COVID-19导致健康支出下降

Drew Altman在其最新的Axios专栏中对冠状病毒大流行对国家卫生支出的影响进行了新的分析。

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出口民意调查显示在Red America中需要对抗COVID-19拒绝

Drew Altman在他最新的Axios专栏中分析了退出民意调查。尽管拜登选民将COVID-19列为重中之重,但特朗普的支持者仍然在很大程度上否认了流行病,否认了总统。

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乔·拜登(Joe Biden)在卫生保健问题上的重要领导

在Axios专栏中,Drew Altman讨论了选举年的健康状况不是一个单独的问题— but several —乔·拜登(Joe Biden)在所有这些方面都比特朗普总统更具优势,尽管反对ACA的反对派在特朗普的支持下仍然很受欢迎。  

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黑人美国人对冠状病毒疫苗更持怀疑态度

德鲁·奥特曼(Drew Altman)讨论了系统性种族主义如何导致在包括高风险人群在内的美国黑人中,人们不愿获得COVID-19疫苗的惊人程度,以及它为结束大流行所带来的挑战。

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毒品阿仁’这是美国在医疗保健上投入这么多的原因

德鲁·奥特曼(Drew Altman)在Axios上的专栏文章:美国现在的人均支出是其他富裕国家在医疗保健方面的支出的两倍。但是,尽管毒品成本无时无刻不在公众辩论中,’医院和门诊的支出主要解释了差异。他说,如果没有真正的痛苦和政治风险,这将是不可能发生的。

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拜登vs特朗普与摇摆选民的健康

德鲁·奥特曼(Drew Altman)利用《太阳带》主要州新发布的KFF /库克政治报告调查结果,讨论了2020年大选如何更多地涉及特朗普总统,但问题确实很重要。他说,佛罗里达州,亚利桑那州和北卡罗莱纳州的摇摆选民在医疗保健和冠状病毒等更多问题上比乔·特朗普更喜欢乔·拜登,但特朗普总统在其最重要的问题上拥有优势。 

