{"id":93247,"date":"2023-05-28T20:45:44","date_gmt":"2023-05-29T01:45:44","guid":{"rendered":"https:\/\/milesfortis.com\/?p=93247"},"modified":"2023-05-28T20:45:44","modified_gmt":"2023-05-29T01:45:44","slug":"93247","status":"publish","type":"post","link":"https:\/\/milesfortis.com\/?p=93247","title":{"rendered":""},"content":{"rendered":"<p><a href=\"https:\/\/www.michaelpsenger.com\/p\/the-great-covid-ventilator-death\" target=\"_blank\" rel=\"noopener\">\u00a0The Great COVID Ventilator Death Cover-up.\u00a0<\/a><\/p>\n<p><em>Tens of thousands of Americans died after being placed on mechanical ventilators in spring 2020. It\u2019s long past time we got real answers as to how many were killed this way.<\/em><\/p>\n<p>It\u2019s long been something of a mystery why there have been no major studies on how many COVID patients were killed by mechanical ventilators in spring 2020. Early data from China had suggested that ventilators would need to be used widely in the treatment of COVID patients, and this led to a major rush to procure ventilators on the part of politicians and hospital systems all over the world.<\/p>\n<p>A small sample of the hundreds of headlines from that period features ones such as:<\/p>\n<p>\u201c<a href=\"https:\/\/www.syracuse.com\/coronavirus\/2020\/03\/cuomo-refutes-trump-insists-ny-needs-up-to-40000-ventilators-i-operate-on-facts.html\" rel=\"\">Cuomo refutes Trump, insists NY needs up to 40,000 ventilators<\/a>,\u201d<\/p>\n<p>\u201c<a href=\"https:\/\/www.lohud.com\/story\/news\/health\/2020\/03\/20\/ny-may-need-24-000-ventilators-fight-covid-19-how-could-get-them\/2877608001\/\" rel=\"\">NY may need 24,000 more ventilators to fight COVID-19. Here\u2019s how it could get them<\/a>,\u201d<\/p>\n<p>\u201c<a href=\"https:\/\/www.usatoday.com\/story\/news\/2020\/04\/04\/coronavirus-ventilator-shortages-may-force-tough-ethical-questions-nyc-hospitals\/5108498002\/\" rel=\"\">Which coronavirus patients will get life-saving ventilators? Guidelines show how hospitals in NYC, US will decide<\/a>,\u201d<\/p>\n<p>\u201c<a href=\"https:\/\/www.governor.ny.gov\/news\/amid-ongoing-covid-19-pandemic-governor-cuomo-announces-1000-ventilators-donated-new-york-state\" rel=\"\">Amid Ongoing COVID-19 Pandemic, Governor Cuomo Announces 1,000 Ventilators Donated to New York State<\/a>,\u201d<\/p>\n<p>\u201c<a href=\"https:\/\/www.washingtonpost.com\/health\/a-new-york-hospital-desperate-for-ventilators-is-treating-two-patients-on-a-device-intended-for-one\/2020\/03\/27\/21c8ae7c-702a-11ea-aa80-c2470c6b2034_story.html\" rel=\"\">A New York hospital is treating two patients on a device intended for one<\/a>.\u201d<\/p>\n<p>However, it soon became clear that ventilators were being vastly overused, and the medical community gradually ceased this practice of mass intubation. Dr. Cameron Kyle-Sidell acted as an early whistleblower, sounding the alarm in a widely-shared video:<\/p>\n<blockquote><p><strong>We are operating under a medical paradigm that is untrue\u2026<\/strong>\u00a0I fear that this misguided treatment will lead to\u00a0<strong>a tremendous amount of harm to a great number of people in a very short time\u2026<\/strong>\u00a0This method being widely adopted at this very moment at every hospital in the country\u2026is actually\u00a0<strong>doing more harm than good.<\/strong><\/p><\/blockquote>\n<div id=\"youtube2-k9GYTc53r2o\" class=\"youtube-wrap\" data-attrs=\"{&quot;videoId&quot;:&quot;k9GYTc53r2o&quot;,&quot;startTime&quot;:&quot;45&quot;,&quot;endTime&quot;:null}\" data-component-name=\"Youtube2ToDOM\">\n<div class=\"youtube-inner\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/k9GYTc53r2o?start=45&amp;rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0\" width=\"728\" height=\"409\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div>\n<p>In interviews with major media outlets, several practitioners later disclosed that patients had often been put on ventilators not for their own benefit, but in order to stop the virus from spreading. As one doctor later told the\u00a0<a href=\"https:\/\/www.wsj.com\/articles\/hospitals-retreat-from-early-covid-treatment-and-return-to-basics-11608491436\" rel=\"\">Wall Street Journal<\/a>:<\/p>\n<blockquote><p><strong>We were intubating sick patients very early. Not for the patients\u2019 benefit, but in order to control the epidemic<\/strong>\u00a0and to save other patients. That felt awful.<\/p><\/blockquote>\n<p><!