Hospitals, health care sector reel from COVID-19 damage

Hospitals, health care sector reel from COVID-19 damage

The global coronavirus pandemic has created a huge need for health care in the U.S., but it also is delivering a devastating financial blow to that sector.

COVID-19 worries have kept patients away from doctors’ offices and forced the postponement and cancellation of non-urgent surgeries. The pandemic also has shut down large portions of the American economy, leaving many would-be patients without insurance or in a financial pinch that makes them curb spending.

All of this has forced hospitals, health systems and doctors to lay off staff, cut costs and hope a return to normal arrives soon.

“You couldn’t ask for a worse situation, really,” said Joe Antos, an economist with the American Enterprise Institute.

Health care provided the biggest drag on the U.S. economy in the first quarter. Spending on care fell at an annual rate of 18%, the largest drop for that sector among records going back to 1959.

Economists point to hospital systems, a key driver of the sector’s performance, as a big reason behind the drag from COVID-19, which initially hit some parts of the sector more intensely than others.

The nation’s largest hospital chain, HCA Healthcare, said its hospital-based outpatient surgery totals for last month were down about 70% through late April.

In many cases, hospitals that lose those profitable surgeries are gaining COVID-19 patients — and losing money on them. Those patients may require hospitals to expand intensive care units, spend more on infection control and stock up on gowns and masks, among other items.

The American Hospital Association estimated in a recent report that the nation’s hospitals and health systems will collectively lose more than $36 billion from March to June treating hospitalized COVID-19 patients.

When adding factors like lost revenue from postponed surgeries, the total balloons to more than $200 billion, said the association. Congress has set aside about $175 billion so far to help hospitals and other care providers, but the hospital association says more assistance is needed.

“We’re facing perhaps the biggest financial crisis in our history,” association CEO and president Rick Pollack said.

From the doctor’s office, the view also is bleak.

Dr. Seemal Desai said patient visits for his Dallas-area dermatology practice plunged about 85% after COVID-19 hit.

He started seeing patients over the internet with help from smartphone or tablet cameras. But that created fresh problems. Desai said some patients don’t have the technology to do online visits. Others hesitate because they aren’t sure their insurance will cover them.

Only about half the patients who were offered a telemedicine visit actually did one.

“You would think my volume would be shooting through the roof and people would be clamouring for it, but it’s completely the opposite,” Desai said.

The dermatologist cut expenses, including marketing, and he’s reduced some employee hours.

Nationally, the health care sector shed nearly 1.5 million jobs from February to April, or about 9% of its total, according to the federal Bureau of Labor Statistics.

A big chunk of that came from dentist offices. Preliminary data shows that employee totals for that slice of the sector sank by more than 500,000, or 53%.

Overall economic growth, as measured by the gross domestic product, fell at an annual rate of 4.8% in the January-March quarter even though the severe impact of the virus was only felt in the last couple of weeks of March.

The current quarter is expected to be much worse. The Congressional Budget Office forecasts that the GDP will plunge 40%. That would be four times the largest drop on quarterly GDP records that go back to 1947.

Even so, health care researchers expect hospitals, doctor’s offices and surgery centres to rebound gradually. But they’re not sure yet how much patient volume will return.

People who have lost jobs and insurance coverage may not make doctor visits unless they absolutely have to.

The Kaiser Family Foundation recently estimated that nearly 27 million people — or about 8 per cent of the U.S. population — could have become uninsured at least temporarily between March and early May due to the loss of employer-sponsored insurance.

It also may take a while for some patients to become confident that a hospital or doctor’s office is safe enough to visit without catching COVID-19.

“People are just afraid to go to any medical setting right now,” Antos said, noting that the economy also could face another setback if infection rates spike again.

In Texas, Dr. Desai has pulled chairs out of his waiting rooms to increase social distancing for patients and staff. He’s also asking other patients to wait in their cars until the exam room has been sanitized.

The dermatologist got some government assistance in the first round of payroll protection loans, and that will help him for a few more weeks.

But he’s not expecting a quick rebound. It’s hard to rebuild patient volume when only two people can be in the waiting room at the same time.

“After another month I honestly have no clue whether we will be able to remain open,” he said.

___

AP writers Martin Crutsinger, Josh Boak, Andrew Taylor and Linda A. Johnson and senior video journalist John Mone contributed to this report.

