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U.S. health care is increasingly like a casino

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From Axios:


For the decade-ish that I've been reporting on health care, insurance coverage has dominated conversations about who has access to care. But in the post-pandemic era, it's become clear that having insurance is only the first step toward receiving quality care.


Why it matters:

Where Americans live, their health status and a range of socioeconomic factors increasingly determine their experience with the health care system, and in many cases that experience appears to be getting worse.

  • Affordability, while critical, isn't synonymous with access. Long wait times for doctor appointments, crowded emergency departments, complicated insurance requirements and a dearth of local providers are all making things tougher on patients.

  • For many people, whether they can get the care they need when they need it seems to come down to the luck of the draw.


State of play:

Provider shortages and a post-pandemic surge in demand for care have played a large role in today's squeeze.

  • That's being felt all along the care continuum, whether you're trying to schedule an annual physical or waiting in the ER.

  • "All the noise that we're hearing is a signal. This is real," said Joe Betancourt, president of the Commonwealth Fund. "There's no doubt that in my career ... I've seen access challenges evolving."



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