Section 601(d) of the Social Security Act has been written in such a way that incentivizes listing anything and everything as COVID-19. I am on a first-name basis with multiple people (plural) who have had either outright fraudulent or false positives of COVID-19 attributed so that health care providers can drain money from the federal government. This is happening, and you're fooling yourself if you don't believe it.
I know it's virtually impossible in this early stage, but I would love to see how many fewer deaths occurred in 2020 among those 60+ due to strictly heart disease, diabetes, and chronic pulmonary issues (I exclude cancer, because that category will increase as many cancer patients are fearful to leave their homes to receive treatment due to COVID-19, which will inflate the number of deaths in that category). My point is: most of those who succumb to COVID-19 have already spent 90%+ of their social capital already. Hence, why nursing homes and other LTCs make up greater than 40% of COVID-19 deaths. If you're 91 years old, with dementia, and have congestive heart failure...I have some moral reservations about listing that as fully COVID-19 if a person eventually succumbs to it. It's *technically* correct, but treating that as the same as a 21-year-old who might die from COVID-19 isn't philosophically sound.