--more--><\/p>\n<p>As another doctor told\u00a0<a href=\"https:\/\/time.com\/5820556\/ventilators-covid-19\/\" rel=\"\">Time Magazine<\/a>:<\/p>\n<blockquote><p><strong>He says some doctors are intubating early because they fear that less-intensive forms of ventilation, like high-flow nasal oxygen, can aerosolize a virus,<\/strong>\u00a0putting health care workers at risk of getting sick. \u2018This is more theoretical fear than a real fear,\u2019 Hill says, since there\u2019s not strong evidence that COVID-19 spreads this way.<\/p><\/blockquote>\n<p>As Dr. Rich McCormick told the House COVID Select Subcommittee:<\/p>\n<blockquote><p>The healthcare professionals\u2026got it wrong. We were going off of old technologies, old assumptions.\u00a0<strong>And I remember we were intubating people that probably shouldn\u2019t have been intubated.<\/strong><\/p><\/blockquote>\n<div id=\"youtube2-oq34mHgeISg\" class=\"youtube-wrap\" data-attrs=\"{&quot;videoId&quot;:&quot;oq34mHgeISg&quot;,&quot;startTime&quot;:&quot;6&quot;,&quot;endTime&quot;:null}\" data-component-name=\"Youtube2ToDOM\">\n<div class=\"youtube-inner\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/oq34mHgeISg?start=6&amp;rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0\" width=\"728\" height=\"409\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div>\n<p>As\u00a0<a href=\"https:\/\/www.amherst.edu\/news\/magazine\/issues\/2020-summer\/stories-of-care\/her-inside-accounts-went-viral\" rel=\"\">Meredith Case<\/a>, an internal medicine\u00a0<a href=\"https:\/\/orcid.org\/0000-0002-4496-8975\" rel=\"\">resident<\/a>\u00a0at NewYork-Presbyterian Medical Center,\u00a0<a href=\"https:\/\/web.archive.org\/web\/20200325202729\/https:\/\/twitter.com\/thisismeredith\/status\/1242778487833976832\" rel=\"\">put it<\/a>\u00a0in a series of since-deleted\u00a0<a href=\"https:\/\/web.archive.org\/web\/20200406144438\/https:\/\/twitter.com\/thisismeredith\/status\/1247167634812043264\" rel=\"\">threads<\/a>, hospitals were \u201cearly intubating\u201d patients for \u201cmany days if not weeks\u201d in part \u201cto avoid aerosolizing procedures to protect staff,\u201d and several \u201cpractice changes lead to more time on the vent.\u201d<\/p>\n<blockquote><p>One problem is the sheer number of patients. Another is that\u00a0<strong>we are early intubating these patients<\/strong>\u00a0given data suggesting improved outcomes and also\u00a0<strong>to avoid aerosolizing procedures to protect staff.<\/strong><\/p><\/blockquote>\n<blockquote><p>1) We are mostly being transferred patients with single organ (i.e. respiratory) failure from other ICUs to offload those units.\u00a0<strong>These patients have been intubated for many days if not weeks.<\/strong>\u00a0Weaning is slow going<br \/>\n2) The shortages of critical analgesics and sedatives means we are using drugs less well suited to the purpose.\u00a0<strong>Using second (third? fourth?) line meds hampers our ability to quickly wean sedation when oxygenation has improved, further prolonging time on the vent<\/strong><br \/>\n3) Relatedly, in order to limit the # of times nurses and providers enter the room, we have moved away from our usual plan of IV pushes for analgosedation and toward IV drips because pushes require nurses to enter the room more frequently<br \/>\n<strong>4) These practice changes lead to more time on the vent, which in turn means more time to develop complications.<\/strong>\u00a0Obvious point but important. More HAIs, more deconditioning, more delirium. I have two rising hyperbilirubinemias on my service concerning for acalculous cholecystitis<\/p><\/blockquote>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img decoding=\"async\" class=\"sizing-normal\" title=\"\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png\" sizes=\"100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png 1456w\" alt=\"\" width=\"406\" height=\"554.7256944444445\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/935a2ba4-c199-4909-af6d-2cc58e263c76_576x787.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:787,&quot;width&quot;:576,&quot;resizeWidth&quot;:406,&quot;bytes&quot;:293034,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png 1456w\" alt=\"\" width=\"523\" height=\"823\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/9dfc580f-650d-4bb2-9d59-300a278d9b10_523x823.