Eric, with all due respect, this paper describes a web-based survey of a sample recruited from online support groups — but more importantly the vast majority of participants had no evidence of prior COVID-19 infection?

82% had negative serology?

Am I misreading?
15.9% had positive PCR, and 18.2% had positive antibodies. Even if you assume zero overlap (and why would you?), that means that the majority of these participants, whose demographics are opposite those who typically face severe COVID, never seemed to have COVID?
Make no mistake — COVID is the pandemic of a century — a horrifying, unprecedented plague. But the "long covid" narrative needs revision, rapidly.
I have zero desire to be the one pushing back on this non-social-justice-oriented issue but almost nobody else is
I don't think I'm misreading although there's not a lot of attention to it in the text ...
To clarify my initial tweet, 82% of the overall cohort lacked positive antibodies, but among those actually tested per Table 2, 68.5% had a negative antibody test.

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More from @awgaffney

29 Dec
We should fight for healthcare that is free at point of service. Imposing payments serves two purposes, both harmful.

First, ideologically, it reinforces the notion that healthcare is a commodity.

Second, practically, it distributes the use of services by means, not needs.
Until we understand the fundamental political, economic, and ideological function of cost-sharing, we will never abolish it.
I could cite dozens of studies showing the medical harm that cost-sharing inflicts, but the reality is that this is a philosophical and political question more than an empiric one, one that I will rephrase as crudely as possible:
Read 7 tweets
29 Dec
OK, so I'll now tweet out the articles I wrote this year, and research projects where I took the lead, in case any of it may be of interest to folks.

It feels odd because so much has changed over the course of this year — politically, medically, everything!
In January, we published a study suggesting that people with VA coverage (where drug copays are non-existent or minimal) forego medications because of cost much less often than those w/ other forms of health coverage.

Imho, drugs should be free for all.
healthaffairs.org/doi/abs/10.137…
In February, a brief editorial for BMJ made the case that "illness should not inflict financial ruin".

Medicaid expansion matters, but it is not enough — transformative financing reform is essential.

bmj.com/content/368/bm…
Read 21 tweets
28 Dec
When someone develops fatigue, headache, or diarrhea after the first dose of the Pfizer COVId vaccine, it is more likely than not a “nocebo effect”.

fda.gov/media/144245/d…
... reinforcing my borderline-crank belief in the importance of more public health messaging about nocebo and placebo effects I’m general !
*in general
Read 9 tweets
11 Dec
According to the new CBO report, under single-payer, we could cover ~100% of the population, make medical services free at point of use, and expand benefits — without spending a dollar more. And healthcare providers would still do perfectly well. Image
If you also add, as we should, universal long term care with no out-of-pocket costs, you'd spend about ~$300 billion more a year on healthcare altogether, they estimate — but we'd have a free-at-point-of-use system with comprehensive benefits for all, including long-term care.
I'll have many more thoughts on this analysis soon, but the bottom line is clear.

Any healthcare reform other than single-payer will either have higher costs or skimpier benefits than single-payer.
Read 18 tweets
11 Dec
It must be horrible for Canadians not to have the freedom to choose a healthcare plan that charges deductibles or restricts what doctors they can go to. They must be so jealous of all the choices we get to make each year ! nytimes.com/2020/12/11/ups…
We’re very fortunate that private insurance companies take some 12% of every dollar they collect in premiums to design this rich panoply of choices for us. It would be horrible to have a single plan with 2% overhead without restrictive networks, copays, or deductibles instead.
Yes, it’s true we could go to whatever doctor or hospital we wanted, not pay anything out-of-pocket, and never worry about being uninsured. But we’d miss out on the fulfilling, meaningful, efficient, & liberating annual insurance-plan-shopping experience !
Read 4 tweets

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