Trump Adds Confusion on COVID-19 Treatments as U.S. Deaths Top 50,000

But there are some signs the virus is slowing and on the descent in the nation’s first major hot spots. New York state recorded 422 deaths, the lowest daily total since Apr 1, Governor Andrew Cuomo said yesterday in his briefing. As of yesterday, New York state has 271,590 cases and 16,162 deaths.

80% of Americans Agree to Shelter-in-Place Rules
The death toll news comes the same day Georgia is set to reopen salons, gyms, tattoo parlors, and other businesses. The Washington Post reports Georgia’s top doctors and scientific advisors were blindsided by the decision to open up.

Though protests against state shelter-in-place orders have cropped up in the past 10 days in places such as Michigan and Minnesota, a new poll from the Kaiser Family Foundation (KFF) shows most Americans believe the worst is yet to come when it comes to the current COVID-19 pandemic in the US.

The poll results were split down political lines, with a majority (64%) of democrats and independents (56%) saying they believe “the worst is yet to come,” a sentiment shared by only 27% of republicans.

Eighty percent of Americans polled say strict shelter-in-place policies are worth it and needed to prevent the spread of the virus.

The vast majority of adults (84%) say their lives have been disrupted at least some by the coronavirus outbreak in the U.S. This is up 12 percentage points from the KFF Health Tracking Poll conducted March 25-30 and up 44 percentage points from the March 11-15 poll,” KFF said in a summary of the most recent poll.

Those polled also said they are willing to stay home for more than 1 more month, with 37% stating they can stay home between 1-3 months, and 34% saying 6 more months. Just 14% said they could maintain stay-at-home orders for less than 1 month.

COVID-19 Healthcare Costs in Billions
Yesterday Health Affairs published a study estimating the potential costs of COVID-19 in the United States, which experts say could top $600 billion just in direct medical costs.

Using a Monte Carlo model, the authors of the study suggest a single case of symptomatic COVID-19 would cost a median of $3,045 in direct medical costs incurred only during the course of the infection.

Most experts agree that 80% of SARS-CoV-2 infections will be mild or moderate enough to be treated at home, without medical intervention or office visits. But if 80% of the US population were to be infected, there could still be as many as  44.6 million hospitalizations, 10.7 million intensive care unity (ICU) admissions, 6.5 million ventilators used, and 249.5 million hospital bed days, costing $654.0 billion in direct costs over the course of the pandemic, the study says.

If only 20% were to become infected, there would be a median of 11.2 million hospitalizations, 62.3 million hospital bed days, and 1.6 million ventilators used, costing $163.4 billion.

Our results show … the direct medical costs of a symptomatic COVID-19 case tend to be substantially higher than other common infectious diseases,” the authors said. “For example, the cost on average is four times that of a symptomatic influenza case ($696 in medical costs in 2020 values) and 5.5 times that of a pertussis case ($412–$555 in 2020 values).”