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1 in 7 Americans Would Avoid Care for Suspected COVID-19 Fearing Cost of Treatment

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One out of every seven (14%) U.S. adults report that they would avoid seeking healthcare for a fever and a dry cough for themselves or a member of their household due to concerns about their ability to pay for it. When framed explicitly as believing to have been infected by the novel coronavirus, 9% still report that they would avoid seeking care. Adults under 30, non-whites, those with a high school education or less and those in households with incomes under $40,000 per year are the groups most likely to indicate they would avoid seeking out care.

If you or a family member had a fever and a dry cough would you avoid seeking treatment due to concerns about the cost of care? If you thought that you might have been infected by the coronavirus, would you avoid seeking treatment due to concerns about the cost of care?


Credit: U.S. Air Force photo by Senior Airman Peter Reft / Wikimedia Commons

These results are a part of an ongoing special study by Gallup and West Health to assess U.S. public opinion on the cost of healthcare, conducted April 1-14, 2020. Fever and a dry cough are two of the most common symptoms of COVID-19, the disease caused by the coronavirus.

Unwillingness to seek out care due to concerns over cost is related to familiar socioeconomic distinctions. Hispanics and blacks are less likely to have health insurance than are non-Hispanic whites, and those in lower-income households are far more likely to be influenced by cost when considering if they will follow recommended medicine or procedures from their doctors.

Mentioning coronavirus by name reduces the percentage of people who would not seek treatment by roughly one-third, suggesting that lack of clarity regarding the common symptoms of COVID-19 could be a factor in not pursuing it beyond household economics or basic access.
Millions Report Having Been Denied Care Due to Patient Volume

Amid those avoiding care due to concerns over costs, 6% of respondents — representing about 15 million adults — report that they or a family member have been denied care due to heavy patient volume brought on from the coronavirus outbreak. These occurrences could potentially include those who had selective surgeries and related appointments canceled due to state policy.

Those living in the Northeast region (11%) are the most likely to report having been denied care, followed by the West (8%). Just 5% in the South and 3% in the Midwest report the same, likely reflecting regional differences in COVID-19 diagnoses and associated hospitalizations. New York state has by far the largest number of confirmed cases in the U.S., followed by New Jersey, Pennsylvania and California — all Northeast or West region states.

Although race does not strongly relate to being denied care, income level is strongly inversely related. While 3% of those with annual household incomes exceeding $100,000 report such occurrences, this jumps to 11% of those with incomes of under $40,000 — nearly four times higher.
U.S. Healthcare Denial Rates Due to COVID-19 Patient Volume
Have you or a family member been denied care by a hospital or a doctor due to heavy patient volume brought on by the coronavirus outbreak?
The seriousness of the COVID-19 pandemic is multi-faceted. In addition to the threat of infection by the coronavirus itself, workers worldwide have lost their jobs, with many now suffering extreme economic hardship. Compounding these effects is the cost of healthcare generally. Recent research has shown that millions of Americans know someone who has died in the last 12 months due to their inability to pay for treatment and that $88 billion in borrowing occurred over the last year for healthcare. As such, results that show 14% unwilling to seek treatment for COVID-19 symptoms and another 9% unwilling to seek treatment — even when coronavirus is suspected — should not be shocking, even amid the outbreak.

Overrun hospitals in New York, in turn, appear to have hit a plateau, which is a good sign for people who are seeking care but can not get it or who otherwise are avoiding hospitals or doctors’ offices for fear of infection. Nationally, a plateau for COVID-19 is less clear given current levels of testing, with many states still observing rising rates of infection.

Seeking care when exhibiting COVID-19 symptoms or when suspecting of having been infected by the coronavirus is a critical element in combatting the outbreak. Greatly increased testing is a prerequisite for reopening the economy, with experts recently estimating that testing must at least triple from current levels for a safe reopening to occur. About 150,000 Americans are being tested each day. Still, according to recommendations from Harvard researchers, this needs to increase to 500,000 to 700,000 in order to effectively identify those who are infected — including those who are asymptomatic — and isolate them from those who are not. Per capita, the U.S. currently ranks 41st in the world in completed tests, with about 17,000 tests completed for every one million persons thus far.

Fears over the cost of testing are not unfounded. Early last month, Vice President Mike Pence announced that insurance companies agreed to waive co-pays for coronavirus testing, followed on March 18 by the passage of the Families First Coronavirus Response Act that mandates that Medicare, Medicaid, other government plans and most private plans cover the cost of testing for infection by the coronavirus. But while the testing itself is now free, the overall cost of care for a trip to the hospital could ultimately cost individuals thousands of dollars in out-of-pocket fees. For example, if the doctor consulted determines that the visit does not justify a test, or is out-of-network, or if the trip requires treatment for other conditions not related to COVID-19, the health law does not cover the costs of the visit.

As such, greater clarity regarding these issues for the public is advisable. It would likely be prudent for leaders and public health officials to not assume that the main symptoms of COVID-19 are universally known and to continuously provide updated information for where to go for local testing, cost expectations for treatment, and patient capacity at local hospitals.

About Gallup

Gallup delivers analytics and advice to help leaders and organizations solve their most pressing problems. Combining more than 80 years of experience with its global reach, Gallup knows more about the attitudes and behaviors of employees, customers, students and citizens than any other organization in the world.

Contacts and sources:
Zach Gross, Dan Witters

West Health Institute


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Total 6 comments
  • truck driver

    I watched welfare healthcare people die . And they all died from medicine the doctor gave them . Social security or something keeps putting them in the apartments I live at and I have to pay rent but they get free rent. The hospital is down the road a few miles. I seen an ambulance cram some renter I’m the back and they never came back to the apartment

  • Anonymous

    Dump Trojan Horse Trump. He’s nothing but Hitlery without a skirt

    Mark of the Beast is 5G chess

  • atsa4you

    Cost would be the furthest concern I would have IF I were hospitalized for Covid or anything. Larger concern would be having a ventilator shoved down my throat without consent and no visitors allowed.

  • Guitarilla

    Unless they have a guaranteed cure from some sort of treatment instead of being locked into a ventilator where the odds against you ever coming out of that hospital are tremendous, then there’s no reason to go.

  • Eaglefeather

    Oh, its far worse than that.. This issue is way beyond just the cost, I refuse to go near a Doctor or hospital right now in fear for my life & its not over this stupid Corona (Cold) Virus either. I am like so many others with Asthma & C.O.P.D. I also suffer from chronic respiratory infections & require periodic antibiotic treatments. I am more afraid of being falsely diagnosed with this COVID19 nonsense while neglecting the real problem just so these clowns can exploit me for the money or or worse, put me on a ventilator & kill me to get the extra payments. We know that doctors are being forced to diagnose everyone with this Corona virus, hospitals are getting payed (Bribed) with more than $12,000 per patient with it & over $40,000 if they are placed on a ventilator. Gee, ya think they might have an incentive to do it, “Hell Yeah” . I have an URI right now & actually need an antibiotic but I am just staying away from the medical facilities & taking my chances at home.. This is so pathetic, how corrupt & negligent our medical system has became..

    • atsa4you

      Buy some D-Mannose powder for your UTI…it will clear it right up and it’s inexpensive. get the powder, not the tablets…You can get it from Swansons online

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