{"id":169974,"date":"2020-05-04T19:30:17","date_gmt":"2020-05-04T23:30:17","guid":{"rendered":"https:\/\/www.countingpips.com\/?p=169974"},"modified":"2020-05-04T19:25:29","modified_gmt":"2020-05-04T23:25:29","slug":"coronavirus-medical-costs-could-soar-into-hundreds-of-billions-as-more-americans-become-infected","status":"publish","type":"post","link":"https:\/\/www.investmacro.com\/forex\/2020\/05\/coronavirus-medical-costs-could-soar-into-hundreds-of-billions-as-more-americans-become-infected\/","title":{"rendered":"Coronavirus medical costs could soar into hundreds of billions as more Americans become infected"},"content":{"rendered":"<div id=\"inves-2191273097\" class=\"inves-below-title-posts inves-entity-placement\"><div id =\"posts_date_custom\"><div align=\"left\">May 4, 2020<\/div><hr style=\"border: none; border-bottom: 3px solid black;\">\r\n<\/div><\/div><p><strong><a href=\"https:\/\/theconversation.com\/profiles\/bruce-y-lee-1046540\">By Bruce Y. Lee<\/a>, <\/strong><em><a href=\"https:\/\/theconversation.com\/institutions\/city-university-of-new-york-1374\"><strong>City University of New York<\/strong><\/a><\/em><\/p>\n<p>As states push to reopen businesses, arguing their economies are losing too much money under current coronavirus precautions, they can\u2019t ignore the other side of the economic equation \u2013 the one involving human lives and potentially hundreds of billions of dollars in medical costs.<\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/cases-updates\/cases-in-us.html\">More than 20,000 new COVID-19 cases<\/a> are still being reported in the U.S. every day, and the coronavirus that causes it is still spreading.<\/p>\n<p>If the U.S. reopens its economy prematurely and COVID-19 cases surge again, medical expenses will surge, too. Someone has to pay those costs. If you own a business, pay for <a href=\"https:\/\/hbex.coveredca.com\/data-research\/library\/COVID-19-NationalCost-Impacts03-21-20.pdf\">health insurance<\/a> or pay taxes, that someone is you.<\/p>\n<p>To get a better sense of what the nation\u2019s COVID-19-related health care costs could be as more and more of the population is infected, our <a href=\"https:\/\/sph.cuny.edu\/people\/bruce-y-lee\/\">Public Health Informatics, Computational, and Operations Research<\/a> team at the <a href=\"https:\/\/sph.cuny.edu\/\">City University of New York (CUNY) Graduate School of Public Health and Health Policy<\/a> developed a computer simulation of the entire United States.<\/p>\n<p>It allows us to quantify what could happen depending on how the pandemic progresses and the resulting direct medical costs and health care resource needs. The <a href=\"https:\/\/doi.org\/10.1377\/hlthaff.2020.00426\">results were published<\/a> in the journal Health Affairs.<\/p><div id=\"inves-229323513\" class=\"inves-in-content inves-entity-placement\"><hr style=\"border: 1px solid #ddd;\">\r\n<div id=\"inpost_ads_header\">\r\n<p style=\"font-size:10px; float:left; color:#666;\">Free Reports:<\/p><\/div>\r\n<div id=\"inpost_ads\"> \r\n<p style=\"font-size:15px; float:left;\"><a href=\"https:\/\/goo.gl\/1ApBOV\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/investmacro.com\/wp-content\/uploads\/2018\/06\/graph_techs_PD.png\" align=\"left\" width=\"80\"  height=\"55\"\/><\/a>\r\n\t     <a href=\"https:\/\/goo.gl\/1ApBOV\"><b><u>Get Our Free Metatrader 4 Indicators<\/u><\/b><\/a> - Put Our Free MetaTrader 4 Custom Indicators on your charts when you join our Weekly Newsletter<\/p><br><br>\r\n<br>\r\n<br>\r\n<p style=\"font-size:15px; float:left;\"><a href=\"https:\/\/goo.gl\/f3RrHX\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/investmacro.com\/wp-content\/uploads\/2019\/01\/cot_pie_80.png\" align=\"left\" width=\"80\"  height=\"55\"\/><\/a>\r\n\t    <a href=\"https:\/\/goo.gl\/f3RrHX\"><b><u>Get our Weekly Commitment of Traders Reports<\/u><\/b><\/a> - See where the biggest traders (Hedge Funds and Commercial Hedgers) are positioned in the futures markets on a weekly basis.