Feb 28, 2020 - Health

The Americans who can't hide from coronavirus

Illustration: Eniola Odetunde/Axios

The stock markets are in bad shape, but for the millions of Americans who aren’t invested in stocks, coronavirus is presenting a far more imminent concern.

Why it matters: Quarantines usually work with at least 90% participation, but many Americans lack the flexibility to work remotely, take a sick day or absorb having schools close.

  • And today, the World Health Organization raised its global risk assessment for the novel coronavirus to its highest risk level as countries struggle with containing the spread of the virus.

The big picture: People in service jobs or low-wage workers could disproportionately lose some income, compared to those with advanced education or more-skilled professions.

  • Rural Americans sometimes have less reliable internet access for remote work and remote schooling.
  • Parents may have to scramble as children get pulled out of school and day care.
  • Students on free and reduced lunch risk going without a meal if schools close.
  • Undocumented immigrants are less likely to call off work or check into a health care facility from lack of health insurance and ICE fears.
  • Health care workers risk getting sick if an outbreak brings in an influx of patients to the emergency room.
  • Public transit users could be in trouble if trains and buses shut down.

Flashback: After the SARS pandemic in 2005, a report from the SARS commission concluded there were no repercussions for cities that didn't follow federal quarantine orders.

  • Paid sick leave, which Americans aren't guaranteed, would have been a great incentive for hourly-wage workers to stay home, the author wrote.

What they're saying:

  • "We have to think about the vulnerable subpopulations.  What about those who work for hourly wages without sick pay? What about those who can’t afford to stay home if there is an outbreak? We should consider how to support the needs of all vulnerable populations to curb the spread of disease," Chris Coughlin, professor at the Wake Forest University School of Law, tells Axios.
    Mick Mulvaney at CPAC Friday “Are you going to see some schools shut down? Probably. May you see impacts on public transportation? Sure. But we do this. We know how to handle this."
  • National Economic Council director Larry Kudlow Friday called the market downturn a "short-term market plunge" and said, "I don't think at this point it's going to have much of an impact."

Still, technological advances have Americans better equipped for teleworking, digital medical services and take-home assignments for students.

  • More than 1 in 20 Americans say they usually work from home, Labor Department data shows.

The bottom line: "I understand this situation may seem overwhelming and that disruption to everyday life may be severe, but these are things that people need to start thinking about now," said the CDC's Nancy Messonnier.

Go deeper: Full coronavirus coverage

Go deeper

World coronavirus updates: Confirmed cases top 1.2 million

Data: The Center for Systems Science and Engineering at Johns Hopkins, the CDC and China's Health Ministry. Note: China numbers are for the mainland only and U.S. numbers include repatriated citizens and confirmed plus presumptive cases from the CDC

The number of novel coronavirus cases surpassed 1.2 million worldwide Saturday night, as Spain overtook Italy as the country with the most infections outside the U.S.

The big picture: About half the planet's population is now on lockdown and the global death toll was nearing 64,800, by Sunday morning, per Johns Hopkins data.

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Trump admin won't reopen ACA enrollment for uninsured amid outbreak

Photo: Win McNamee/Getty Images

The Trump administration has decided not to reopen enrollment to uninsured Americans for the Affordable Care Act's Healthcare.gov marketplaces, an official confirmed to Axios Wednesday.

Driving the news: President Trump said last week he was considering the move in response to the novel coronavirus outbreak, notes Politico, which first reported the news.

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The coronavirus is exposing the holes in employer health insurance

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.

Go deeperArrowMar 30, 2020 - Health