Alongside a health care crisis, COVID-19
has brought along with it an economic crisis. In the last 2 weeks of March,
around 10 million people registered for unemployment insurance which is very
high in comparison to any previous month numbers. It is even estimated that the
U.S. economy will shrink to about 25% during this financial year's second
quarter. The U.S. has already entered a recession period and possibly heading
towards a depression. Some experts claim that the economies could surpass the
great economic depression growth rate which was somewhere around -15%. If we go
back to history, we hardly find the Medicare industry been hit by any sort of
recessions. As individuals get sick both during good and bad times and hence
demand for healthcare is nearly uniform across the business cycle. Moreover, health
insurance limits the out-of-pocket expenses for attention that people face;
thus, many infected people—at least those with health insurance—can nevertheless
manage to visit practitioners. But, the recent pandemic is shaping up to be
something unique. For beginners, people are being urged to halt outside
activities. This is especially true for those who have medical stipulations
that put them at greater risk—the types of people who use health care the most.
Health care departments are already sensing
the pinch. Even though there is no national data but some primary care clinics
are reporting decreases in the use of health care services by up to 70%. Without
significant cash resources the wages of clinical staff are being stopped or
reduced and some workers are being furloughed. For around the 3rd week of
March, the second-largest cause of unemployment insurance claims in Michigan
was due to health care businesses, loitering only restaurants and bars. The US
government response to this situation is two-pronged, Firstly, the reserve is
cutting down on the interest rates so as to flood the markets with cash and Secondly,
the US parliament enacted the largest relief fund in the U.S. history, the $2
trillion relief fund will provide cash to most of the US families, loans for
small businesses and have set a separate $100 billion from this fund to the hospitals
destroyed by Corona Virus.
Harm
of Sustained Shutdowns
The more prolonged the U shaped economy persists
the greater will be its economic harm. Businesses can endure a short time
without buyers, longer with the relief fund legislated by Congress. But
continued shutdowns become increasingly more depressing. As time passes, the
welfare checks will be consumed. And without passage to credit, some local
stores—reasonably including medical offices—will shutter forever. This
situation eventually feeds upon itself as there are fewer vacancies in the
market which suggest fewer people would be paid and even lower wages when
people work due to the high demand of labor supply, which would mean people
would be having lesser dollars to spend, and so on. This is the reason why the
government role becomes inevitable in recession period. One relief area for the
medical care is that people who are deferring care now will be sought later.
For say, deferred primary visits could be presumed during the summers which
could prove to be beneficial for the Medicare staff that are on furlough as
they can presume services later. But for a few sectors, such as restaurants and
entertainment which cannot recoup the services later that are not provided now.
Nevertheless, there are other major risks a long recession or depression may
pose to the Medicare industry and its institutes. Job losses even bring a
decline in employer-provided insurance coverage. And so more people will either
be uninsured or on Medicaid where the payment rates are quite low. And
consequently, as the state budgets are strained thin, governments will have no
choice other than to cut the Medicaid fees and lower returns from the insurance
policies of public sector workers. The longer this pandemic season continues
the longer additional policies actions would be required. The current relief
fund released by the Congress is around 10% of the country's total GDP and if
the situation continues further, which is likely to be, more relief would be
needed. The whole country would need to come together despite their political
differences as we saw in the relief fund release the senate voted unanimously,
but the political parties have not manifested the ability to recognize on much
of anything during the past few years. So on both the economic and health
aspects, the circumstances are laden with peril.

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