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Breakdown: How Americans Get Healthcare Coverage

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With Obamacare firmly in the crosshairs of Republican lawmakers, the debate around U.S. healthcare is at a fever pitch.

While there is no shortage of opinions on the best route forward, the timeliness of the debate also gives us an interesting chance to dive into some of the numbers around healthcare – namely how people even get coverage in the first place.

How Americans Get Healthcare

The following infographic shows a breakdown of how Americans get healthcare coverage, based on information from Census Bureau’s surveys.

Put together by Axios, it shows the proportion of Americans getting coverage from employers, Medicaid, Medicare, non-group policies, and other public sources. The graphic also includes the 9% of the population that is uninsured, as well.

How Americans Buy Healthcare Coverage

The following definitions for each category above come from the Kaiser Family Foundation, a non-profit that uses the Census Bureau’s data to put together comprehensive estimates on healthcare in the country:

Employer-Based: Includes those covered by employer-sponsored coverage either through their own job or as a dependent in the same household.

Medicaid: Includes those covered by Medicaid, the Children’s Health Insurance Program (CHIP), and those who have both Medicaid and another type of coverage, such as dual eligibles who are also covered by Medicare.

Medicare: Includes those covered by Medicare, Medicare Advantage, and those who have Medicare and another type of non-Medicaid coverage where Medicare is the primary payer. Excludes those with Medicare Part A coverage only and those covered by Medicare and Medicaid (dual eligibles).

Other Public: Includes those covered under the military or Veterans Administration.

Non-Group: Includes individuals and families that purchased or are covered as a dependent by non-group insurance.

Uninsured: Includes those without health insurance and those who have coverage under the Indian Health Service only.

Healthcare Mix by State

Here’s another look at how Americans get healthcare coverage on a state-by-state basis.

This time the graphic comes from Overflow Data and it simply shows the percent of buyers in each state that receive health coverage from public sources:

Oddly, the state that gets the highest proportion of public health coverage (New Mexico, 46.6%) is kitty-corner to the state with the lowest proportion of public health coverage (Utah, 21.3%).

Why the Debate is Paramount

If you ask some people what is going on with U.S. healthcare, they will tell you that things are going “sideways” – that costs are going up, but care is not improving anywhere near the same pace.

Here’s a graphic we published last year from Max Roser that puts this sentiment in perspective:

U.S. Healthcare Costs

It’s fair to say that care has been going sideways in the U.S. for some time, and the stakes couldn’t be higher.

So, what needs to be done to fix the problem?

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COVID-19

How Many People Die Each Day?

COVID-19 deaths can be hard to interpret without context. This graphic shows how many people die each day globally, by cause.

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How Many People Die Each Day?

As the COVID-19 pandemic rages on, the media continues to rattle off statistics at full force.

However, without a frame of reference, numbers such as the death toll can be difficult to interpret. Mortalities attributed to the virus, for example, are often measured in the thousands of people per day globally—but is this number a little or a lot, relative to typical causes of death?

Today’s graphic uses data from Our World in Data to provide context with the total number of worldwide daily deaths. It also outlines how many people who die each day from specific causes.

Worldwide Deaths by Cause

Nearly 150,000 people die per day worldwide, based on the latest comprehensive research published in 2017. Which diseases are the most deadly, and how many lives do they take per day?

Here’s how many people die each day on average, sorted by cause:

RankCauseDaily Deaths
#1Cardiovascular diseases48,742
#2Cancers26,181
#3Respiratory diseases10,724
#4Lower respiratory infections7,010
#5Dementia6,889
#6Digestive diseases6,514
#7Neonatal disorders4,887
#8Diarrheal diseases4,300
#9Diabetes3,753
#10Liver diseases3,624
#11Road injuries3,406
#12Kidney disease3,370
#13Tuberculosis3,243
#14HIV/AIDS2,615
#15Suicide2,175
#16Malaria1,698
#17Homicide1,111
#18Parkinson disease933
#19Drowning809
#20Meningitis789
#21Nutritional deficiencies740
#22Protein-energy malnutrition635
#23Maternal disorders531
#24Alcohol use disorders507
#25Drug use disorders456
#26Conflict355
#27Hepatitis346
#28Fire330
#29Poisonings198
#30Heat (hot and cold exposure)146
#31Terrorism72
#32Natural disasters26
Total Daily Deaths147,118

Cardiovascular diseases, or diseases of the heart and blood vessels, are the leading cause of death. However, their prominence is not reflected in our perceptions of death nor in the media.

