J.R. Blum is a fourth-year medical student, Icahn School of Medicine at Mount Sinai, New York City, New York; ORCID: https://orcid.org/0000-0002-1137-1507.
A.M. Feuerbach is a recent graduate, Icahn School of Medicine at Mount Sinai, New York City, New York; ORCID: https://orcid.org/0000-0001-5202-1282.
Acad Med. 2020 Dec;95(12):1831-1833. doi: 10.1097/ACM.0000000000003742.
The COVID-19 pandemic has exacerbated the flaws in the U.S. employer-based health insurance system, magnified racial disparities in health and health care, and overwhelmed the country's underfunded public health infrastructure. These are the same systematic failures that have always harmed and killed the nation's most vulnerable. While everyone wishes for an end to this national tragedy, the authors believe a new normal must be defined for the postpandemic period.In the postpandemic period, policies that were once labeled radical and impossible will be urgent and necessary. Examples of such policies include providing universal health care, dismantling the structures that propagate racism and injustice, and reinvesting in public health. Previous research by the authors has shown that their medical student colleagues recognize that it is their responsibility to address policies that harm patients and to support reforms at the scale the authors propose. This commitment to a better future is reflected in the widespread mobilization of medical students seen across the United States. Recognizing that the old normal is unsustainable, the authors call on those who previously benefited from the status quo to instead seek a new postpandemic normal that works for all.
新冠疫情大流行加剧了美国雇主医疗保险体系的缺陷,扩大了卫生和医疗保健方面的种族差异,并使该国资金不足的公共卫生基础设施不堪重负。这些都是一直伤害和杀害国家最脆弱人群的系统性失败。虽然每个人都希望这场国家悲剧结束,但作者认为,在后疫情时期必须定义一个新的常态。在后疫情时期,曾经被贴上激进和不可能标签的政策将变得紧迫和必要。此类政策的例子包括提供全民医疗保健、拆除滋生种族主义和不公正的结构,以及对公共卫生进行再投资。作者之前的研究表明,他们的医学生同事认识到,解决伤害患者的政策并支持他们所提议的改革规模是他们的责任。这种对更美好未来的承诺反映在美国各地广泛动员医学生的行动中。作者认识到,旧常态是不可持续的,呼吁那些以前从现状中受益的人转而寻求一个新的后疫情时期的常态,让所有人受益。