Patients, doctors and nurses did not escape the worst effects of the pandemic. Instead, our analysis suggests that the effects seem to have been delayed
pandemic had one overarching aim: to prevent hospitals from being overwhelmed. Governments hoped to space out infections, buying time to build capacity. In the end, however, much of this extra capacity went unused. England’s seven “Nightingale” hospitals closed having received only a few patients, as did many of America’s field hospitals.
Other countries have less comprehensive statistics, but equally miserable patients. In September Ipsos, a pollster, released a global survey that included a question on health-care quality. In almost all of the 20-odd rich countries, people were less likely than in 2021 to say that the service on offer was “good” or “very good”. In Britain the share saying so fell by five percentage points. In Canada it fell by ten. In Italy by 12.
America is doing better than most countries, thanks to the vast amount of money it spends on health care. But it is not doing well. Average hospital-occupancy rates recently exceeded 80% for the first time. Even in the darkest days of the pandemic few states reported paediatric wards under stress . In early November fully 17 states were in this position, the result of a rise in all sorts of bugs in kids.
Perhaps the real problem is not staff numbers, but how efficiently they are working. Real output in America’s hospital and ambulatory-health-care sector, which in effect measures the quantity of care provided, is only 3.9% above its pre-pandemic level, whereas output across the economy as a whole is 6.4% higher. In England elective-care activity is slightly lower than it was before covid hit.
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