key: cord-1006302-dbxdezqh authors: Velasco Montes, J.; González Díez, S.; Rivas Cilleros, E. title: On public healthcare expenditure and COVID-19 mortality in Spain and in Europe date: 2021-10-28 journal: Rev Clin Esp (Barc) DOI: 10.1016/j.rceng.2021.09.001 sha: be43e1bebcf09ca23e9ff5c6140da0bb4b3fa35e doc_id: 1006302 cord_uid: dbxdezqh nan In the original brief Gasto sanitario público y mortalidad por COVID-19 en España y en Europa [Public healthcare expenditure and COVID-19 mortality in Spain and in Europe], 1 the authors conclude that the association between "low" public healthcare expenditure and poor outcomes in Spain in the COVID-19 crisis are not supported by the available evidence. However, when conducting their analysis, they did not adjust for other variables (such as population density, percentage of individuals older than 65 years of age, disease burden, or social class) which do appear in other works in their bibliography. 2, 3 If these variables had been included in their analysis, the conclusions would probably have been different. Gasto sanitario público y mortalidad por COVID-19 en España y en Europa Healthcare capacity, health expenditure, and civil society as predictors of COVID-19 case fatalities: A global analysis