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:823,&quot;width&quot;:523,&quot;resizeWidth&quot;:523,&quot;bytes&quot;:123927,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>This practice of extended intubation was apparently consistent with early guidance coming from China. As\u00a0<a href=\"https:\/\/www.michaelpsenger.com\/p\/how-zeynep-tufekci-and-jeremy-howard\" rel=\"\">fanatical mask advocate and free-speech opponent Zeynep Tufekci<\/a>\u00a0<a href=\"https:\/\/twitter.com\/zeynep\/status\/1237852375181737984\" rel=\"\">put it<\/a>, \u201cChinese scientists\u201d had advised \u201cmany COVID-19 patients need to stay on mechanical ventilators as long as four weeks\u201d:<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png\" sizes=\"100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1456w\" alt=\"\" width=\"482\" height=\"548.6595744680851\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/c9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:535,&quot;width&quot;:470,&quot;resizeWidth&quot;:482,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>Some hospitals in New York began engaging in \u201c<a href=\"https:\/\/web.archive.org\/web\/20221207183944\/https:\/\/www.reuters.com\/article\/us-health-coronavirus-usa-ventilators\/one-ventilator-two-patients-new-york-hospitals-shift-to-crisis-mode-idUSKBN21D3M1\" rel=\"\">split-ventilation<\/a>\u201d\u2014putting patients on ventilators two-at-a-time:<\/p>\n<blockquote><p><strong>At least one New York hospital has begun putting two patients on a single ventilator machine<\/strong>, an experimental crisis-mode protocol some doctors worry is too risky but others deemed necessary as the coronavirus outbreak strains medical resources.<\/p><\/blockquote>\n<p>\u201cSplit-ventilation\u201d made intubation\u00a0<a href=\"https:\/\/www.propublica.org\/article\/desperate-hospitals-may-put-two-patients-on-one-ventilator-thats-risky\" rel=\"\">even more dangerous<\/a>\u00a0than it already was:<\/p>\n<blockquote><p>Facing a ventilator shortage, doctors are considering\u00a0<strong>using one machine for multiple patients<\/strong>\u00a0in respiratory failure.\u00a0<strong>But it\u2019s at best a stopgap and can injure the lungs.<\/strong><\/p><\/blockquote>\n<p>As White House Coronavirus Response Coordinator Ashish Jah wrote in\u00a0<a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMp2006141\" rel=\"\">NEJM<\/a>:<\/p>\n<blockquote><p><strong>[P]atients who are traditionally treated with noninvasive positive-pressure ventilation<\/strong>\u00a0(NIPPV) for conditions such as chronic obstructive pulmonary disease exacerbations\u00a0<strong>may need to instead be presumptively intubated<\/strong>\u00a0while awaiting Covid-19 testing results (<strong>using NIPPV is contraindicated for patients with Covid-19 because of aerosolization<\/strong>\u00a0of the virus under positive pressure).<\/p><\/blockquote>\n<p>As Dr. John Ioannidis put it in a\u00a0<a href=\"https:\/\/soundcloud.com\/plenarysession\/ep341\" rel=\"\">podcast<\/a>\u00a0with Vinay Prasad: \u201ca lot of lives\u201d were lost in spring 2020 in part because of doctors \u201c<strong>not knowing how to use mechanical ventilation, just going crazy and intubating people who did not have to be intubated.<\/strong>\u201d<\/p>\n<p>Even Anthony Fauci eventually admitted that having \u201cvery very readily put people on mechanical ventilation\u201d may have \u201ccaused more harm than good.\u201d<\/p>\n<div id=\"youtube2-lsG5SiUWyCA\" class=\"youtube-wrap\" data-attrs=\"{&quot;videoId&quot;:&quot;lsG5SiUWyCA&quot;,&quot;startTime&quot;:&quot;3104&quot;,&quot;endTime&quot;:null}\" data-component-name=\"Youtube2ToDOM\">\n<div class=\"youtube-inner\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/lsG5SiUWyCA?start=3104&amp;rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0\" width=\"728\" height=\"409\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div>\n<blockquote><p>I think the intensive care has improved.\u00a0<strong>We very, very readily would put people on mechanical ventilation, when we found out through clinical experience it might have been better just to make sure we positioned them properly<\/strong>\u00a0in the prone or supine position and not necessarily to intubate someone so readily,\u00a0<strong>which might have actually caused more harm than good.<\/strong>\u00a0We learned that as we got more experience.<\/p><\/blockquote>\n<p>The New Yorker featured a harrowing account of one early victim\u2019s experience titled\u00a0<em><a href=\"https:\/\/www.newyorker.com\/news\/postscript\/the-life-and-death-of-juan-sanabria-one-of-new-york-citys-first-coronavirus-victims\" rel=\"\">The Life and Death of Juan Sanabria, One of New York City\u2019s First Coronavirus Victims<\/a>\u00a0<\/em>describes Juan Sanabria\u2019s final moments of consciousness before he was intubated:<\/p>\n<blockquote><p>At eight o\u2019clock the next morning,\u00a0<strong>the doctor called Walkiris and asked her to help persuade Sanabria to be intubated.