{"id":20837,"date":"2020-06-02T03:30:34","date_gmt":"2020-06-02T03:30:34","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=20837"},"modified":"2020-06-03T23:54:47","modified_gmt":"2020-06-03T23:54:47","slug":"americans-deepening-financial-stress-will-make-the-coronavirus-a-lot-harder-to-contain","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/americans-deepening-financial-stress-will-make-the-coronavirus-a-lot-harder-to-contain\/","title":{"rendered":"Americans&#8217; deepening financial stress will make the coronavirus a lot harder to contain"},"content":{"rendered":"<p><a href=\"https:\/\/theconversation.com\/profiles\/david-salkever-959476\">David Salkever<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-maryland-baltimore-county-1667\">University of Maryland, Baltimore County<\/a><\/em><\/p>\n<p>Preventing deaths from COVID-19 depends on people who get it <a href=\"https:\/\/theconversation.com\/what-coronavirus-symptoms-should-i-look-for-and-when-do-i-call-the-doctor-a-doctor-answers-4-questions-133676\">seeking treatment<\/a> \u2013 which also allows authorities to track down whom they came in contact with to reduce spread.<\/p>\n<p>But, as the <a href=\"https:\/\/www.reuters.com\/article\/us-usa-economy\/new-wave-of-us-layoffs-feared-as-coronavirus-pain-deepens-idUSKBN2340E6\">economic pain<\/a> and joblessness caused by the statewide lockdowns continue to grow, more Americans are experiencing severe strains on their personal finances. This threatens our ability to contain the pandemic because those feeling the most financial stress are much less likely to seek medical care if they experience coronavirus symptoms, according to my analysis of a <a href=\"https:\/\/www.federalreserve.gov\/publications\/2020-economic-well-being-of-us-households-in-2019-description-of-the-survey.htm\">recent Federal Reserve survey<\/a>.<\/p>\n<p>As an <a href=\"https:\/\/publicpolicy.umbc.edu\/david-salkever\/\">economist who studies how individuals make health care choices<\/a>, I worry that in the coming months even more people will consider forgoing vital treatment to pay rent or some other bill \u2013 especially as the extended unemployment benefits, rent moratoriums and other relief <a href=\"https:\/\/www.marketwatch.com\/story\/ending-the-extra-600-a-month-americans-are-getting-in-unemployment-benefits-could-cost-the-us-more-jobs-some-economists-say-2020-05-28\">are set to expire<\/a> soon.<\/p>\n<h2>\u2018Just getting by\u2019<\/h2>\n<p>The Fed <a href=\"https:\/\/www.federalreserve.gov\/publications\/2020-economic-well-being-of-us-households-in-2019-description-of-the-survey.htm\">conducts a survey<\/a> of the economic health of U.S. households every quarter, most recently near the end of 2019. In April, it conducted a supplementary but similar survey to quickly gauge how people were handling the coronavirus crisis. Results of both surveys were released on May 14.<\/p>\n<p>The Fed tries to measure financial stress in three key ways. Its surveys ask respondents if they are unable to pay all their monthly bills, couldn\u2019t cover a US$400 emergency expense, or are \u201cjust getting by\u201d or worse.<\/p>\n<p>Even before the pandemic hit, the picture wasn\u2019t pretty. In October, when the fourth-quarter survey was conducted, 42% of employed respondents reported fitting at least one of these descriptions, while over 8% said they fit all three. Those figures jumped to 72% and 20% for low-income workers.<\/p>\n<p>But by April, tens of millions of people who had jobs in October lost them as most nonessential businesses across the U.S. either closed or reduced their services. The <a href=\"https:\/\/data.bls.gov\/timeseries\/LNS14000000\">unemployment rate shot up to 14.7%<\/a> that month \u2013 the highest since the Great Depression \u2013 and is expected to climb further when the May data are released on June 5.<\/p>\n<p>The Fed\u2019s April survey, however, paints an even broader picture of the economic impact of the pandemic. In that survey, about 28% of the previously employed respondents said they either lost their job, were being furloughed, had their hours cut or were taking unpaid leave. This has been financially devastating to many, with 68% of this group reporting one of the stresses listed above and 28% saying they were experiencing all three, regardless of income level.<\/p>\n<h2>Forgoing medical care<\/h2>\n<p>Separate questions in the surveys demonstrate just how strong the link is between financial and physical health.<\/p>\n<p>The October survey also asks those respondents if they had skipped a doctor\u2019s visit during the previous 12 months because of the cost. More than 20% of those who reported one of these financial stresses said they had, while almost 46% of those with all three said so.<\/p>\n<p><iframe loading=\"lazy\" id=\"9Si5W\" class=\"tc-infographic-datawrapper\" style=\"border: none;\" src=\"https:\/\/datawrapper.dwcdn.net\/9Si5W\/1\/\" width=\"100%\" height=\"400px\" frameborder=\"0\"><\/iframe><\/p>\n<p>In April, the Fed asked a more timely question: \u201cIf you got sick with symptoms of the coronavirus, would you try to contact a doctor?\u201d<\/p>\n<p>A third of those respondents who also said they\u2019re experiencing all three financial stresses said \u201cno.\u201d This is especially significant because, unlike the October question, it describes a current, known threat, rather than referring to a previous medical issue of unknown severity. And the widely reported urgency and seriousness of the coronavirus suggests someone wouldn\u2019t treat the decision to seek a doctor\u2019s care or advice lightly.<\/p>\n<h2>Relieving the stress<\/h2>\n<p>That was back in April, less than a month into the coronavirus lockdowns. If the same questions were asked today, I believe the numbers would look a lot worse.<\/p>\n<p>In the middle of a serious pandemic, we don\u2019t want sick people avoiding treatment because they\u2019re worried they won\u2019t be able to put food on the table. This would likely worsen the spread of the <a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/if-you-are-sick\/steps-when-sick.html\">coronavirus<\/a> and make it a whole lot harder to contain.<\/p>\n<p>As <a href=\"https:\/\/ktla.com\/news\/nationworld\/congress-debates-whether-to-go-big-on-next-coronavirus-relief-bill-or-hit-pause\/\">Congress debates<\/a> additional measures to mitigate the economic and financial effects of the pandemic, it would be wise to keep in mind the connection between financial stress and individual decisions to seek medical care.<\/p>\n<p>[<em>You\u2019re smart and curious about the world. So are The Conversation\u2019s authors and editors.<\/em> <a href=\"https:\/\/theconversation.com\/us\/newsletters?utm_source=TCUS&amp;utm_medium=inline-link&amp;utm_campaign=newsletter-text&amp;utm_content=youresmart\">You can read us daily by subscribing to our newsletter<\/a>.]<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/139741\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/david-salkever-959476\">David Salkever<\/a>, Professor Emeritus of Public Policy, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-maryland-baltimore-county-1667\">University of Maryland, Baltimore County<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/americans-deepening-financial-stress-will-make-the-coronavirus-a-lot-harder-to-contain-139741\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>David Salkever, University of Maryland, Baltimore County Preventing deaths from COVID-19 depends on people who get it seeking treatment \u2013 which also allows authorities to track down whom they came in contact with to reduce spread. But, as the economic pain and joblessness caused by the statewide lockdowns continue to grow, more Americans are experiencing [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":20838,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,1862],"tags":[7559,8139,7689,8138,6448,5271,151,2197,677],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/20837"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=20837"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/20837\/revisions"}],"predecessor-version":[{"id":20862,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/20837\/revisions\/20862"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/20838"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=20837"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=20837"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=20837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}