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

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Latino, Black and low-income people with inadequate health care could suffer the most. California doesn’t have many long COVID specialists, and disadvantaged communities are underserved.

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.

“We just have to imagine that the patients we see are the ones who have the resources to get to us,” Hsu said.Patients with long COVID could go to their primary care doctors, who can then consult with experts. But another challenge is the long-standing uneven distribution of primary and specialty care physicians across the state.

For example, African Americans receive worse care than whites in 43% of the quality-of-care measures, such as effective treatment,. Latinos receive worse care in 36% of the measures compared to whites. Vazquez works for the Children’s Partnership, an advocacy organization for child health, so she understands how to navigate health systems and advocate for herself. But she still found it difficult to score the right team of providers familiar with post-COVID disorders, even where she lives, in Los Angeles, and even with good health insurance.

 

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