There was a strong effect on medical services and the willingness or ability to use them for non-covid illnesses during the height of the pandemic. Many people who took Covid seriously locked down and may have put off getting routine examinations or even going to the doctor when they should have because of fear of exposure (my parents for example, who while in a Republican area where most people were not very concerned about covid were this way and many other people especially in major blue cities would do the same) and on the other side, people in areas that may have been skeptical of covid may have been turned off because of reduced or near zero service while local hospitals dealt with the effects of covid on the local community.