"The fact that millions of Americans have lost their health insurance because of a global health crisis exposes the fundamental mistake of linking health care access to employment. Barriers to managing chronic health conditions place people at high risk of COVID complications. These risks are not spread equally across the population: low income Americans, African Americans, Latinos and Native Americans are becoming ill and dying at elevated rates. Moreover, it is increasingly clear that many of those who contract COVID19 — young and old alike — develop debilitating and long-terms neurological and other symptoms. These Americans will have to figure out how to navigate care and assistance while struggling with pain, illness, fear, fatigue and loss of income. Many will become overwhelmed by our messy and incomplete mixture of public and private programs, each with its own eligibility criteria, demands for proof, waiting periods, re-certifications, and other hoops that are the price we pay for not having an integrated, rational system of universal health care."