The article closes with the sentence "These findings highlight that the US continued to lag peer countries in COVID-19 and excess all-cause mortality, albeit with lower mortality in highly vaccinated states" with the implication that higher vaccination rate corresponds to lower death rate. So there might be some hope that reporting differences are part of the reason our numbers are so much worse than our Western European peers. The number of reported COVID-19 deaths went way down with that change in reporting. The authors suggest on the last page that "cross-location differences may also reflect differences in COVID-19 death coding." Indeed, Massachusetts (my state) was well into the pandemic before its Department of Public Health began differentiating between people who died from COVID-19 from people who entered the hospital for other reasons and died with COVID-19. It is certainly disappointing to see that the US leads the world in reported COVID-19 deaths (111.6/100,000) and by so much - almost twice the rate of the next three countries: Austria (65.0), the UK (59.0), and Italy (54.2). Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience. ![]() Challenges in Clinical Electrocardiography.
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