<\/p><br><br>\r\n<\/div>\r\n<hr style=\"border: 1px solid #ddd;\">\r\n<br><\/div>\n<h2>Building a Sim nation for COVID-19<\/h2>\n<p>Our team develops computer simulation models to help decision-makers better understand and address different infectious diseases, including <a href=\"https:\/\/doi.org\/10.1377\/hlthaff.2011.0992\">MRSA<\/a>, <a href=\"https:\/\/doi.org\/10.1377\/hlthaff.2010.0778\">the flu<\/a>, <a href=\"https:\/\/doi.org\/10.1371\/journal.pntd.0005531\">Zika<\/a> and <a href=\"https:\/\/doi.org\/10.1179\/2047773214Y.0000000169\">Ebola<\/a>. During the 2009 H1N1 influenza pandemic, <a href=\"https:\/\/www.forbes.com\/sites\/brucelee\/2017\/02\/19\/bill-gates-warns-of-epidemic-that-will-kill-over-30-million-people\/#1de02a4c282f\">the team was embedded in the U.S. Department of Health and Human Services<\/a> to help with the national response.<\/p>\n<p>These models try to recreate all of the people, processes, resources and systems involved in a given health or public issue, such as a pandemic, to serve as virtual worlds to test different possible scenarios, policies and interventions and calculate the expected costs.<\/p>\n<p>For this latest coronavirus model, we created virtual representations of the entire U.S. population.<\/p>\n<p>Each virtual person had probabilities of becoming infected with the new coronavirus, SARS-CoV-2. Like a real person, the virtual person had chances of developing mild or severe symptoms, or having no symptoms at all during the course of the infection. No symptoms naturally meant no health costs.<\/p>\n<h2>How medical costs pile up<\/h2>\n<p>If the person developed symptoms, what happened next depended on how severe the symptoms became and what the person ended up doing.<\/p>\n<p>For example, treating a child with only a mild illness requiring no more than a telephone call to a doctor would typically cost around US$32 (in most cases ranging from $19 to $56). The cost for an adult in the same situation would be about $17 (in most cases ranging from $16 to $67). Our model incorporated the variations in costs that occur, so that two people could have the exact same paths, yet still have different costs.<\/p>\n<p>Not surprisingly, costs increased substantially if the person had more severe symptoms that required hospitalization.<\/p>\n<p>The costs of a hospital bed, health care personnel, medications and potentially the use of medical equipment such as ventilators quickly add up, pushing up the median cost for a person hospitalized to $14,366.<\/p>\n<p>Most COVID-19 patients don\u2019t require hospitalization, so the median cost for any person with symptoms turned out to be $3,045 during the course of the person\u2019s infection. But this is still over four times the typical cost <a href=\"https:\/\/doi.org\/10.1016\/j.vaccine.2007.03.046\">of a symptomatic influenza case<\/a> and around 5.5 times that <a href=\"https:\/\/doi.org\/10.1086\/425006\">of a symptomatic pertussis case<\/a>. Consider this further evidence that COVID-19 is <a href=\"https:\/\/www.forbes.com\/sites\/brucelee\/2020\/03\/21\/how-does-the-covid-19-coronavirus-kill-what-happens-when-you-get-infected\/#1bf479e06146\">definitely not \u201cjust like the flu.\u201d<\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"Aly5x\" class=\"tc-infographic-datawrapper\" style=\"border: none;\" src=\"https:\/\/datawrapper.dwcdn.net\/Aly5x\/7\/\" width=\"100%\" height=\"400px\" frameborder=\"0\"><\/iframe><\/p>\n<p>Health care costs for the coronavirus don\u2019t end when the patient leaves the hospital. Patients with severe illness may require follow-up visits to the doctor, imaging such as X-rays and CT scans, lab tests, medications or even additional hospitalizations. Those with significant lung damage, for example, may be more susceptible to subsequent infections.<\/p>\n<p>The resulting health care costs over the year after the initial infection raise this median cost per patient by 30% to $3,994.<\/p>\n<p>This shows that you can\u2019t ignore what happens after the initial infection. That would be like walking out of a three-hour movie after just the second hour.<\/p>\n<p>For some patients, the suffering and medical costs don\u2019t end once the virus is no longer present. For example, those who experience <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/coronavirus\/what-coronavirus-does-to-the-lungs\">lung damage<\/a> may continue to have breathing problems. Those who managed to survive sepsis and organ failure can have a variety of <a href=\"https:\/\/abcnews.go.com\/Health\/coronavirus-long-term-effects\/story?id=69811566\">persistent symptoms<\/a>. Given these persistent problems, for some, COVID-19 may become <a href=\"http:\/\/dx.doi.org\/10.1136\/thx.2004.030205\">more like a chronic condition<\/a>.