“Though many parts of the US government and society have struggled to respond to COVID, large integrated multi-hospital health systems appear to have made a decisive difference in this pandemic,” consultants Jeff Goldsmith and Ian Morrison write in the Health Affairs Blog.

They say the past 12 months have convinced them “that health systems’ scale was a major societal benefit in coping with COVID. Over this period, health systems have demonstrated that they are a vital part of our public health infrastructure. While the public benefits of health systems are difficult to quantify, they have performed far better than just about any other element of our society in responding to COVID.”

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