Let me be the first to agree with this. I therefore find it interesting that you and others are so definite that the official numbers are understated by up to several hundred percent.
If you agree that the math is so fuzzy, how can you be so positive of any number, high or low?
I have eyes, and have lived and traveled all around the country. When you go to “Maxwell St” in Chicago ( okay it’s now moved but the concept is the same) and it looks like Mexico City, and you run into a barrio in Mechanicsburg Md, and see endless numbers of hispanic patients in a small rural ED in NC, the number are far far larger then the “official” bullshit undercounts we get.