It is very difficult to sort out with emotions and politics running so high. Rarely are autopsies done so the death certificate is the best opinion of the physician filling it out. Most of the time we have a good idea what caused the death sometimes we do not. It’s not always cut and dried. Like the example above - the elderly lady fell and that caused her death. She was also covid positive. Did covid contribute to her death? possibly. If she tripped on ice or over her dog probably not. If she fell because she had a stroke or was weak from not feeling well or had electrolyte derangements from vomiting or diarrhea then covid probably did contribute to her death. It’s not always as black and white as many would like it to be. In this case covid would not be the primary cause of death but very well could be one of the contributing causes listed on the death certificate
Thanks as usual for your clarity!