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A shorter version of this column has been published by Axios. We have never seen a year in which health spending actually goes down. Now the seemingly impossible is happening, but the reason – COVID-19 – makes it both anomalous and more tragic than a cause for celebration. + Year-to-date spending on health services is down about 2% from last year. Health spending for the calendar year may end up lower than it was in 2019. + Adding spending for drugs, which are less affected by COVID-19 and have not fallen, total health spending is still down by about 0.5% from last year. + At its low point in April when the pandemic first really hit, spending on health services had fallen an eye popping 32% on an annualized basis. + This is the first time expenditures for patient care have fallen year-over-year since data became available in the 1960s. The largest drop-offs were in outpatient care as people put off elective services or doctors offices and outpatient clinics shut down. Telehealth visits increased dramatically but did not make up all of the difference. Spending and utilization have been recovering, but could fall again if the current winter spike in COVID-19 causes hospitals to fill up and defer non-COVID-19 care, and people again put off elective care. We do not know what share of the spending and utilization skipped or delayed because of COVID-19 was necessary or unnecessary. There was a decline in cancer screenings and visits to manage chronic care but we also do not know if health outcomes suffered. These data will trickle in as studies are published, and will be critical to determining how much we can safely reduce health spending in the future. Historically external shocks to the system like recessions have had a larger impact on utilization and health spending than anything we have been able to do about costs in the health system. But COVID-19 is different; it’s a double shock to health spending. The COVID-19 economy, like any big recession, depresses utilization of health services because people have less money to spend for health care. But unlike typical recessions, COVID-19 also directly attacks the health system, filling up hospitals with COVID-19 patients, closing outpatient facilities and doctors offices, and causing people to defer or skip care for fear of becoming infected. It may be a long time before we see a reduction in health spending like this again.
[post_title] => COVID-19导致健康支出下降 [post_excerpt] => Drew Altman在其最新的Axios专栏中对冠状病毒大流行对国家卫生支出的影响进行了新的分析。 [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => covid-19-is-causing-health-spending-to-go-down [to_ping] => [pinged] => [post_modified] => 2020-12-02 05:46:00 [post_modified_gmt] => 2020-12-02 10:46:00 [post_content_filtered] => [post_parent] => 0 [guid] => //www.car159.com/?post_type=perspective&p=499019 [menu_order] => 0 [post_type] => perspective [post_mime_type] => [comment_count] => 0 [filter] => raw ) [1] => WP_Post Object ( [ID] => 496309 [post_author] => 36621681 [post_date] => 2020-11-17 05:00:34 [post_date_gmt] => 2020-11-17 10:00:34 [post_content] =>
A shorter version of this column has been published by Axios. Exit polls show that when 总统 Trump accused Democrats of exaggerating the gravity of the COVID -19 pandemic his supporters believed him. Trump supporters showed as they voted that they don’t see COVID-19 as a very urgent problem.  It leaves the Biden administration with a massive public re-education challenge in red America and among Trump supporters in every state. + For every voter group – whites, Blacks, urban, suburban and rural voters, voters with and without college degrees – about sixty percent of Biden voters said COVID-19 was a top issue driving their vote in the exit poll, which this year polled both voters who mailed in their ballots and voters who went to the polls. + But barely more than twenty percent of Trump voters named COVID-19 a top issue influencing their vote. + It was just the reverse for the economy.  8% of white Biden voters named the economy their top issue in exit polls, while 48% of white Trump voters did. An identical 8% of small town and rural Biden voters picked the economy while 48% of Trump voters did. This matters because COVID-19 is surging and it will be exceedingly difficult to get a handle on the pandemic as long as half the adult population – the folks who followed Trump - are COVID-19 deniers and dissenters.  We are also on the verge of seeing a vaccine become a reality. People who don’t believe COVID-19 is a serious threat will likely feel less compelled to get a vaccine. Over decades of messaging about HIV testing and treatment in our Greater Than AIDS program we have learned that there is no one-size-fits-all message. Messages need to be targeted to be effective with different groups. That means heavy use of digital media not PSA’s on television. And messengers have to be credible not just famous. Real people and real life stories ring true. Messages that direct people to local resources or actions they can take to protect themselves and their families are often most effective.  