‘An enormous disabling event’: Long COVID could have inequitable impact on Californians

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‘An enormous disabling event’: Long COVID could have inequitable impact on Californians
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At least 20 specialized, post-COVID programs have been set up in California to help treat long-haul patients. But they already are overburdened, and experts fear that long COVID could go largely unaddressed or misdiagnosed in people who have few resources

Studies have estimated that more thanexperience symptoms that last for months, known as “long haulers.” In California, that could mean as many as 2 million people among the 8.5 million COVID-19 cases may have long COVID, including more than 100,000 African Americans and one million Latinos.

About half of the patients in UCLA’s program are already UCLA Health members, while the other half are referred from other providers around Los Angeles, he said. He worries about patients who don’t have insurance since a lot of expensive tests are involved, and those battling symptoms who live in areas without access to providers who have been trained to identify long COVID.

“I definitely feel like I’ve received substandard care,” Duarte said. She wonders if it’s because she’s covered by Medi-Cal, California’s insurance for low-income residents. That inequity could be particularly problematic for patients with long COVID, since it’s difficult to diagnose and treat properly. Similar to the disparities seen in other chronic conditions like diabetes and hypertension, providers say they anticipate unequal treatment of the conditions that spring from long COVID.

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