalent in the Northeast (53%) than other parts of the country.
  • Nine percent of Americans report they have been tested for coronavirus in our latest survey. Of those, 6% say they tested positive. This represents about 0.6% of the U.S. population.

 

Americans aren’t pushing to reopen the schools

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Classroom concerns: WCSD families asked to weigh in on school ...

Most U.S. parents say it would be risky to send their children back to school in the fall — including a slim majority of Republicans and a staggering nine in 10 Black Americans — in this week’s installment of the Axios-Ipsos Coronavirus Index, Axios’ Margaret Talev reports.

Why it matters: President Trump and Education Secretary Betsy DeVos have threatened to withhold federal funds from schools that don’t reopen. The new findings suggest that this pressure campaign could backfire with many of the voters to whom Trump is trying to appeal ahead of the election.

What they’re saying: “Americans at this point, and parents more specifically, can’t be force-fed policies that go against what they think,” says Cliff Young, president of Ipsos U.S. Public Affairs.

  • “You can’t wish away or scare away a virus,” Young says. “And right now, they’re not feeling safe in putting their children back in school.”
  • “There’s political risks as well — serious political risks for Trump and Republicans. Because even the Republican base sees a risk in putting kids back into the school in the fall.”

Driving the news: Officials on Monday began announcing decisions impacting schools in some major metro areas, erring on the side of caution in response to health concerns and parents’ anxieties.

  • In California, school officials announced that public schools in Los Angeles and San Diego will hold online classes only.
  • Gov. Andrew Cuomo said Monday that New York schools will open only if the daily infection rates in their region are below 5% over a 14-day average, and that “we’re not going to use our children as guinea pigs.”

 

 

Trump admin seeks relaxed grandfathered ACA health plan rules that up out-of-pocket costs

https://www.healthcaredive.com/news/trump-admin-seeks-relaxed-grandfathered-aca-health-plan-rules-that-up-out-o/581463/

Paying for Health Insurance Out of Pocket Maximum, OOP Health ...

Dive Brief:

  • The Trump administration proposed a rule Friday to allow some group health plans grandfathered under the Affordable Care Act to raise out-of-pocket costs for enrollees but still allow them to have health savings accounts. Such plans must not discriminate against enrollees with pre-existing conditions, but are exempt from many other ACA regulations. If they violate any rules regarding costs or structure they lose their grandfathered status and are required to follow all the mandates of the landmark 2010 law.
  • The proposed rule, issued by the U.S. Department of Labor, would relax some of the complex inflation and pricing calculations grandfathered plans must follow. The department admitted that the change could lead to higher deductibles and other out-of-pocket costs for the estimated 23.1 million enrollees in such grandfathered plans.
  • The rule stems from a 2017 executive order issued by President Donald Trump that allows regulatory changes to be made in response to perceived economic burdens imposed by the ACA. However, the Labor Department conceded in its Federal Register publication of the proposed rule that the current rules for grandfathered health plans probably weren’t that burdensome.

Dive Insight:

The administration has made no secret of its ire for the ACA and is actively trying to overturn it at the U.S. Supreme Court. A release explaining the changes notes fixed cost-sharing for high-deductible health plans would be raised, and “an alternative method of measuring permitted increases in fixed-amount cost sharing” has been introduced that “would allow plans and issuers to better account for changes in the costs of health coverage over time.”

The formal 76-page proposal, published in the Federal Register on Sunday, said premiums might go down as a result of the changes, but there were no estimates provided or circumstances where that might occur.

Moreover, the proposed rule also noted that the change could lead to more people foregoing healthcare because their out-of-pocket costs might become unaffordable.

The Labor Department also noted that there have been so few fluctuations in the state of grandfathered health plans in recent years that it was likely the current regulations were not overly burdensome in the first place.

Public comments will be solicited until mid-August before a final rule is issued.

Sen. Patty Murray, D-Wash., and ranking member of the Senate Health, Education, Labor, and Pensions Committee, wasted little time late last week blasting the proposal.

“Regardless of what the president wants to believe, we’re in the middle of a pandemic that is devastating families’ health and finances,” Murray said in a statement.

 

 

 

 

White House goes public with attacks on Fauci

White House goes public with attacks on Fauci

Dr. Anthony Fauci describes his 'very different' relationships ...

Tensions between the White House and Anthony Fauci, the government’s top infectious diseases expert, are spilling into the open as officials openly attack the doctor for his public health advice during the coronavirus pandemic. 

