fbpx
01 / 05
Was COVID Also an Inequality Pandemic?

Blog Post | Income & Inequality

Was COVID Also an Inequality Pandemic?

COVID slowed but couldn’t stop the fall in global inequality.

Summary: Recent debates have framed global inequality as rapidly worsening, particularly in response to the COVID-19 pandemic. Evidence from the Inequality of Human Progress Index indicates that, despite temporary setbacks, long-term declines in inequality across multiple dimensions of wellbeing have largely persisted, with global disparities remaining well below 1990s levels.


Affordability fears, talk of a “K-shaped” economy, and claims of a new Gilded Age have pushed inequality to the center of today’s policy debates. Calls for a worldwide wealth tax and other unprecedented measures are not treated as radical but as inevitable—across academianon-profitsthe press, and international organizations, including the United Nations.

The COVID-19 pandemic seemed to clinch the case. As economies contracted and progress in poorer countries stalled, it was easy to assume that decades of convergence between developed and developing countries had come to an end. The authors of one Oxfam paper, for example, proclaimed during the pandemic that “unparalleled action [is] needed to combat unprecedented inequality in the wake of COVID-19.”

New research suggests a more nuanced reality. The updated Inequality of Human Progress Index assesses how the pandemic affected progress toward a more prosperous and equal world.

The pandemic clearly slowed improvement in global living standards and interrupted the pace at which countries were becoming more equal. It did not, however, cancel out the long-term, positive trends. Even under the strain of COVID-19, its attendant lockdowns, and other forceful policy responses, global inequality across key measures of well-being remained lower than it was a generation ago.

The index looks beyond income alone. It measures inequality across eight dimensions that shape everyday life, including lifespan, child survival, nutrition, education, internet access, environmental safety, income, and political freedom. The index, which I co-authored with George Mason University economist Vincent Geloso, seeks to offer a fuller view of gaps in global development, taking into account more aspects of human well-being than any prior index of inequality.

The data show a substantial decline in global inequality over the past three decades as rising prosperity allowed poor countries to narrow gaps with rich ones. That pattern held through 2019. During the pandemic years of 2020 and 2021, progress slowed sharply and, in some areas, stalled or modestly reversed. Yet the earlier gains were not erased.

This distinction is important. COVID-19 was a severe shock. Life expectancy fell worldwide. School closures disrupted education. Economic activity and international trade declined, with especially devastating effects on low-income countries. The index reflects these setbacks. Inequality stopped falling at its earlier pace and, in some measures, edged upward slightly after years of progress. Still, the overall level of global inequality remained far below where it stood in the 1990s.

In a few areas, improvement continued even during the crisis. Internet access expanded rapidly, especially in poorer countries, reducing inequality in access to information to its lowest level on record. Faster regulatory approvals amid the pandemic helped bring more people online. In Kenya, for example, Alphabet’s high-altitude internet balloons were finally cleared in 2020, allowing rural areas to gain internet access for the first time. The project had been stalled in regulatory review for nearly two years before the crisis prompted action.

Not all the data were encouraging. Inequality in political liberty ticked up during the pandemic as many countries took a turn toward greater authoritarianism. Even with the long-term shift toward electoral democracy intact, the setback shows the importance of protecting political liberty during emergencies.

For all the turmoil, the damage across different measures of well-being was thankfully limited.

These findings complicate popular claims that the world is experiencing a runaway increase in inequality. Calls for a global wealth tax, massive new aid commitments, or other significant expansions of state redistribution often rest on the premise that trade and free enterprise have failed to deliver shared gains. The data suggest otherwise.

If anything, the pandemic highlighted how sensitive progress can be to disruptions in markets. Countries with greater economic freedom generally proved more resilient. In contrast, prolonged lockdowns and restrictions often imposed heavy costs on poorer populations, particularly in countries where remote work and online schooling were not viable options for most people.

The broader lesson is that global convergence is neither automatic nor guaranteed, but instead depends on certain conditions such as undisturbed markets, even as long-term progress has proven more robust than critics often assume.

Mistaken narratives about global inequality have real consequences. They shape public opinion and influence policymakers to embrace sweeping interventions. A more accurate assessment of recent history suggests a need for caution.

COVID-19 tested the global economy in ways few events in modern history have. It slowed human progress and exposed vulnerabilities. At the same time, it demonstrated the durability of the long-term trend toward lower global inequality. Preserving and strengthening the policies and institutions that made that progress possible, including economic and political freedoms, remains a better bet than assuming they have already failed. The gains of recent decades have left the world both better off and more equal.

This article was published in the Orange County Register on 2/1/2026.