<\/strong>\u00a0He\u2019d deteriorated overnight, and now needed to be on a respirator.\u00a0<strong>\u201cAm I going to die?\u201d Sanabria asked Walkiris. \u201cNo,\u00a0<\/strong><em><strong>p\u00e1pi<\/strong><\/em><strong>,\u201d she told him. \u201cThey\u2019re going to put you to sleep for a little while,<\/strong>\u00a0so you can relax your lungs. You\u2019re breathing too fast.\u201d He seemed dazed.\u00a0<strong>\u201cI don\u2019t feel sick,\u201d he said calmly. \u201cWill you be here when I wake up?\u201d<\/strong><\/p>\n<p>\u201cI\u2019ll see you on the other side,\u201d she replied. \u201cLet them do this.\u201d As the nurses prepared to intubate him, he bragged about how his daughter was a nurse. Just before he went under, he sent Walkiris one last selfie\u2026<\/p>\n<p>The next day, Juan\u2019s blood pressure dropped precipitately. Walkiris\u2019s sister and mother tried to visit him in the hospital, too, but were turned away. They told Walkiris to pray. \u201cI kept telling them, \u2018Look at this chart. He doesn\u2019t even have a few days,\u2019\u00a0\u201d Walkiris said. \u201cMy family didn\u2019t want to hear it.\u201d\u00a0<strong>He never regained consciousness after being intubated; by the time he died, on March 17th, no one had been able to say goodbye.<\/strong><\/p><\/blockquote>\n<p>Indeed, this practice of mass intubation proved extremely deadly. A study in JAMA later\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2765184\" rel=\"\">revealed<\/a>\u00a0a 97.2% mortality rate among those over age 65 who\u2019d been put on mechanical ventilators. To put this in perspective, patients over age 65 were more than\u00a0<em>26 times<\/em>\u00a0as likely to survive if they were\u00a0<em>not<\/em>\u00a0placed on mechanical ventilators.<\/p>\n<p>Overall, mortality among COVID patients in New York area hospitals\u00a0<a href=\"https:\/\/www.wsj.com\/articles\/hospitals-retreat-from-early-covid-treatment-and-return-to-basics-11608491436\" rel=\"\">fell<\/a>\u00a0by over two-thirds between spring 2020 and summer 2020.<\/p>\n<div>\n<hr \/>\n<\/div>\n<p>The available evidence has always overwhelmingly indicated that\u00a0<a href=\"https:\/\/www.michaelpsenger.com\/p\/an-estimated-30000-americans-were\" rel=\"\">ventilators killed many patients<\/a>\u00a0in spring 2020. However, until now, it\u2019s been difficult to argue there was necessarily any kind of cover-up going on. Yes, some patients had been killed by ventilators, but there were, quite simply, not very many people talking about this issue. Rather, the simple explanation for why there had been no serious assessments of the number of patients killed by ventilators was that so few people were asking for them.<\/p>\n<p>But this all changed dramatically in just the last couple weeks as the ventilator issue came roaring back into mainstream discourse. Most notably, a\u00a0<a href=\"https:\/\/twitter.com\/Craig_A_Spencer\/status\/1659393801788465152\" rel=\"\">viral thread<\/a>\u00a0by Dr. Craig Spencer brought the ventilator question back into the spotlight.<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png\" sizes=\"100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png 1456w\" alt=\"\" width=\"554\" height=\"1172.802752293578\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/7be795ef-4ca8-4a17-a4a3-25fd75f83413_436x923.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:923,&quot;width&quot;:436,&quot;resizeWidth&quot;:554,&quot;bytes&quot;:85731,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>There\u2019s a lot wrong here. First, Spencer\u2019s initial assertion that all the patients who were put on ventilators were going to die anyway directly contradicts his subsequent, defensive assertion that it\u2019s unfair to \u201crelitigate 2020\u201d because we can\u2019t relate to those kinds of high-stress frontline decisions. If all those patients had actually been bound to die anyway, then there wouldn\u2019t be any mistakes to \u201crelitigate.\u201d And, if this policy of mass intubation was working so well that all the patients who died on ventilators would have died anyway, then there would have been no reason for the medical community to have ever stopped doing it.<\/p>\n<p>That this self-contradictory thread has so many \u201clikes\u201d is somewhat troubling\u2014a sign of just how widespread complicity is in propping up the logically-incoherent official COVID narrative. But the fact that so many people have gotten behind this ludicrous narrative actually presents a promising opportunity. For the first time, we now have something close to an official explanation of why there haven\u2019t been any studies on how many patients were killed by ventilators.