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In America's four largest cities, at least half of people say they have experienced the loss of a job or a reduction in wages or work hours in their household since the start of the coronavirus outbreak. That's the finding of a 

, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health.

Many of these problems are concentrated among Black and Latino households in the four cities, according to the poll, which gathered responses from July 1 through Aug 3.

Houston had an especially high proportion of Latino households (77 percent) and Black households (81 percent) reporting serious financial problems. But the other three cities in our survey have had high rates as well: 73 percent of Latinos in New York City tell us their household experienced serious financial problems since the start of the coronavirus outbreak, along with 71 percent of Latinos in Los Angeles and 63 percent in Chicago.

Majorities of Black households in Chicago (69 percent), New York City (62 percent) and Los Angeles (52 percent) also report serious financial problems.

Nationally, the NPR poll finds very substantial proportions of households reporting that their savings have been depleted by the pandemic (if they had any savings to start with) or that they have fallen behind on housing payments or have had problems paying debts and/or utility bills.

"Before federal coronavirus support programs even expired, we find millions of people with very serious problems with their finances," says 

, a poll co-director and executive director of the Harvard Opinion Research Program at the Harvard Chan School. "And it's going to get worse because there is nothing for the people we surveyed who earn under $100,000 a year to fall back on."

Blendon says the Harvard team expected to find substantial economic damage because of the unprecedented shutdown of the economy, "but this is much, much, much worse than I would've predicted."

"This is what I would expect without a national emergency relief bill," Blendon says. "We had a $2 trillion relief bill to lift people up and put a pillow under them. But it is not helping nearly as many people as we had expected."

Debate over an additional federal financial aid package resumed this week as Congress returned from its weekslong summer recess. Much of the economic relief provided by the federal government 

On Tuesday, Senate Majority Leader Mitch McConnell 

announced he was introducing a "targeted" coronavirus relief bill;

 the Senate is expected to vote on the measure Thursday. It is unlikely that his scaled-down package will garner the 60 votes needed to advance in the Senate.

Democrats continue to push for a broader package, which would include money for state and local governments — funding Republicans have resisted adding. Democrats in the House initially proposed a more than $3 trillion supplementary relief package but have since scaled that back by about $1 trillion during negotiations.

Beyond serious financial problems, majorities of households with children in the four cities report "serious" problems with caregiving. Such difficulties include finding physical activity spaces with enough distance from others or keeping children's education going.

"It's not just that these households are struggling to keep their kids' education going — they are also struggling with almost every other aspect of managing their children's lives," says 

Nearly half of U.S. child care centers could be lost to pandemic

In Los Angeles, the primary serious difficulty cited by households with children is keeping children's education going (52 percent).

Drilling deeper, we find that 54 percent of LA households with children report either having serious problems with their internet connection to do schoolwork or their jobs — or not having a high-speed internet connection at home.

Our survey also looks at the ability to get health care during the pandemic — after many reports of Americans putting off or being unable to get care.

We find high rates of households in the four cities have been unable to get medical care or have delayed needed health care (ranging from 19 percent in New York City to 27 percent in Houston), with over half saying that this has led to negative health consequences (ranging from 55 percent in Chicago to 75 percent in Houston). There were multiple reasons given, with many reporting that they could not find a doctor to see them, as hospitals around the U.S. have delayed or canceled medical procedures to focus resources on treating COVID-19.

In New York City, where hospitals and intensive care units were massively overcrowded for weeks this spring, 19 percent of people say at least one member of their household has been unable to get medical care for a serious problem when they needed it during the pandemic.

And more than half (59 percent) of those households say they suffered negative health consequences because of the lack of care. And among the 9 percent of households in the city who say they were unable to get timely surgeries or procedures done for important health problems during the epidemic, 56 percent report negative consequences.

Additionally, those who report having someone in the household working in the health care field express serious concern about their safety on the job. In all four cities, majorities of households with health care workers express serious concerns about their safety in regards to the coronavirus at work, including more than three-quarters of those in Los Angeles (78 percent).

This comes as sizable shares of households are living with people who are at high risk for developing serious illness from the coronavirus because of their age or underlying medical conditions. In Los Angeles, it's nearly half (48 percent).

Nationally in our survey, beyond the four largest cities,

46 percent of people report serious problems with finances in their household during the pandemic. The poll was also able to capture snapshots from those four biggest cities at different stages of the monthslong coronavirus pandemic — cities that have had a range of public health responses to the virus.

For example, in Houston, where the epidemic peaked in July, about 4 in 10 households (41 percent) report using up most or all of their savings. Another 19 percent say they didn't have any savings to begin with. That means about 60 percent of Houstonians were either flat-out broke by early August or nearly so.

We also found a bigger impact on employment than other surveys have indicated. Some 57 percent of Houston households report that someone in their household lost a job, lost a business, has been furloughed or has had wages or hours reduced since the start of the coronavirus outbreak. These households report serious financial problems in even greater numbers.

A similar picture emerges in Los Angeles, where a surge in coronavirus cases was also peaking in July. There, more than half of Black households report serious financial problems (52 percent), compared with 37 percent of whites. And in Los Angeles, 71 percent of Latinos — almost twice the percentage of whites — report serious financial problems.

In Los Angeles, more than 1 in 3 households report serious problems with paying credit cards, loans or other debt (35 percent), while the same percentage report having depleted all or most of their savings. One in 10 (11 percent) say they didn't have any savings at the start of the outbreak.

Half of New York City households (50 percent) say they suffered job or wage loss, and among these households, 73 percent say they are having serious financial problems.

Nearly half (47 percent) of those with employment changes say they've used up all or most of their savings, with 8 percent more saying they didn't have any savings at the start of the outbreak.

Notably, 1 in 5 households in New York City reports having missed or delayed paying major bills to ensure everyone had enough to eat. Latino (36 percent) and Black (19 percent) households were far more likely to report serious problems affording food than white households (9 percent). Some 16 percent of Latinos said members of their household had serious problems not getting enough to eat every day.

When our poll was being conducted in July and early August, Chicago had escaped, somewhat, the intense surges of coronavirus cases of the other three cities in our survey. But later in August, that changed and the city is now on track for a peak in September of several hundred new cases per day. The city, along with nearby suburbs, is considering implementing tighter restrictions again to prevent the surge from getting out of control.

Even though Chicago has been less affected than the rest of the country, the city's economy suffered, as did the whole country, from virus-related shutdowns and restrictions this past spring and into summer.

Our poll captured Chicago on the brink of the coming surge. As we saw nationally and in the other cities, about half of Chicago households report losing jobs or wages since the start of the coronavirus outbreak. More than two-thirds (69 percent) of those with job or wage losses say they are having serious financial problems, including an impact on savings as well as on the household's ability to pay bills, including mortgage or rent.

We will have more results from this poll in subsequent weeks this month.

The survey was conducted online and via cellphone and landline calls among a nationally representative, probability-based, address-based sample of 3,454 adults ages 18 or older — both nationally and with an additional focus on the four largest U.S. cities: New York City, Los Angeles, Chicago and Houston. The margin of error for the national survey is 3.3 percentage points (5.4 percentage points for New York City, 7.1 percentage points for Los Angeles, 5.4 percentage points for Chicago and 6.3 percentage points for Houston). 

Business and Economic News

Health

COVID-19

Joe Neel

Author

In the largest U.S. cities, at least half of all households have seen a serious financial loss such as lost job, wages or savings. Many problems are concentrated in Black and Latino households.

Poll: Financial pain from pandemic 'much, much worse' than expected

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