Hi again. I'd like to chime in because, as I've mentioned before, my day job is reporting on health misinformation.
This thread is repeating a number of the same tropes about the COVID-19 case numbers that I've seen on far-right or conspiracy theory websites.
A few points:
-There is no evidence that there is any systematic overreporting, inflation, or manipulation of the number of COVID-19 cases, hospitalizations, or deaths.
-There is no evidence that asymptomatic spread has exposed anywhere close to enough people to achieve herd immunity. Serological studies are estimates at best and many of the most well-publicized ones had obviously biased sample populations (one in California, for instance, advertised the study on Facebook, which would likely drawn in more people that had reason to believe they had been exposed, rather than a random sample).
-Beyond the likely death toll from a "natural herd immunity" strategy -- not only from COVID-19, but from overloading hospitals -- we don't know enough about the long-term effects of COVID-19 or how long immunity lasts to make that a viable strategy.
-There are many possible reasons the death toll is lower at this moment. Have hospitals gotten better at treating severe COVID-19 cases? Do people recognize the symptoms faster and seek medical help earlier? Are the people getting infected getting a smaller viral load than those in New York in March and April? Death is also a lagging indicator, so of course cases are going go up first before deaths.
It's tricky to determine if a death is caused by COVID sometimes. I know in some Florida hospitals, they are calling a person COVID positive if they exhibit COVID like symptoms without testing to play it safe.
As for deaths "caused by COVID" I suspect there is some guess work also. An unhealthy person could have one foot in the grave and the other on a banana peel not related to COVID, and was maybe called COVID positive by symptoms and not tests.
When it doubt, call it a death by COVID to play it safe.
This is misleading.
People try to draw this distinction between "death by COVID" and "death with COVID," but that's not really how determining a cause of death works. If you look at a death certificate, there's two sections: Part I explains the exact sequence of conditions that led to the death, Part II includes conditions that contributed to the death but was not involved in that Part I sequence. Many underlying conditions -- which most Americans have, by the way -- would be listed on a death certificate in some fashion and that was the case long before the pandemic. That does not mean the person died of that underlying condition and their COVID infection was either imagined or unrelated to their death.
While different states have different standards for what's a "probable" COVID case in the absence of a positive test, implying that medical professionals are making that determination "to play it safe" or to boost their Medicare payments is, frankly, an insult to people who are risking their lives for yours right now.