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COVID-19 survivors' lingering symptoms could cost US $50BILLION

Health care costs for recovering COVID-19 patients with lingering symptoms could cost the US $50BILLION within a year

  • Many coronavirus patients are reporting that their symptoms – like shortness of breath, fatigue and fever – linger for weeks or months after testing negative 
  • CUNY scientists estimate that their complications could cost the US $50 billion within the first year after hospitalizations for the virus 
  • If a vaccine is not  successfully deployed, the costs could easily well to $204 billion as coronavirus spreads to as much as 80% of the population  

Lingering effects of coronavirus could cost the US $50 billion in health care for COVID-19 patients long discharged from hospitals, a new study estimates. 

And that’s if only 20 percent of the population gets infected. 

If there isn’t a vaccine in the near future, and a hypothetical 80 percent of Americans get infected, the costs of their complications could rise to $204 billion, scientists at the City University of New York (CUNY). 

Reports of coronavirus patients, young and old, who can’t seem to shake their symptoms even weeks or months after testing negative for the virus are becoming more and more commonplace. 

So much so, that some experts are recommending that some experts are pushing for their network of symptoms to be dubbed a post-covid syndrome. 

Coronavirus has already cost hospitals about $50 billion a month on care for coronavirus patients and lost revenue due to cancellations of non-emergent care – and if the virus is triggering longer-term health issues, it could spell further economic trouble for the medical industry in the US. 

Laura Gross, 72, is one of many coronavirus survivors who suffer lingering symptoms like headaches and fatigue long after testing negative. Costs for caring for these continuing health issues could cost the US $50 billion within a year, scientists estimate 

Late in March, Laura Gross, 72, was recovering from gallbladder surgery in her Fort Lee, New Jersey, home when she became sick again.

Her throat, head and eyes hurt, her muscles and joints ached and she felt like she was in a fog. Her diagnosis was COVID-19. Four months later, these symptoms remain.

Gross sees a primary care doctor and specialists including a cardiologist, pulmonologist, endocrinologist, neurologist, and gastroenterologist.

‘I’ve had a headache since April. I’ve never stopped running a low-grade temperature,’ she said.

Studies of COVID-19 patients keep uncovering new complications associated with the disease.

With mounting evidence that some COVID-19 survivors face months, or possibly years, of debilitating complications, healthcare experts are beginning to study possible long-term costs.

Bruce Lee of the CUNY Public School of Health estimated that if 20 percent of the US population contracts the virus, the one-year post-hospitalization costs would be at least $50 billion, before factoring in longer-term care for lingering health problems. 

Without a vaccine, if 80 percent of the population became infected, that cost would balloon to $204 billion.

Some countries hit hard by the new coronavirus – including the United States, Britain and Italy – are considering whether these long-term effects can be considered a ‘post-COVID syndrome,’ according to Reuters interviews with about a dozen doctors and health economists.

Some US and Italian hospitals have created centers devoted to the care of these patients and are standardizing follow-up measures.

Britain’s Department of Health and the U.S. Centers for Disease Control and Prevention are each leading national studies of COVID-19´s long-term impacts. An international panel of doctors will suggest standards for mid- and long-term care of recovered patients to the World Health Organization (WHO) in August.

Patients like Gross (pictured, posing on her balcony in New Jersey) may spend months feeling ‘off,’ as she herself as well as other survivors and their doctors have reported 


More than 17 million people have been infected by the new coronavirus worldwide, about a quarter of them in the United States.

Healthcare experts say it will be years before the costs for those who have recovered can be fully calculated, not unlike the slow recognition of HIV, or the health impacts to first responders of the September 11, 2001 attacks on the World Trade Center in New York.

They stem from COVID-19’s toll on multiple organs, including heart, lung and kidney damage that will likely require costly care, such as regular scans and ultrasounds, as well as neurological deficits that are not yet fully understood.

