- Mar 30, 2012
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I understand what you are saying, and am not saying there isn’t some impact. But I’m pointing out that CDC does go back, and look for evidence of flu symptoms retroactively, and routinely adds numbers to their annual counts, and that pneumonia etc are very routinely included on death certificates, and in autopsy reports etc. they don’t have to test for the flu for it to be included. I think you are overestimating the impact of your statement, and undervaluing to purpose of real-time statistics in active epidemiological management. There will be a number of rates, etc, that will have been incorrectly estimated. That doesn’t devalue the significance of using the available data to the best of our ability to manage disease spread and resources.I would agree if the certificate states "flu or flu like causes," but reread my statement above. The CDC has no reason to investigate a certificate where flu like causes aren't listed at all. According to my neighbor, Dr's have no reason to speculate or guess a secondary illness they weren't told about or didn't test for. Most elderly patients (65+) are coding en route to the hospital or in critical condition, so those deaths are generally documented based on their history of underlying condition and cause of death. Example: Hypertension/Stroke. Now they are documenting all as possible COVID19 on older patients that die and it is a logical possibility but, it is also providing the hospital with a 20% more medicare payment if it's COVID19. There's no conspiracy theory, there was just never money tied to "speculating" a secondary cause such as flu, virus, or pneumonia and putting it down on a death certificate unless it was information specifically given to them by family or through testing. Now they have 20% more reason. Money always skews data.
ETA: Here's a 2017 US Census article about our elderly and the historic rise in death rates:
As Population Ages, U.S. Nears Historic Increase in Deaths
That being said, yes death rates are expected, and have been expected to raise. So excess deaths may or may not end up being significant. But currently they can and should be examined.