Research carried out by the European Centre had already shown pervasive inequalities in access to care as well as in the coverage of health insurance and potential remedies. The Covid-19 crisis brings the evidence to the headlines of the news that social inequalities and the dismantling of health and social welfare systems are killing people. The current crisis also shows that health and social care are not a ‘product’ which can be produced low-cost and provided to those with sufficiently large incomes only.
Yet, inequalities persist. While many of us continue to work in secure home offices, a great number of people have to keep working to provide our basic necessities including water, energy supply, waste collection, pharmaceuticals, groceries, and health care. Older people and persons with disabilities, in particular those living in isolation or in care homes, have complex care and support needs and were already disadvantaged before the pandemic, now they are additionally confronted with triage mechanisms and even total neglect as social services are suspended. Professionals in health and social care have struggled with working conditions already before the crisis. Now they are facing Covid-19 and a high risk exposure to the disease while many still try to maintain operating levels of standard care services.
Number of hospital beds per 100,000 inhabitants, 2005-2017