<\/p>\n<p>In short, the establishment is trying to argue that while ventilators were overused in spring 2020, doing more harm than good\u2014and the vast majority of patients placed on ventilators died\u2014the ventilators themselves did not kill anyone. An astonishing argument, even by the abysmal standards of the COVID era.<\/p>\n<p>But, since everyone supporting this narrative is arguing that there were no ventilator deaths in spring 2020, all we have to do is prove there were a significant number of ventilator deaths and what\u2019s left of the establishment\u2019s credibility on the initial months of COVID falls apart.<\/p>\n<p>In addition to the anecdotal evidence discussed above, several unsettling data points have long strongly suggested that there weren\u2019t just some ventilator deaths in spring 2020, but rather a pretty frightening number of them.<\/p>\n<p>As a preliminary matter, the data bears out that ventilators were used very readily in spring 2020, especially in the greater New York area, and that ventilator use was sharply curtailed after that period. The CDC\u00a0<a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6946a2.htm\" rel=\"\">reports<\/a>\u00a0that 18,679 patients died with COVID in New York City hospitals throughout spring 2020. And, according to the\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2765184\" rel=\"\">sample<\/a>\u00a0in JAMA, just over half of those who died with COVID in NYC hospitals were put on ventilators. Accordingly, around 10,000 patients died with COVID in NYC hospitals after being put on ventilators in spring 2020.<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" title=\"\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png 1456w\" alt=\"\" width=\"1225\" height=\"690\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/a4592113-0ffc-4999-bf1e-a059e3d5fb7d_1225x690.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:690,&quot;width&quot;:1225,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:116610,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" title=\"\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png 1456w\" alt=\"\" width=\"1456\" height=\"908\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com\/public\/images\/536ddff3-b764-4392-ab40-47627819cd4d_1584x988.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:908,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>As I\u2019ve previously\u00a0<a href=\"https:\/\/www.michaelpsenger.com\/p\/an-estimated-30000-americans-were\" rel=\"\">written<\/a>, the percentage increase in excess deaths in the greater New York area in spring 2020 vastly outstrips the percentage increase even in other cities with similar climate and social and economic demographics, indicating an unbelievable number of deaths owing to iatrogenesis, ventilators and strict lockdowns in the greater New York area in spring 2020.<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Ff077c646-ec6e-438f-9529-79057d161f2f_746x607.png 1456w\" alt=\"\" width=\"746\" height=\"607\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com\/public\/images\/f077c646-ec6e-438f-9529-79057d161f2f_746x607.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:607,&quot;width&quot;:746,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>Additionally, as\u00a0<a href=\"https:\/\/woodhouse.substack.com\/\" rel=\"\">Jessica Hockett<\/a>\u00a0has documented in meticulous detail through multiple methods, New York City experienced a sharp, breathtaking mortality event just after its lockdown and response to COVID began, which was unlike that experienced anywhere else or at any other time. Given its singularity, this horrifying mortality event, quite simply, cannot be attributed to natural causes.<\/p>\n<p>Jumping off Hockett\u2019s work, below is a chart of weekly all-cause hospital inpatient mortality from January 2018 through April 2023, split between patients ages 65+ (blue line) and patients under 65 (red line). This spike in inpatient hospital mortality in New York City in spring 2020, especially among young people, is unparalleled in any other time period, even as COVID deaths supposedly began to climb again in 2021.<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png 1456w\" alt=\"\" width=\"1072\" height=\"783\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/155bd1f7-e8eb-407f-b5b8-e5260a5b0a13_1072x783.