<\/p>\n<h2>Herd immunity and the high cost of viral spread<\/h2>\n<p>Our findings also shed light on what can happen when more and more of the population becomes infected.<\/p>\n<p>We found that if 20% of the U.S. population gets COVID-19, it would mean about 11.2 million people would be hospitalized, and the sickest among them would spend a combined 13 million days on ventilators.<\/p>\n<p>This would cost about $163.4 billion in direct medical expenses, and that\u2019s before accounting for the costs incurred after the infection is over. It also does not include many other health-related costs, such as physician fees that can vary from doctor to doctor, the costs of public health measures such as widespread testing and the costs of protecting health care workers and other patients.<\/p>\n<p>If half the population becomes infected before a vaccine is ready, the numbers jump to 27.9 million hospitalizations and 32.6 million ventilator days. The median cost: $408.8 billion, rising to $536.7 billion with a year of follow-up medical costs taken into account.<\/p>\n<p>That\u2019s getting close to what\u2019s known as herd immunity, the point where enough people are immune that the disease no longer finds hosts to spread it. With the coronavirus, herd immunity is believed to be reach when <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)30985-5\/fulltext\">at least 60%<\/a> of the population has either been infected naturally or vaccinated.<\/p>\n<p>If 80% of the population gets infected, the numbers rise to 44.6 million hospitalizations, 52.2 million ventilator days and $654 billion in direct medical expenses. With a year of follow-up medical expenses included, that median cost rises to $1.25 trillion.<\/p>\n<p>All of this shows what could happen if the country allows more people to become infected by prematurely relaxing social distancing or trying \u201cherd immunity strategies\u201d that just allow people to get infected. The costs also go well <a href=\"https:\/\/calmatters.org\/commentary\/what-a-cost-analysis-shows-of-going-back-to-work-during-the-coronavirus-pandemic-vs-californias-stay-at-home-policy\/\">beyond health care expenses<\/a> when lives are at stake.<\/p>\n<p>Good decision-making during this pandemic requires good science and data. Ultimately, not considering the potential associated medical costs can be like ignoring a large part of the field in a football game. And that could be a losing proposition.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" decoding=\"async\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/137479\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><em><strong>About the Author:<\/strong><\/em><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/bruce-y-lee-1046540\">Bruce Y. Lee<\/a>, Professor of Health Policy and Management, <em><a href=\"https:\/\/theconversation.com\/institutions\/city-university-of-new-york-1374\">City University of New York<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/coronavirus-medical-costs-could-soar-into-hundreds-of-billions-as-more-americans-become-infected-137479\">original article<\/a>.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Bruce Y. Lee, City University of New York As states push to reopen businesses, arguing their economies are losing too much money under current coronavirus precautions, they can\u2019t ignore the other side of the economic equation \u2013 the one involving human lives and potentially hundreds of billions of dollars in medical costs. More than [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-169974","post","type-post","status-publish","format-standard","hentry","no-post-thumbnail"],"_links":{"self":[{"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/posts\/169974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/comments?post=169974"}],"version-history":[{"count":1,"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/posts\/169974\/revisions"}],"predecessor-version":[{"id":169975,"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/posts\/169974\/revisions\/169975"}],"wp:attachment":[{"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/media?parent=169974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/categories?post=169974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.investmacro.com\/forex\/wp-json\/wp\/v2\/tags?post=169974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}