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Illustration: Sarah Grillo/Axios

A record 3.3 million people filed for unemployment in one week, in the wake of the coronavirus outbreak, but people didn't just lose their jobs. Many also lost the health insurance that came with the job.

Why it matters: U.S. workers, even those who feel relatively secure in their health benefits, are a pandemic away from falling into the ranks of the uninsured.

Many of the people losing their jobs right now may not have had coverage to begin with — which would make the coronavirus-related disruption smaller, but still highlights the very large holes in this system. Industries like retail, restaurants and hospitality, as well as small businesses, are less likely to offer coverage

  • The concern: People who get the virus but don't have insurance are susceptible to high medical bills, or even death if they avoid or are denied treatment.

The big picture: People who lose their jobs have some options.

  • COBRA: This option allows people to keep their employer coverage for up to 18 months, which is good for those who are getting treatment and don't want to switch doctors. However, people have to pay the full insurance premium — an average of $1,700 a month for a family plan — which will be unaffordable for most of the newly unemployed.
  • Medicaid: State Medicaid agencies determine eligibility on current income, so this may be the easiest, lowest-cost way for people to get health coverage.
  • Affordable Care Act plans: The health care law created marketplaces for coverage, and people who lose their jobs can sign up outside the standard enrollment window. People may be able to get subsidies, depending on income.
  • Short-term plans: These stopgap plans, promoted by the Trump administration, provide some coverage but often don't cover major hospitalizations.

Yes, but: All of these options have their own administrative hurdles.

The bottom line: "The ACA made health insurance more recession-resistant, but ... there's still significant disruption when you lose your job," said Cynthia Cox, a health insurance expert at the Kaiser Family Foundation.

Go deeper

3 hours ago - Health

Biden: Americans with long-COVID symptoms may qualify for disability resources

President Biden speaking in Arlington, Virginia, on July 23. Photo: Oliver Contreras/Sipa/Bloomberg via Getty Images

Americans experiencing long-term symptoms of COVID-19 may qualify for disability resources from the federal government, President Biden announced Monday during an event to mark the 31st anniversary of the Americans with Disabilities Act.

Driving the news: The departments of Justice and Health and Human Services released new guidance Monday that categorizes “long COVID" as a physical or mental impairment, entitling people with the illness to discrimination protections under the the ADA.

Study: Get ready for many more record-shattering heatwaves

NASA computer model image of temperature departures from average on June 27 during the Pacific Northwest heat wave. (NASA Earth Observatory)

The recent deadly heat wave in the Pacific Northwest, during which all-time temperature records were shattered by several degrees, is a prologue to what is coming across much of the U.S., Europe and Asia, a new study finds.

Why it matters: The study shows that the rate of climate change is an under-appreciated driver of extreme heat, and that today's quickening pace of warming virtually guarantees more extreme temperature records in coming decades.

Updated 5 hours ago - Politics & Policy

UN: Civilian casualties in Afghanistan hit record high amid U.S troop withdrawal

Afghan security force members inspect the site of an explosion in Kabul. Photo: Sayed Mominzadah/Xinhua via Getty Images

Civilian casualties in Afghanistan have hit record highs amid the U.S. troop withdrawal from the country, the UN said in a report released Monday.

Why it matters: The report, which documented more than 1,650 civilians deaths in the first half of 2021, provides a "clear warning" that an unprecedented number of Afghan civilians "will perish and be maimed this year if the increasing violence is not stemmed," Deborah Lyons, the secretary-general’s special representative for Afghanistan, said in a statement.