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:783,&quot;width&quot;:1072,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:74387,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>For comparison, below, I\u2019ve produced this same chart for each of America\u2019s largest metropolitan areas: Chicago, Dallas, Houston, Los Angeles, and Washington, DC. (All data is from \u201c<a href=\"https:\/\/wonder.cdc.gov\/controller\/datarequest\/D176\" rel=\"\">CDC Wonder Provisional Mortality Statistics, 2018 through Last Month<\/a>.\u201d Data is collected at the county level; only data from counties typically considered part of each of these cities has been included.)<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png 1456w\" alt=\"\" width=\"1075\" height=\"784\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/4d18d81b-fac9-4804-a432-4cf466a92232_1075x784.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:784,&quot;width&quot;:1075,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:89427,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png 1456w\" alt=\"\" width=\"1078\" height=\"780\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/f2044773-d1d1-49f7-9a3b-180db867c0bc_1078x780.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:780,&quot;width&quot;:1078,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:97393,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa8d25114-b541-41b4-a820-036003a2264e_1075x786.png 1456w\" alt=\"\" width=\"1075\" height=\"786\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/a8d25114-b541-41b4-a820-036003a2264e_1075x786.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:786,&quot;width&quot;:1075,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:93055,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png 1456w\" alt=\"\" width=\"1078\" height=\"785\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/6f9d9e4f-3494-4d3c-9617-7ac8bba14beb_1078x785.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:785,&quot;width&quot;:1078,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:77404,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdf073c97-83ce-48ad-a59f-f020f516904b_1073x782.png 1456w\" alt=\"\" width=\"1073\" height=\"782\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/df073c97-83ce-48ad-a59f-f020f516904b_1073x782.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:782,&quot;width&quot;:1073,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:105126,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>And here is the same chart for each at the state level:<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png 1456w\" alt=\"\" width=\"1076\" height=\"779\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/6fe8af0e-6ddb-47e2-8bb6-dca540337de5_1076x779.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:779,&quot;width&quot;:1076,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:73891,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png 1456w\" alt=\"\" width=\"1075\" height=\"780\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/02b455ee-e0fe-47d2-972e-3f2d80f45e65_1075x780.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:780,&quot;width&quot;:1075,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:83327,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png 1456w\" alt=\"\" width=\"1076\" height=\"782\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/3481bcef-e2e9-434a-bd24-d0191f7e91e0_1076x782.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:782,&quot;width&quot;:1076,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:79759,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png 1456w\" alt=\"\" width=\"1074\" height=\"778\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/6bd1b3b7-7937-4e17-af01-6091e6354691_1074x778.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:778,&quot;width&quot;:1074,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:86173,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>Here are each of these charts juxtaposed in high-resolution images for purposes of side-by-side comparison. (You\u2019ll need to right click and select \u201cOpen image in new tab\u201d to zoom in.)<\/p>\n<p>City level data:<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png 1456w\" alt=\"\" width=\"1456\" height=\"819\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/7d0ac5f9-89fb-4919-9d22-9fdf63df1cec_3072x1728.