An important challenge is to emphasize disproportionate impact on people of color without furthering stigma or marginalization. The Biden administration will need to convince the deniers that COVID-19 and the economy are not an either or, and that getting a handle on COVID-19 is the route to building the economy. As Trump fades from the presidency more Americans who see COVID-19 denial as fealty to Trump may come around. SOURCE: 肯德基analysis of AP VoteCast, a survey of the American electorate conducted by NORC at the University of Chicago (conducted Oct. 27-Nov. 3).
[post_title] => 出口民意调查显示在Red America中需要对抗COVID-19拒绝 [post_excerpt] => Drew Altman在他最新的Axios专栏中分析了退出民意调查。尽管拜登选民将COVID-19列为重中之重,但特朗普的支持者仍然在很大程度上否认了流行病,否认了总统。 [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => the-exit-polls-show-the-need-to-confront-covid-19-denial-in-red-america [to_ping] => [pinged] => [post_modified] => 2020-11-17 06:45:15 [post_modified_gmt] => 2020-11-17 11:45:15 [post_content_filtered] => [post_parent] => 0 [guid] => //www.car159.com/?post_type=perspective&p=496309 [menu_order] => 0 [post_type] => perspective [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 491731 [post_author] => 36621681 [post_date] => 2020-10-21 06:04:02 [post_date_gmt] => 2020-10-21 10:04:02 [post_content] =>
In his latest Axios column, Drew Altman discusses how this election year health isn’t a single issue issue – but several –乔·拜登(Joe Biden)在所有这些方面都比特朗普总统更具优势,尽管反对ACA的反对派在特朗普的支持下仍然很受欢迎。
[post_title] => 乔·拜登(Joe Biden)在卫生保健问题上的重要领导 [post_excerpt] => 在Axios专栏中,Drew Altman讨论了选举年的健康状况不是一个单独的问题-- but several --乔·拜登(Joe Biden)在所有这些方面都比特朗普总统更具优势,尽管反对ACA的反对派在特朗普的支持下仍然很受欢迎。   [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => joe-bidens-big-lead-on-health-care-issues [to_ping] => [pinged] => [post_modified] => 2020-10-21 06:33:49 [post_modified_gmt] => 2020-10-21 10:33:49 [post_content_filtered] => [post_parent] => 0 [guid] => //www.car159.com/?post_type=perspective&p=491731 [menu_order] => 0 [post_type] => perspective [post_mime_type] => [comment_count] => 0 [filter] => raw ) [3] => WP_Post Object ( [ID] => 490123 [post_author] => 36621681 [post_date] => 2020-10-14 05:47:55 [post_date_gmt] => 2020-10-14 09:47:55 [post_content] =>
From a newly released 肯德基 /The Undefeated national survey on race and health, Drew Altman discusses how systemic racism has led to striking levels of reluctance to get a COVID-19 vaccine among Black Americans, including those at highest risk, and the challenge it presents for ending the pandemic. “A vaccine distribution effort that is not coupled with a credible outreach effort in communities of color is likely to fall far short of reaching many of the people who are most at risk,” he writes.
[post_title] => 黑人美国人对冠状病毒疫苗更持怀疑态度 [post_excerpt] => 德鲁·奥特曼(Drew Altman)讨论了系统性种族主义如何导致在包括高风险人群在内的美国黑人中,人们不愿获得COVID-19疫苗的惊人程度,以及它为结束大流行所带来的挑战。 [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => black-americans-are-more-skeptical-of-a-coronavirus-vaccine [to_ping] => [pinged] => [post_modified] => 2020-10-22 09:40:55 [post_modified_gmt] => 2020-10-22 13:40:55 [post_content_filtered] => [post_parent] => 0 [guid] => //www.car159.com/?post_type=perspective&p=490123 [menu_order] => 0 [post_type] => perspective [post_mime_type] => [comment_count] => 0 [filter] => raw ) [4] => WP_Post Object ( [ID] => 486505 [post_author] => 36621681 [post_date] => 2020-09-30 06:05:09 [post_date_gmt] => 2020-09-30 10:05:09 [post_content] =>
Drew Altman’s column in Axios: the U.S. now spends twice per capita what other wealthy countries do on health care. But while drug costs get all the time in public debate, it'医院和门诊的支出主要解释了差异。他说,如果没有真正的痛苦和政治风险,这将是不可能发生的。
[post_title] => 毒品阿仁'这是美国在医疗保健上投入这么多的原因 [post_excerpt] => 德鲁·奥特曼(Drew Altman)在Axios上的专栏文章:美国现在的人均支出是其他富裕国家在医疗保健方面的支出的两倍。但是,尽管毒品成本无时无刻不在公众辩论中,'医院和门诊的支出主要解释了差异。他说,如果没有真正的痛苦和政治风险,这将是不可能发生的。 [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => drugs-arent-the-reason-the-us-spends-so-much-on-health-care [to_ping] => [pinged] => [post_modified] => 2020-10-22 09:41:28 [post_modified_gmt] => 2020-10-22 13:41:28 [post_content_filtered] => [post_parent] => 0 [guid] => //www.car159.com/?post_type=perspective&p=486505 [menu_order] => 0 [post_type] => perspective [post_mime_type] => [comment_count] => 0 [filter] => raw ) [5] => WP_Post Object ( [ID] => 484033 [post_author] => 36621681 [post_date] => 2020-09-17 05:39:28 [post_date_gmt] => 2020-09-17 09:39:28 [post_content] =>