While the death toll for HIV/AIDS peaked in 2004, it still affects many people today. The disease causes over 2,600 daily deaths on average.

Interestingly, terrorism and natural disasters cause very few deaths in relation to other causes. That said, these numbers can vary from day to day—and year to year—depending on the severity of each individual instance.

Total Daily Deaths by Country

On a national level, these statistics vary further. Below are the total deaths from all causes for selected countries, based on 2017 data.

how many people die each day
China and India both see more than 25,000 total deaths per day, due to their large populations.

However, with 34.7 daily deaths per million people each day, Russia has the highest deaths proportional to population out of any of these countries.

Keeping Perspective

While these numbers help provide some context for the global scale of COVID-19 deaths, they do not offer a direct comparison.

The fact is that many of the aforementioned death rates are based on much larger and consistent sample sizes of data. On the flipside, since WHO declared COVID-19 a pandemic on March 11, 2020, daily confirmed deaths have fallen in a wide range between 272 and 10,520 per day—and there is no telling what could happen in the future.

On top of this variance, data on confirmed COVID-19 deaths has other quirks. For example, testing rates for the virus may vary between jurisdictions, and there have also been disagreements between authorities on how deaths should even be tallied in the first place. This makes getting an accurate picture surprisingly complicated.

While it’s impossible to know the true death toll of COVID-19, it is clear that in some countries daily deaths have reached rates 50% or higher than the historical average for periods of time:

excess deaths covid-19

Time, and further analysis, will be required to determine a more accurate COVID-19 death count.

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COVID-19

Where COVID-19 is Rising and Falling Around the World

Globally, the curve of COVID-19 cases is flattening, but individual countries vary considerably as new pockets of the world deal with the pandemic.

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Where COVID-19 is Rising and Falling Around the World

It’s been just over two months since New York declared a state of emergency, and global stock markets were hammered as the fears of a full-blown crisis began to take hold.

Since then, we’ve seen detailed, daily coronavirus coverage in most of the major news outlets. With such a wealth of information available, it can be hard to keep track of the big picture of what’s happening around the world.

Today’s graphic, adapted from Information is Beautiful, is an efficient look at where the virus is fading away, and where new infection hotspots are emerging.

The Ebb and Flow of Coronavirus Cases

First, the good news: the number of new confirmed COVID-19 cases has started to level off on a global basis. This metric was rising rapidly until the beginning of April — but since then, it has plateaued and is holding steady (for now).

global new covid-19 cases

Of course, the global total doesn’t tell the whole story. Different countries, and even regions within countries, are in very different phases of dealing with the pandemic.

Let’s look at the current situation around the world.

New Cases: Falling

Many of the countries that experienced early outbreaks of COVID-19 are now seeing a drop-off in the number of new cases.

countries new covid-19 cases falling

Italy, which experienced one of the most severe outbreaks, is finally emerging from the world’s longest nationwide lockdown. Switzerland and the Netherlands both had some of the highest confirmed case rates per capita, but are now in better situations as fresh cases drop off.

The narrow, pointy curves exhibited by New Zealand and Austria give us an indication of where containment measures were successful at curbing the spread of the virus. This type of pronounced curve is less common, and is generally seen in nations with smaller populations.

New Cases: Leveling Off

For many of the world’s major economies, containing the spread of the virus has proven exceptionally difficult. Despite increased testing and lockdown measures, the United States still has one of the steepest infection trajectory curves. The UK also has a very similar new case curve.

countries new covid-19 cases steady

Even as countries’ curves begin to flatten and level off, there is still a danger of new flare-ups of the virus – as is now the case in South Korea and China. Even in Singapore, which saw early success in containing the virus, is experiencing a rise in new COVID-19 cases.

New Cases: Rising

Some countries – particularly developing economies – are only in the beginning stages of facing COVID-19’s rapid spread. This is a cause for concern, as many of the countries with steeply rising curves have larger populations and fewer resources to deal with a pandemic.

countries where new covid-19 cases are rising

In late March, as the virus was spreading rapidly through Europe, Russia appeared to have avoided an outbreak within its borders. Today, however, that situation is much different. Russia has the world’s steepest infection trajectory curve, with the number of cases on a course to double roughly every five days.

The countries in the image above have a combined population of 2.8 billion people, so as COVID-19 continues to spread through those countries, the eyes of the world will be watching.

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