Nature | Health Systems

The AI Wins Quietly Transforming Drug Discovery and Development

“Start-up slide decks are packed with claims that artificial intelligence (AI) will soon deliver new therapeutics from scratch, against previously undruggable targets, at record speed and low cost. Small biotechs and big pharma firms alike are similarly talking up the revolutionary impacts of these technologies for all aspects of drug discovery. But for David Reese, Amgen’s Chief Technology Officer (CTO), many of the nearest AI gains will make neither the elevator pitch nor the front-page news…

Reese has long been thinking about how to make the most of AI. Since transitioning from Amgen’s head of R&D to its first CTO in 2023, he has been focused on rolling out a few high-priority applications in areas including target discovery, lead optimization, manufacturing and clinical trial recruitment. None of these wins are glamorous, he adds, but the field will likely look back on them as essential.”

From Nature.

TechSpot | Health Systems

A Florida Hospital Uses Palantir to Catch Sepsis, Saves 866 Lives

“At Tampa General Hospital in Florida, a real-time data platform is changing how doctors spot one of medicine’s deadliest conditions. The system, developed with Palantir, pulls together data from across the hospital – vital signs, lab results, clinician notes – and analyzes it continuously to flag early signs of sepsis. Since it was introduced, staff say they are catching sepsis earlier and seeing fewer patients die from it.

The system is estimated to have helped save 886 lives since August 2022. Sepsis is notoriously difficult to catch early. It can begin with small shifts in vital signs that do not immediately stand out – slight increases in heart rate, minor temperature changes, subtle indicators that can easily be lost in the noise of a busy hospital floor. Once it takes hold, though, it can escalate quickly, triggering organ failure and, in many cases, death. Roughly one in five patients diagnosed with sepsis does not survive.

The approach at Tampa General is built around catching early signals before they develop into a crisis. The hospital partnered with Palantir to use its Foundry platform alongside existing clinical systems.

The result is a continuous stream of aggregated data pulled from electronic health records, lab results, clinician notes and bedside monitors. Instead of sitting in separate systems, that data is unified and presented in real time through a centralized dashboard that tracks roughly 1,000 patients at once.

From there, the software looks for patterns that might otherwise go unnoticed. When those patterns suggest the early stages of sepsis, alerts are sent to a rapid response team, giving clinicians a chance to act before the condition worsens. At Tampa General, patients flagged with suspected sepsis get antibiotics within an hour.”

From TechSpot.

Marginal Revolution | Health Systems

The Pilot for AI Prescriptions Refills in Utah Looks Promising

“The first review of the pilot for AI prescriptions refills in Utah is out and it looks very reasonable. In the 72% of cases where the AI recommend a refill at least one of two physicians agreed in 97% of cases.

In the 28% of Cases Where the AI Escalated to a Physician Without Recommending Renewal

  • When the AI declined to recommend renewal without further information, a human telehealth appointment was arranged.
  • For these patients, 69% of physician reviews agreed that the escalation was appropriate, and more information was needed to authorize a renewal.
  • In the other 31% of cases, the physician determined the escalation was overly cautious.
  • For a new system like this, overcaution is appropriate and welcome. In the long term, reducing overcaution without compromising safety would improve patient access to care, but we aren’t rushing to see that happen.”

From Marginal Revolution.

World Health Organization | Health Systems

Global Health Gains Continue Despite Challenges, WHO Reports

“The world is falling short on health targets, with progress uneven, slowing, and in some areas reversing, according to the World Health Statistics 2026 report, published today by the World Health Organization (WHO).

While there have been meaningful improvements in global health over the past decade, with millions benefiting from better prevention, treatment and access to essential services, persistent and emerging challenges mean that the world remains off track to achieve any of the health-related Sustainable Development Goals (SDGs) by 2030.

The notable progress outlined in the report includes:

  • new HIV infections fell by 40% between 2010 and 2024;
  • both tobacco use and alcohol consumption have declined since 2010; and
  • the number of people needing interventions for neglected tropical diseases has dropped by 36% between 2010 and 2024.

Access to services that shape health outcomes expanded rapidly between 2015 and 2024. During this period, 961 million people gained access to safely managed drinking water, 1.2 billion to sanitation, 1.6 billion to basic hygiene, and 1.4 billion to clean cooking solutions.

Encouragingly, the WHO African Region has achieved faster-than-global reductions in HIV (-70%) and tuberculosis (-28%), and the South-East Asia Region is on track to meet its 2025 milestone for malaria reduction.

However, challenges remain. For example, malaria incidence increased by 8.5% since 2015, moving the world further away from global targets while overall progress remains highly uneven across regions.

Preventable risks continue to undermine health, slowing progress. Anaemia affects 30.7% of women of reproductive age, with no improvement over the past decade. The prevalence of overweight among children under five reached 5.5% in 2024.  Violence against women remains widespread, with intimate partner violence affecting 1 in 4 women globally.”

From World Health Organization.