Drawing on newly released 肯德基 /Cook Political Report polling in key Sun Belt states, Drew Altman discusses how the 2020 election is more about 总统 Trump but issues do matter. He says that swing voters in Florida, Arizona and North Carolina prefer Joe Biden over 总统 Trump on more issues including health care and the coronavirus, but 总统 Trump has the edge on their top issue, the economy.
[post_title] => 拜登vs特朗普与摇摆选民的健康 [post_excerpt] => 德鲁·奥特曼(Drew Altman)利用《太阳带》主要州新发布的KFF /库克政治报告调查结果,讨论了2020年大选如何更多地涉及特朗普总统,但问题确实很重要。他说,佛罗里达州,亚利桑那州和北卡罗莱纳州的摇摆选民在医疗保健和冠状病毒等更多问题上比乔·特朗普更喜欢乔·拜登,但特朗普总统在其最重要的问题上拥有优势。  [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => poll-biden-beats-trump-on-health-care-but-its-not-the-top-issue [to_ping] => [pinged] => [post_modified] => 2020-10-22 09:41:54 [post_modified_gmt] => 2020-10-22 13:41:54 [post_content_filtered] => [post_parent] => 0 [guid] => //www.car159.com/?post_type=perspective&p=484033 [menu_order] => 0 [post_type] => perspective [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 6 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 499019 [post_author] => 36621681 [post_date] => 2020-12-02 05:00:29 [post_date_gmt] => 2020-12-02 10:00:29 [post_content] =>
A shorter version of this column has been published by Axios. We have never seen a year in which health spending actually goes down. Now the seemingly impossible is happening, but the reason – COVID-19 – makes it both anomalous and more tragic than a cause for celebration. + Year-to-date spending on health services is down about 2% from last year. Health spending for the calendar year may end up lower than it was in 2019. + Adding spending for drugs, which are less affected by COVID-19 and have not fallen, total health spending is still down by about 0.5% from last year. + At its low point in April when the pandemic first really hit, spending on health services had fallen an eye popping 32% on an annualized basis. + This is the first time expenditures for patient care have fallen year-over-year since data became available in the 1960s. The largest drop-offs were in outpatient care as people put off elective services or doctors offices and outpatient clinics shut down. Telehealth visits increased dramatically but did not make up all of the difference. Spending and utilization have been recovering, but could fall again if the current winter spike in COVID-19 causes hospitals to fill up and defer non-COVID-19 care, and people again put off elective care. We do not know what share of the spending and utilization skipped or delayed because of COVID-19 was necessary or unnecessary. There was a decline in cancer screenings and visits to manage chronic care but we also do not know if health outcomes suffered. These data will trickle in as studies are published, and will be critical to determining how much we can safely reduce health spending in the future. Historically external shocks to the system like recessions have had a larger impact on utilization and health spending than anything we have been able to do about costs in the health system. But COVID-19 is different; it’s a double shock to health spending. The COVID-19 economy, like any big recession, depresses utilization of health services because people have less money to spend for health care. But unlike typical recessions, COVID-19 also directly attacks the health system, filling up hospitals with COVID-19 patients, closing outpatient facilities and doctors offices, and causing people to defer or skip care for fear of becoming infected. It may be a long time before we see a reduction in health spending like this again.
[post_title] => COVID-19导致健康支出下降 [post_excerpt] => Drew Altman在其最新的Axios专栏中对冠状病毒大流行对国家卫生支出的影响进行了新的分析。 [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => covid-19-is-causing-health-spending-to-go-down [to_ping] => [pinged] => [post_modified] => 2020-12-02 05:46:00 [post_modified_gmt] => 2020-12-02 10:46:00 [post_content_filtered] => [post_parent] => 0 [guid] => //www.car159.com/?post_type=perspective&p=499019 [menu_order] => 0 [post_type] => perspective [post_mime_type] => [comment_count] => 0 [filter] => raw ) [comment_count] => 0 [current_comment] => -1 [found_posts] => 254 [max_num_pages] => 43 [max_num_comment_pages] => 0 [is_single] => [is_preview] => [is_page] => [is_archive] => [is_date] => [is_year] => [is_month] => [is_day] => [is_time] => [is_author] => [is_category] => [is_tag] => [is_tax] => [is_search] => [is_feed] => [is_comment_feed] => [is_trackback] => [is_home] => 1 [is_privacy_policy] => [is_404] => [is_embed] => [is_paged] => [is_admin] => [is_attachment] => [is_singular] => [is_robots] => [is_favicon] => [is_posts_page] => [is_post_type_archive] => [query_vars_hash:WP_Query:private] => 88d143b905ecf4f36b399aedd44b1a56 [query_vars_changed:WP_Query:private] => [thumbnails_cached] => [stopwords:WP_Query:private] => [compat_fields:WP_Query:private] => Array ( [0] => query_vars_hash [1] => query_vars_changed ) [compat_methods:WP_Query:private] => Array ( [0] => init_query_flags [1] => parse_tax_query ) )