Updated
Updated · Clinical Advisor · Jul 29
Long COVID Affects 20 Million Americans as Clinicians Still Lack a Biomarker
Updated
Updated · Clinical Advisor · Jul 29

Long COVID Affects 20 Million Americans as Clinicians Still Lack a Biomarker

1 articles · Updated · Clinical Advisor · Jul 29

Summary

  • About 20 million Americans are living with Long COVID, Ashley Drapeau said at AAPA 2026, calling it a growing burden that still receives far less attention and funding than diseases such as Alzheimer’s.
  • U.S. clinicians define the condition under the HHS standard as symptoms lasting at least 3 months after SARS-CoV-2 infection across one or more organ systems, because no objective test can yet confirm or exclude it.
  • Neurologic symptoms and profound post-viral fatigue are among the most disabling problems, she said, with CGRP inhibitors helping many patients with chronic migraines but leaving some cases refractory.
  • Long COVID is recognized under the Americans with Disabilities Act, yet patients often face repeated denials, appeals and resistance from private insurers when seeking SSI or disability coverage.
  • Drapeau said recovery is possible but usually depends on pacing, accommodations and adequate convalescence after infection rather than a simple cure.

Insights

Could the rising wave of Long COVID cases eventually force a complete overhaul of how insurers evaluate invisible disabilities?
Why are millions of Long COVID patients denied disability benefits despite suffering from a legally recognized, debilitating multisystem illness?
If standard medical tests cannot detect Long COVID, how can doctors definitively separate it from other invisible chronic conditions?