Fauci’s advice has often run contrary to President Trump’s views, and the attacks on Fauci have begun to look like a traditional negative political campaign against an opponent. Yet this time, the opponent is a public health expert and career civil servant working within the administration. 

Dan Scavino, deputy chief of staff for communications, shared a cartoon on his Facebook page late Sunday that depicted Fauci as a faucet flushing the U.S. economy down the drain with overzealous health guidance to slow the spread of the pandemic.

The cartoon, which shows Fauci declaring schools should remain closed and calling for “indefinite lockdowns,” did not accurately portray what Fauci has advised in public.

Adm. Brett Giroir, the administration’s testing czar, downplayed any riff within the White House coronavirus task force before offering some criticism of Fauci.

“I respect Dr. Fauci a lot, but Dr. Fauci is not 100 percent right and he also doesn’t necessarily, and he admits that, have the whole national interest in mind,” Giroir told “Meet the Press” on Sunday. “He looks at it from a very narrow public health point of view.”

There have been tensions between Trump and Fauci throughout the pandemic. The president has repeatedly downplayed the severity of the virus, broken with the advice of his own public health experts and painted rosy but at times misleading pictures of the U.S. response. Fauci, who has served four decades in his current post, has offered blunt talk on the dangers of the pandemic that has directly contradicted the president from time to time.

But the latest criticisms mark a shift as the White House has begun publicly undermining one of the leading public health voices in the administration at a time when multiple states are struggling to get new outbreaks under control.

White House trade adviser Peter Navarro, whom the president tapped to manage the use of the Defense Production Act, said he personally proceeds with caution before heeding Fauci’s advice.

Trump said last week that Fauci is a nice man but that he’s “made a lot of mistakes.”

A White House official this weekend sent media outlets a lengthy list of “mistakes” Fauci has made since the pandemic began, like his comment in March that there is no need for people to wear masks.

That comment came before scientists knew people could spread the virus without showing symptoms, and Fauci, the Centers for Disease Control and Prevention (CDC) and other experts now urge people to use face coverings in public.

Public health experts have leaped to Fauci’s defense on Twitter, noting that Fauci is one of the most respected health experts in the world, having worked for six presidents and researched HIV/AIDS, Ebola, Zika and a variety of other infectious diseases.

“When studies show that, opposite from SARS & MERS, COVID19 is most infectious soon after infection & less infectious later, we recognize asymptomatic transmission and importance of masks,” tweeted Tom Frieden, the former director of the CDC.

“That’s called science, not a mistake. The real, deadly mistake is not listening to science.” 

Ashish Jha, director of the Harvard Global Health Institute, tweeted, “His track record isn’t perfect. It’s just better than anyone else I know. Sidelining Dr. Fauci makes the federal response worse. And it’s the American people who suffer.”

Polls still show the public trusts Fauci more than Trump for accurate information on the virus, with Democrats more likely than Republicans to believe the infectious diseases expert.

White House press secretary Kayleigh McEnany during a “Fox & Friends” interview Monday insisted Fauci’s recommendations were reaching Trump, while saying he represented only “one viewpoint” among many considered by the president.

“The point of the task force is to be a whole of government look at what is best for this country,” McEnany said when asked about the status of the relationship between Trump and Fauci. “Dr. Fauci is one member of a team, but rest assured, his viewpoint is represented and the information gets to the president through the task force.”

Still, Fauci’s public appearances became few and far between as his dire warnings about the state of the pandemic in the U.S. increasingly clashed from more hopeful messages coming from the White House. 

Fauci also told the Financial Times last week that he hadn’t briefed Trump in two months, in which time a growing number of states have experienced significant surges in cases.

Fauci was not present at the White House coronavirus task force media briefing last week, events that have become rarer even as the COVID crisis grows worse.

And while he was a regular on cable news in the early days of the pandemic, his appearances have dwindled, a fact he said last week could be because of his “honesty.” 

While Fauci has warned that the U.S. could hit 100,000 new COVID-19 cases per day if steps aren’t taken to alter the trajectory of the outbreaks, Trump has tied the rise in cases to increased testing. 

While Fauci attributed outbreaks in some states to reopening too quickly after the spring lockdowns, Trump and his top allies have mostly stood by their decision to push governors to jump over checkpoints set by the White House.

Fauci has refuted the president’s claims that the rise in cases is solely tied to increased testing and that 99 percent of cases are “totally harmless.” 

And as Trump touted a falling COVID-19 death rate, which is actually now increasing, Fauci has said the U.S. shouldn’t take comfort in the “false narrative,” noting the disease can cause other severe health outcomes. 

