Dr Dan Goyal Profile picture
Mar 10, 2022 12 tweets 4 min read Read on X
Now that Covid is over (🤦‍♂️) let's look at how the High Income Countries have performed.

▪️Covid deaths
▪️Excess deaths
▪️Mortality rates
▪️Vaccination Rates
▪️Loss of freedoms
▪️Economy.

How did your country do?

🧵
Total number of civilians lost to Covid.
This will likely be the measure most recorded in the history books.

Note the over ten-fold difference in deaths between those who suppressed the virus prior to vaccine and anti-viral treatments being available.
There are though other impacts of Covid defining success. A big one is the impact on other healthcare services. Difficult to measure in its totality but here is overall excess deaths....

This is how many people died who wouldn't have had Covid not appeared.
There is also the issue of overall chance of dying from Covid over the pandemic. Overall case fatality rate has some use here.

Protecting a population from the virus prior to their being a vaccine or treatment gave a ten-fold reduction in chance of dying from Covid over 2 yrs.
Here is how many tests conducted per positive cases found. Can affect case fatality rate.
(Qatar has been removed as it has 10 X higher than all other countries).
VACCINATION!
How did the countries do with vaccinating their population?

Fully vaccinated (X 2). [some HIC data are absent]
These are the number of boosters administered per 100 people.

Hong Kong and the US are really paying for their failure to deliver or convince their population to get vaccinated/boosted. Misinformation and mistrust in government is deadly!
So there you have it. At the moment so many countries declare their efforts to contain the virus over, we can see how many lives have been saved by those who managed to control the virus in the early stages.

Of course the pandemic isn't over, some leaders have simply given up
Some argue that the cost of containing the virus early was not worth the restriction to freedoms. But...

...effectiveness and timing of interventions determined both Covid (and non-Covid) fatality rates AND the time a nation needed to spend restricted.

Here is UK versus NZ.
The UK spent nearly three times more days in national lockdown and much longer under restrictions than NZ.

Look at this graphic of when countries decided to lockdown. The lateness of the UK was very very costly...

[March 18th, most HICs had put controls in...UK hadn't]
And the economy suffered!
A pandemic is a test of leadership and a country's infrastructure. Some have demonstrated good, trusted leadership and solid foundations. For others, Covid has exposed more than just the vulnerability to new pandemic pathogens.

I hope we learn before the next pandemic/variant!

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More from @danielgoyal

Sep 20
I need to tell you where the trap is in relation to the NHS

Both Streeting & Starmer have committed to keeping the NHS “free at the point of use”…

But that can look like many different things
🧵
1/x
For example, currently you can see your GP, get referred for a colonoscopy, be seen in a private hospital, and not be charged a penny. Technically, free at the point of care, even though it has cost us all more money to deliver that care.
So, Starmer and Streeting could expand this…allowing even more “NHS patients” to use the private sector but paid for with public money, with money taken directly from the NHS budget in fact.
Read 17 tweets
Sep 13
The Darzi Report (England only)

My thoughts…

🧵
Darzi seems to grasp - to some degree - the depths of the state of the NHS crisis.

Crucially, Darzi gets that primary care is grossly overwhelmed.
His Second paragraph highlights the FACT GPs are seeing more patients with less GPs. Image
A&E is a disaster. Image
Read 24 tweets
Aug 23
The new commonwealth healthcare survey is out & summarised here by @HealthFdn

Some read!

In short, all the rhetoric about “can’t get a GP appointment” is BS

Our primary care remains one of the best in the world

Hospitals don’t fare so well

🧵1/4

health.org.uk/publications/l…
Big news is that access to GPs in the U.K. was one of the best

Yes, you read that right…

“This places the UK among the better-performing nations with respect to same- or next-day appointments, with only the Netherlands (50%) and Germany (49%) significantly higher.”
This access may be coming at a cost though!

The UK scored poorly on “time spent” with appointments

No surprise given most countries run at 15-20 minute appointments versus the UKs 10 mins.

In 2013 85% of people felt the GP spent enough time. It’s now 58%
Read 5 tweets
Jun 19
NEW: SNP manifesto

This is the kind of manifesto many wanted Labour to deliver

The pitch is left of centre - socially progressive…

with a persistent argument about the harms of being tied to a broken Westminster

Protecting the NHS from privatisation is a key theme

🧵
Some highlights:

SNP taking a clear position on integrity in politics and the lack thereof in Westminster. Hard to argue against this Image
3. Some hard data comparing Scotland to England.

The SNP argues this is despite a stranglehold Westminster has on Scotland policy areas and the “power grab” of the current U.K. govt. Image
Read 12 tweets
Jun 17
Given some so called patriots want a French healthcare system, let’s take a look at it.

🧵

Summary: social insurance with 95% of people taking private healthcare to cover copays. Costs £40bn per year more. Less equitable than NHS, but can turn a profit
1/10
Akin to some other European countries, France uses a social insurance based model predominantly - where employer and employee pay a means-tested insurance premium

but unlike most EU countries the French people pay a surcharge on pretty much everything they access or use
This has led to 95% of the population taking out private insurance.

This is an insurance premium (on top of the social insurance premium) that is in part based on likelihood of needing health care - older people paying more.

Typical costs: Image
Read 13 tweets
Jun 14
Labour Manifesto - NHS

Some good policies but overall disappointing and a bit concerning.

A summary thread
1/x
1. There is the title: Build an NHS Fit for the Future

In one way, fair enough. Buildings are outdated and crumbling and IT is hopeless

But, Labour seems oblivious to the fact the NHS leads the world in medical and surgical care. The issue is merely access not tech upgrades. Image
2. "publicly owned and funded" is meaningless. Even the deranged health system of the U.S. has a publicly funded component - waiting lists are horrendous and access to treatment is very limited.

We want universal access to all available treatments - quite different! Image
Read 20 tweets

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