There are financial incentives that might make a difference for hospitals and doctors. The CARES Act adds a 20% premium for COVID-19 Medicare patients. Birx and others are also concerned that the CDC’s “antiquated” accounting system is double-counting cases and inflating mortality and case counts “by as much as 25%.” When all these anomalies are added up, it becomes apparent that we simply don’t have an accurate death toll from this new coronavirus. But it seems clear that the correct rate is just a little worse than the rate for the 2017-2018 flu.
Meanwhile, the Washington Post, New York Times, and others claim that we are undercounting the true number of deaths. They reach that conclusion by showing that the total number of deaths from all causes is about 30% greater than we would typically expect from March through early May. They then conclude that the excess is due to deaths not being accurately labeled as due to the coronavirus.