President Biden, with his sleeves rolled up, receives a booster shot for Covid-19.

President Biden receives a Covid-19 stimulus package at the White House in October 2022. (Tom Brenner for The Washington Post via Getty Images)

The White House announced last month In the year The COVID-19 public health emergency, or PHE, declared by the Trump administration when the pandemic began in 2020, expires on May 11. And some Americans may face additional costs when the federal government pays off with Covid-related costs. There is one group that could inherit the biggest burden, experts say.

What did the public health emergency of covid do?

“Many of the emergency declarations are related to trying to adjust our systems in general to the context of the COVID-19 pandemic,” said Dr. Wafa El Sadr, professor of epidemiology and medicine at Columbia’s Mayman School of Public Health. Yahoo News. “Allowing more virtual medical visits is one example. Another example is offering free screenings to individuals without health insurance. A third example is providing vaccinations at no cost. Another example is providing free treatment for Covid-19.

PHE has allowed various agencies to move a little faster in the process so that everyone has more access to Covid-related testing and treatment, said Keon Gilbert of the Brookings Institution, an associate professor in the College of Public Health and Social Justice at Saint Louis University. Simply.

As hours have shortened as the pandemic continues, (PHE) has made it possible for people, especially in states that have expanded Medicaid, to get health care insurance and health care coverage. Medicaid way,” he explained.

Who will have more influence?

Gilbert said that those most affected by PHE’s conclusion “will definitely be the uninsured” – El-Sadr agrees.

“Often the most vulnerable in society are the people who are left behind. This mainly includes the uninsured (and) undocumented,” she said. “It’s often the most vulnerable people in society who bear the brunt of the gaps in services.”

El Sadr warned that while the uninsured may face many obstacles, we do not yet know all the details and more information should be available as we get closer to May 11. Federally funded test kit vaccines and treatments will eventually fail.

Thanks to policies put in place to protect those who lost their jobs or income during the pandemic, the number of uninsured people in the U.S. will drop by nearly 1.5 million by 2021, to a total of 27.5 million. According to the Kaiser Family Foundation.

But the PHE expiry can be higher for the uninsured. When the Medicaid continuous enrollment offer ends.

“When it was announced, (PHE) allowed states to enroll more people in Medicaid and have insurance. Millions of people will be out of service over time when PHE runs out,” Gilbert explained. “Some of those people may have gotten a job with health benefits, so they’re mostly going to be fine. The worst affected are people who are unemployed or underemployed.

In addition, we need to realize that there are still millions of people who are experiencing prolonged symptoms of COVID, and some of them may not have fully recovered. Some may still be completely unemployed. And depending on their specific work situation, they can be heavily influenced by this as well.

as one Analysis released by the Department of Health and Human Services“Children and adults will be disproportionately affected, with 5.3 million children and 4.7 million adults ages 18-34 projected to lose Medicaid/CHIP (Children’s Health Insurance Program) coverage. Latino and black individuals account for about a third of those predicted to lose coverage.

A nurse prepares a covid booster injection.

A nurse prepares a Covid booster injection in Los Angeles in December. (Hans Gutknecht/MediaNews Group/Los Angeles Daily News via Getty Images)

What will change for the uninsured?

As long as the U.S. has a high federal vaccine stockpile, the primary and booster doses of Covid, thanks to the Affordable Care Act, will remain free for everyone regardless of insurance coverage, he said. Analysis by the Kaiser Family Foundation. The availability and cost of covid vaccines is determined by the supply of federally procured vaccines, not by PHE. But once that provision runs out, vaccine costs “may become a barrier for uninsured and underinsured adults,” Kaiser said. As early as this fall, the US government plans to stop buying Covid vaccines and vaccine manufacturers They sell them to health care providers at a high cost. – Uninsured individuals must pay out of pocket.

For uninsured children, Gilbert said, vaccines may be available at low or no cost. Federally funded Vaccines for children The program, for example, has been around since long before Covid-19, and the Centers for Disease Control and Prevention says the Centers for Disease Control and Prevention provides immunizations at “no cost to children who may otherwise be immunized because they cannot afford to pay.” For providers enrolled in the program.

But for uninsured adults, Gilbert said, “it gets a little more difficult.”

“Hopefully, federally qualified health care centers and other places will be able to provide people with both covid tests and covid vaccines at very low cost or for free, even if they don’t have insurance,” he said.

For Covid-19 testing, uninsured people in many states had to pay out-of-pocket up front for PCR tests. Average price is $127. per exam unless you are being diagnosed at a free clinic or community health center. A Medicaid coverage option approved in 15 states that allows the uninsured to receive trial services without cost sharing is expiring under PHE.

He speaks of health and human services “Resources in Waiting,” CDC’s Community Access Trial Program, continues to work to ensure equitable access to uninsured individuals and socially vulnerable areas through pharmacies and community-based sites.

The U.S. government may continue to distribute free tests from the national stockpile as long as supplies last. But getting a free home covid test kit Through the government website Those offers will expire after being used.

It appears that free testing will end unless some clinics offer free testing, Gilbert said. “I think for some people, especially older people and families with children, they might stock up on some free challenges to help them get through the extra months.

Covid treatments like Paxlovide, an antiviral treatment that can reduce the risk of hospitalization and death, will remain free as long as the federal supply lasts, but uninsured patients may have to start paying for it after the supply runs out. As with vaccines, the cost and availability of paxlovide depends on federal supply, not on PHE. Kaiser explains.. Last year, the US government Paxlovide bought 20 million courses At a discounted price of $530 each from Pfizer.

are we ready

While Gilbert said there were “very mixed feelings” about the end of PHE, public health experts acknowledged the epidemic had entered a new phase.

“I think we realize that we’re in a different place with Covid-19 in early 2020 or early 2021,” El-Sadr said. We know a lot about the virus itself and how to diagnose and manage Covid-19. We’re in a very different place, which means there’s reason to adapt with the times.

Although PHE is set to expire on May 11, Gilbert says many changes shouldn’t happen overnight.

“It will still take several months for the policy to be implemented,” he explained. “Medicaid disenrollment will not be done immediately. They should be given a specific time and date of notification of when their Medicaid benefits will end.

“Hopefully it will give people many, many months to prepare for any new changes or new costs. So I guess that’s one positive piece – it’s not going to happen all at once.”

But PHE’s sunrise calls attention to non-Covid-related US health care gaps.

“One of the problems is that, broadly speaking, we still don’t have a clear and clean public health infrastructure that makes people feel like there are a lot of defenses even though this particular statement is being finalized,” Gilbert said. he said. “So I think what’s important is that public health agencies like the CDC and state, county and local health departments are communicating what role they can play in not only keeping people safe and preventing Covid, but also making sure there are opportunities.” Structures are in place to provide access to many of these preventive health services.

El-Sadr points out that PHE has introduced some changes that have been particularly welcomed by some of the more vulnerable sections of society – such as virtual medical visits, making healthcare more accessible to the elderly. Understanding the broader implications of what some say are better changes in health care will be important as we move into the post-PHE era, she said.

“I recognize that we are in a different place, but at the same time we need to carefully consider the implications of canceling the public health emergency in terms of access to Covid-related services and treatments. and vaccinations – and access to health services in general.

By W_Manga

Leave a Reply

Your email address will not be published. Required fields are marked *