Also, the CDC criteria for classifying “presumed” COVID19 cases is very broad even based upon a cough or shortness of breath plus living in an area with a sustained community transmission.
Moreover, there can be some possible financial motivation influencing deaths being assigned to Covid-19. For under the Coronavirus Aid, Relief and Economic Security Act through a Medicare 20% add-on, USA Today affirmed that,
Hospitals and doctors do get paid more for Medicare patients diagnosed with COVID-19 or if it's considered presumed they have COVID-19 absent a laboratory-confirmed test, and three times more if the patients are placed on a ventilator to cover the cost of care and loss of business resulting from a shift in focus to treat COVID-19 cases.[93]