Fauci’s warnings grew more urgent last week when he warned that the U.S. is “facing a serious problem” and the pandemic has become politicized. 

“And you know from experience historically that when you don’t have unanimity in an approach to something, you’re not as effective in how you handle it,” Fauci said in an interview with FiveThirtyEight. “So I think you’d have to make the assumption that if there wasn’t such divisiveness, that we would have a more coordinated approach.”

 

 

 

 

Democrats align around a health policy platform

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Abstract Word Cloud For Health Policy With Related Tags And Terms ...

 

Promising that “we are going to at last build the health care system the American people have always deserved”, a joint task force of health policy advisors from the Biden and Sanders campaigns this week released a unified set of proposals that will serve as part of the former Vice President’s campaign platform for the November election.

While the document does not include Sanders’ signature “Medicare for All” proposal, it does support a government-run public insurance option that would be available to all Americans, at income-adjusted, subsidized rates—including free coverage for those with low incomes. It also promises to expand Medicare benefits to include dental, vision, and hearing coverage, and to extend Medicare eligibility to those age 60 and above.

For those who lose their health coverage due to the COVID pandemic, the unity document endorses having the government pick up the tab for COBRA benefits and shifting enrollees into premium-free coverage on the Obamacare exchanges when their COBRA eligibility expires.

It also promises greater investment in public health resources, including increased funding for the CDC, and funding to recruit 100,000 contact tracers nationwide.

Other key components of the proposal include eliminating “surprise billing”, reducing drug costs, addressing racial and gender-based health inequities, and bolstering investment in scientific research.

This week’s document represents an important step in unifying the progressive and moderate wings of the Democratic party around key health policy principles. Should Biden win in November, and if Democrats gain control of the Senate, we’d expect quick action on many of these proposals.

Clearly the most difficult would be the public option and Medicare expansion, which would require lengthy negotiation with various industry groups to garner sufficient political support. Similar to the 2009 process that led to the Affordable Care Act, we would likely see a year’s worth of political horse-trading, leading to passage of some compromise legislation before the midterm elections in 2022.

All of that in the midst of an ongoing pandemic and likely prolonged economic downturn—both of which will probably allow for the passage of more far-reaching legislation than might otherwise be possible.

 

 

As cases and deaths rise, Americans ponder a return to school

https://mailchi.mp/86e2f0f0290d/the-weekly-gist-july-10-2020?e=d1e747d2d8

Top 10 List of Must Do's for Back to School 2019 ...

The US spent another week headed in the wrong direction, with daily new COVID-19 cases reaching nearly 60,000 on Thursday, the sixth record-setting total in the past ten days.

The spike continued to be most pronounced in states that reopened early, with Texas, South Carolina, Arizona, and Florida hit particularly hard. More worryingly, several states saw daily deaths from COVID rise, with Alabama, Florida, Mississippi, South Dakota and Tennessee hitting one-day death records.

Like the light from some malign star, death numbers are a lagging indicator—a reflection of new case totals from weeks earlier—leading health experts to warn of dark days ahead for the rest of the summer. In his customary understated manner, top White House health advisor Dr. Anthony Fauci said this week, “I don’t think you could say we’re doing great. I mean, we’re just not.”

Responding to concerns about the availability of hospital capacity, Texas Gov. Greg Abbott expanded a ban on elective surgeries to more than 100 counties across the state, and HCA Healthcare delayed inpatient surgeries at more than a dozen of its hospitals in Florida, as did other health systems there.

School reopening emerged as a political flashpoint this week, with President Trump hosting a summit meeting on “Safely Reopening America’s Schools” on Tuesday at the White House. The President criticized reopening guidelines from the Centers for Disease Control (CDC) as being “very tough & expensive”, but on Thursday CDC director Dr. Robert Redfield told CNN that the guidelines, first published in May, would not be revised.

With schools and colleges set to restart in many places next month, the influential American Academy of Pediatrics modified its earlier support for reopening schools, pushing back on the administration’s threatened funding cuts for school districts that do not reopen on time, with in-person classes.

The debate over how to handle school reopening underscores how much time was lost between March and May, when a national reopening plan should have been developed. As the virus surges, with students and teachers set to return in just a few short weeks, and further economic recovery hinging on parents’ ability to send their kids safely to school, the window is rapidly closing on our ability to navigate this critical transition.

US coronavirus update: 3.2M cases; 135K deaths; 38.0M tests conducted.