id author title date pages extension mime words sentences flesch summary cache txt cord-259121-l02ro31v Tsai, Alexander C US elections: treating the acute-on-chronic decompensation 2020-09-29 .txt text/plain 883 55 45 The country is experiencing a sustained period of economic contraction resulting from local policy (eg, stay-at-home orders) and spontaneous collective physical distancing responses to the COVID-19 epidemic. The next presidential administration needs to recognise that the COVID-19 pandemic in the USA represents a set of acute derangements overlaid upon a chronic erosion of health and wellbeing. Unprecedented socioeconomic and racial/ethnic disparities in population health decline are occurring in tandem with stagnating economic outcomes as well as spiking income and wealth inequality. More substantive changes to labour and housing markets, immigration policy, and the carceral system will be needed to directly benefit Black, Latin, and American Indian populations, who have long borne the brunt of deeply entrenched structural racism in the USA. But from the perspective of economic wellbeing and population health, both acutely and chronically, none of ./cache/cord-259121-l02ro31v.txt ./txt/cord-259121-l02ro31v.txt