_____

Follow Tom Murphy on Twitter: @thpmurphy

Tom Murphy, The Associated Press

Coronavirus

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Jason Aquino has been adding to his front lawn Halloween display for the past five years. “I wanted to do it big this year, because even in the pandemic, we can still enjoy Halloween,” says the Red Deer father.
Halloween spookiness rises to new level

Rare astronomical occurrence caps off a strange holiday

Alberta Health Services' central zone jumped from 162 active COVID-19 cases to 178 on Friday. Five additional deaths were reported provincewide, bringing the toll to 323. THE CANADIAN PRESS/Graham Hughes
622 new COVID-19 cases set another daily high Friday

Province confirmed 622 additional cases Friday

Advocate file photo
Man awaiting murder trial facing two new trials for breaching release conditions

Quentin Strawberry going to trial in March in connection with 2019 murder

Ecole La Prairie students and teachers dressed up in Halloween costumes and paraded by Barrett Kiwanis Place, while waving at the building’s residents in Red Deer on Friday. (Photo by Sean McIntosh/Advocate staff)
Ecole La Prairie students parade in Halloween costumes for Red Deer seniors

Dozens of Red Deer students put on their Halloween costumes to spread… Continue reading

Advocate file photo
Preliminary hearing set for Walmart shooting suspect

Chase Freed facing second-degree murder and attempted murder charges

Over the years, Janice Blackie-Goodine’s home in Summerland has featured elaborate Halloween displays and decorations each October. (File photo)
QUIZ: How much do you really know about Halloween?

Oct. 31 is a night of frights. How much do you know about Halloween customs and traditions?

ll
Imagining the origins of Halloween

Long ago and far away, a small assemblage of English people gathered… Continue reading

Red Deer College president Peter Nunoda. (Photo by contributed)
Peter Nunoda: Winter term will be busier on RDC campus

In my column last month, I shared details about Red Deer College’s… Continue reading

Canada Artistic Swimming plans to ‘rip off the band-aid’ to create better environment

Canada Artistic Swimming plans to ‘rip off the band-aid’ to create better environment

North Carolina's Myles Dorn (1) celebrates a big stop with teammate Patrice Rene (5) during the first quarter of the team's NCAA college football game against Miami in Chapel Hill, N.C., Saturday, Sept. 7, 2019. Canadian Rene appears set to return to North Carolina's lineup in time for the No. 15 Tarheels' rivalry game against Virginia and a potential all-Canadian showdown. THE CANADIAN PRESS/AP/Chris Seward
Canadian Patrice Rene appears set to return to North Carolina’s lineup after injury

Canadian Patrice Rene appears set to return to North Carolina’s lineup after injury

Regina Pats defenceman Cale Fleury (4) tries to clear OHL Hamilton Bulldogs forward Nicholas Caamano (10) from in front of the net during third period Memorial Cup semifinal action in Regina on Friday, May, 25, 2018. The Ontario Hockey League will not have bodychecking this coming season. Lisa MacLeod, Ontario's minister of sport, confirmed the decision on Friday afternoon.THE CANADIAN PRESS/Jonathan Hayward
MacLeod: No bodychecking allowed in upcoming Ontario Hockey League season

MacLeod: No bodychecking allowed in upcoming Ontario Hockey League season

Colorado Avalanche goalie Pavel Francouz (39) makes the save on Minnesota Wild's Alex Galchenyuk (27) during third period NHL exhibition game action in Edmonton, on Wednesday July 29, 2020. Galchenyuk says his new team is getting a motivated player with something to prove. The forward signed a one-year, US$1.05-million contract with the Ottawa Senators in free agency earlier this week. THE CANADIAN PRESS/Jason Franson
Alex Galchenyuk eager for fresh start with Senators: ‘I have a lot to prove’

Alex Galchenyuk eager for fresh start with Senators: ‘I have a lot to prove’

Bayern's Alphonso Davies, right, challenges PSG's Thilo Kehrer, left, during the Champions League final soccer match between Paris Saint-Germain and Bayern Munich at the Luz stadium in Lisbon, Portugal, Sunday, Aug. 23, 2020. Canadians Alphonso Davies, Will Johnson, Pat Onstad and Dwayne De Rosario are among the 134 finalists for Major League Soccer's "25 Greatest" players. THE CANADIAN PRESS/AP, Miguel A. Lopes/Pool
Davies, DeRo join Beckham, Giovinco and others as finalists for MLS’ ‘25 Greatest’

Davies, DeRo join Beckham, Giovinco and others as finalists for MLS’ ‘25 Greatest’

Michael Jordan’s NASCAR team partners with Gibbs, Toyota

Michael Jordan’s NASCAR team partners with Gibbs, Toyota

Most Read