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3762880,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>State level data:<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img loading=\"lazy\" decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png\" sizes=\"auto, 100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png 1456w\" alt=\"\" width=\"1456\" height=\"819\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/216fc3d9-37ab-4458-ae25-95db5ff0e7c8_3072x1728.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3236038,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>A couple of points on these charts. First, while the spike in mortality in the NYC area in spring 2020, especially among young people, is without parallel, it\u2019s not the only one we see. These spikes in mortality among young people are conspicuous because it\u2019s long been known that COVID\u2019s infection fatality rate (IFR) is extremely skewed toward the elderly. This, for example, is the most widely-cited\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10654-020-00698-1\" rel=\"\">data<\/a>\u00a0on COVID\u2019s IFR by age:<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img decoding=\"async\" class=\"sizing-normal\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png\" sizes=\"100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png 1456w\" alt=\"\" width=\"355\" height=\"270.8977556109726\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/1e9d290a-eff5-4e8d-a6a1-5c93bd653958_401x306.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:306,&quot;width&quot;:401,&quot;resizeWidth&quot;:355,&quot;bytes&quot;:13282,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image\/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>Thus, these spikes in mortality among young people cannot be attributed to COVID. Most notably, a significant spike in mortality appears among all age groups in California at the end of 2020\u2014albeit not of the same magnitude as that in New York in spring 2020. One possibility is that, while the use of ventilators was generally scaled back, hospitals in California may have still been engaging in broad intubation or other iatrogenic practices by the end of 2020. Another possibility is that this spike in deaths in California was a byproduct of\u00a0<a href=\"https:\/\/www.michaelpsenger.com\/p\/lockdowns-killed-over-170000-americans\" rel=\"\">lockdowns<\/a>\u00a0and the\u00a0<a href=\"https:\/\/www.michaelpsenger.com\/p\/devils-advocate-responding-to-lockdown\" rel=\"\">fear<\/a>\u00a0that accompanied them; while one might expect lockdown deaths to be more normalized over time, increases in respiratory virus deaths tended to be accompanied by more restrictions, more fear, and thus more lockdown deaths. Even more strangely, Texas experienced a surge in deaths among young people in summer 2021 that was not accompanied by a corresponding increase in mortality among the elderly; this, frankly, may have had nothing to do with COVID.<\/p>\n<p>That said, the fact remains that the New York area experienced a uniquely sharp, awful mortality event in spring 2020 which is not adequately explained by any of these other factors. And doctors were under significant pressure to put patients on ventilators in spring 2020, even if it was merely unconscious; politicians had purchased tens of thousands of ventilators at exorbitant prices, and hospitals did receive more funding if patients were placed on ventilators. Coupled with the above anecdotes about patients being placed on ventilators for extended periods to protect staff\u2014and the fact that over 10,000 patients in New York City died after being intubated\u2014it\u2019s clear that a horrifying number of patients were likely killed by mechanical ventilators.<\/p>\n<p>Yet astonishingly, despite all these facts, the establishment is arguing that\u00a0<em>no patients<\/em>\u00a0were killed by ventilators in spring 2020.<\/p>\n<p>This, to me, is the kind of implausible, overly-defensive argument one makes when they\u2019re panicked. Across America, tens of thousands of patients were placed on ventilators in spring 2020; given the vast majority of those patients died, it simply begs credulity that\u00a0<em>none<\/em>\u00a0of them were killed by ventilators. When a deadly procedure is applied to tens of thousands of patients, even a baseline level of human error would imply that the procedure was applied to at least some fraction of those patients by mistake.<\/p>\n<p>The establishment has\u00a0<a href=\"https:\/\/sciencebasedmedicine.org\/intubations\/\" rel=\"\">responded<\/a>\u00a0with subsequent studies claiming to show that \u201cearly intubation\u201d actually reduced the time patients spent on ventilators, and thus didn\u2019t kill any of them. But this is a straw-man argument. As the above anecdotes make clear, the issue isn\u2019t whether patients were intubated \u201cearly\u201d or \u201clate\u201d relative to any symptoms they might have shown\u2014the issue is whether patients were placed on ventilators who should have never been on them to begin with, or otherwise kept on them too long.