Margot Sanger-Katz Profile picture
Sep 22, 2020 7 tweets 3 min read Read on X
The real toll of Covid-19 is even higher than 200,000. Between mid-March and late August, 259,000 more Americans have died than would in a normal year. nytimes.com/interactive/20… @DeniseDSLu @jshkatz
The statistics in this article are based on CDC estimates for *all* deaths, so they don't depend on the availability of covid tests or the accuracy of death certificate reporting.
Not all of these deaths are necessarily from the virus itself. But they appear to be related to the pandemic and the ways it is changing our lives and health.

The regional patterns in deaths from all causes are tracking the movement of virus outbreaks across the country.
Compare Massachusetts, which had an early outbreak and a strict lockdown, to Florida, which reopened in May and had a late outbreak. These trends suggest the virus is playing a major role in deaths, not lockdowns. nytimes.com/interactive/20…
Of course, other causes of death are likely changing. There may be fewer deaths from traffic accidents and flu, as people stay home more. There may be more deaths due to drug overdoses, due to social isolation and disruptions in the drug supply. nytimes.com/interactive/20…
But you cannot look at these overall death statistics and not see that this pandemic has been catastrophic, killing many, many people who would have otherwise lived. nytimes.com/interactive/20…
Finally, these numbers only run through August 29, since it takes time to count death certificates. But, overall, excess deaths are running around 40% higher than reported covid deaths. If that pattern holds, the overall toll could be closer to 280,000 deaths so far.

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More from @sangerkatz

Sep 5, 2023
Medicare slowth: still going. One of the great (fortunate) mysteries of our time. @aliciaparlap @jshkatznytimes.com/interactive/20…
@aliciaparlap @jshkatz First of all, credit to @ddiamond for coining the term "slowth," to mean slow growth.
@aliciaparlap @jshkatz @ddiamond Medicare has been a budget buster for so long that a lot of smart people have found the program's recent trend of slow growth surprising.
Read 19 tweets
May 12, 2023
When I was reporting on this story about the fiscal impacts of the GOP debt ceiling bill, I stumbled upon a provision that was getting very little attention but would be hugely consequential. nytimes.com/interactive/20…
The provision is called the REINS Act, and is designed to get Congress more engaged in the details of how laws they pass get implemented--by forcing Congress to vote every major regulation up or down. nytimes.com/2023/05/12/ups…
I started calling regulatory policy experts. Almost none of them knew this policy had just passed the House. nytimes.com/2023/05/12/ups…
Read 14 tweets
Apr 13, 2023
Be sure to read @atmccann on the growing abortion pill underground, full of incredible details and never-before-collected data. nytimes.com/interactive/20…
This channel has provided 50,000 pill packs to women since the Dobbs decision. Image
For context, @clairecm and I wrote about data suggesting that the number of legal abortions during this period fell by around 32,000. nytimes.com/2023/04/12/ups…
Read 5 tweets
Mar 22, 2023
A technical Medicare Advantage model change, buried deep in the annual rate notice, has unleashed a lobbying frenzy. nytimes.com/2023/03/22/hea… @ReedAbelson
There is tons of evidence that insurers in the program have been manipulating a program that pays them extra fees for enrolling customers with more illnesses. The change took away payments for some of diagnoses that are gamed the most.
@ReedAbelson and I wrote last year about how nearly every major player in Medicare Advantage is facing a federal fraud lawsuit for this type of behavior. nytimes.com/2022/10/08/ups…
Read 28 tweets
Mar 6, 2023
Republicans in the House have been talking about balancing the budget. Since budget season kicks off this week, @aliciaparlap @jshkatz and I took a look at what that would take. nytimes.com/interactive/20…
First of all, balancing the budget in a decade would be hard. It would involve reducing spending and/or raising revenue by $16 trillion. That's around a quarter of federal spending.
The chart above is just an illustration. Almost no one recommends balancing the budget by just cutting everything in the budget by a quarter.
Read 16 tweets
Jan 31, 2023
Last year, @ReedAbelson and I wrote about widespread fraud and overbilling in the Medicare Advantage program. The fraud we wrote about was in a system called "risk adjustment." nytimes.com/2022/10/08/ups…
@ReedAbelson Medicare pays the private plans for every beneficiary they enroll. But it pays more to the plans for patients who are sicker. This makes sense, since their medical care is likely to be more expensive.
But there is oodles of evidence that the plans had begun manipulating the formula, piling on lots of diagnoses to collect the extra payments. nytimes.com/2022/10/08/ups…
Read 19 tweets

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