A JAMA Cardiology study found that in one group of COVID-19 patients in Germany aged 45 to 53, more than 75 percent suffered from heart inflammation, raising the possibility of future heart failure.

A Kidney International study found that over a third of COVID-19 patients in a New York medical system developed acute kidney injury, and nearly 15 percent required dialysis.

Dr Marco Rizzi in Bergamo, Italy, an early epicenter of the pandemic, said the Giovanni XXIII Hospital has seen close to 600 COVID-19 patients for follow-up. 

About 30 percent have lung issues, 10 percent have neurological problems, 10% have heart issues and about 9 percent have lingering motor skill problems. He co-chairs the WHO panel that will recommend long-term follow-up for patients.

‘On a global level, nobody knows how many will still need checks and treatment in three months, six months, a year,’ Rizzi said, adding that even those with mild COVID-19 ‘may have consequences in the future.’

Milan’s San Raffaele Hospital has seen more than 1,000 COVID-19 patients for follow-up. 

While major cardiology problems there were few, about 30 percent to 40 percent of patients have neurological problems and at least half suffer from respiratory conditions, according to Dr. Moreno Tresoldi.

Some of these long-term effects have only recently emerged, too soon for health economists to study medical claims and make accurate estimates of costs.

In Britain and Italy, those costs would be borne by their respective governments, which have committed to funding COVID-19 treatments but have offered few details on how much may be needed.

In the United States, more than half of the population is covered by private health insurers, an industry that is just beginning to estimate the cost of COVID-19.

CUNY’s Lee estimated the average one-year cost of a US COVID-19 patient after they have been discharged from the hospital at $4,000, largely due to the lingering issues from acute respiratory distress syndrome (ARDS), which affects some 40 percent of patients, and sepsis.

The estimate spans patients who had been hospitalized with moderate illness to the most severe cases, but does not include other potential complications, such as heart and kidney damage.

Even those who do not require hospitalization have average one-year costs after their initial illness of $1,000, Lee estimated.


Extra costs from lingering effects of COVID-19 could mean higher health insurance premiums in the United States. 

Some health plans have already raised 2021 premiums on comprehensive coverage by up to eight percent due to COVID-19, according to the Kaiser Family Foundation.

Anne McKee, 61, a retired psychologist who lives in Knoxville, Tennessee and Atlanta, had multiple sclerosis and asthma when she became infected nearly five months ago. She is still struggling to catch her breath.

‘On good days, I can do a couple loads of laundry, but the last several days, it’s been hard just to get up and get a drink from the kitchen,’ she said.

She has spent more than $5,000 on appointments, tests and prescription drugs during that time. Her insurance has paid more than $15,000 including $240 for a telehealth appointment and $455 for a lung scan.

‘Many of the issues that arise from having a severe contraction of a disease could be three, five, 20 years down the road,’ said Dale Hall, Managing Director of Research with the Society of Actuaries.

To understand the costs, U.S. actuaries compare insurance records of coronavirus patients against people with a similar health profile but no COVID-19, and follow them for years.

The United Kingdom aims to track the health of 10,000 hospitalized COVID-19 patients over the first 12 months after being discharged and potentially as long as 25 years. Scientists running the study see the potential for defining a long-term COVID-19 syndrome, as they found with Ebola survivors in Africa.

‘Many people, we believe will have scarring in the lungs and fatigue … and perhaps vascular damage to the brain, perhaps, psychological distress as well,’ said Professor Calum Semple from the University of Liverpool.

Margaret O’Hara, 50, who works at a Birmingham hospital is one of many COVID-19 patients who will not be included in the study because she had mild symptoms and was not hospitalized. 

But recurring health issues, including extreme shortness of breath, has kept her out of work.

O’Hara worries patients like her are not going to be included in the country’s long-term cost planning.

‘We’re going to need … expensive follow-up for quite a long time,’ she said.

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  • Posted on August 3, 2020