<\/p>\n<p>Even more strangely, most of the attorneys with whom I\u2019ve discussed the ventilator issue agree that\u2014outrageous as it may be\u2014there\u2019s actually little litigation risk for the medical establishment because of the perceived global emergency in spring 2020. Regardless of how much harm was done, it\u2019s simply too difficult to prove that the procedure violated the emergency standard of care given the information coming from China at the time.<\/p>\n<div class=\"captioned-image-container\">\n<figure>\n<div class=\"image2-inset\"><picture><source srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1456w\" type=\"image\/webp\" sizes=\"100vw\" \/><img decoding=\"async\" class=\"sizing-normal\" title=\"\" src=\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png\" sizes=\"100vw\" srcset=\"https:\/\/substackcdn.com\/image\/fetch\/w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 424w, https:\/\/substackcdn.com\/image\/fetch\/w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 848w, https:\/\/substackcdn.com\/image\/fetch\/w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1272w, https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png 1456w\" alt=\"\" width=\"482\" height=\"548.6595744680851\" data-attrs=\"{&quot;src&quot;:&quot;https:\/\/substack-post-media.s3.amazonaws.com\/public\/images\/c9b2d8cd-10c6-4460-baa8-535cf71996de_470x535.png&quot;,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:535,&quot;width&quot;:470,&quot;resizeWidth&quot;:482,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null}\" \/><\/picture>\n<div class=\"image-link-expand\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<p>This also explains why no one has yet taken the hospitals to court on the ventilator issue. If anyone wants to fight the establishment for real answers as to how many patients were killed by ventilators, the time and money for this cause will have to come on a charitable basis. Doubtless, the medical establishment\u2019s high-priced lawyers are well aware of this fact\u2014and this, too, leads me to believe that the real number of patients killed by ventilators must be frighteningly high; even absent any real litigation risk, the embarrassment alone is leading to this broad cover-up.<\/p>\n<p>Nonetheless, the situation is morally inexcusable. It\u2019s imperative that we get the truth of how these patients died, not only so we can put together what really happened in spring 2020, but also because it\u2019s the least we can do to honor the deceased.<\/p>\n<p>Speculating as to how it got to this point, I suspect the medical establishment didn\u2019t want to disclose the number of ventilator deaths in spring 2020 in part out of embarrassment and in part because they thought it might undermine the official narrative and be used by opponents of COVID mandates (remember, we were the \u201c<a href=\"https:\/\/www.michaelpsenger.com\/p\/the-gall-of-lockdowners-supporting\" rel=\"\">bad guys<\/a>\u201d at the time). Now that the official COVID narrative has turned into something of a catastrophe and they\u2019ve been sitting on this massive, morally-indefensible cover-up for so long, they just keep digging themselves deeper.<\/p>\n<p>Given all the clumsy, self-contradictory arguments coming from the medical establishment, you\u2019ve probably gathered that, unlike\u00a0<a href=\"https:\/\/www.michaelpsenger.com\/p\/no-lockdown-instigators-do-not-deserve\" rel=\"\">some<\/a>\u00a0of the characters I\u2019ve sketched in my work, these are not sophisticated crooks. Rather, these are ordinary people who got into this profession because they wanted to help and now can\u2019t seem to face what really happened. As I detailed in\u00a0<a href=\"https:\/\/www.amazon.com\/dp\/B09KPJQZWW\" rel=\"\">Snake Oil<\/a>, it\u2019s the hallmark of a great dictator to be able to bring out the evil even in ordinary people\u2014and some men are uncannily good at what they do.<\/p>\n<div>\n<hr \/>\n<\/div>\n<p><em>Michael P Senger is an attorney and author of Snake Oil: How Xi Jinping Shut Down the World.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0The Great COVID Ventilator Death Cover-up.\u00a0 Tens of thousands of Americans died after being placed on mechanical ventilators in spring 2020. It\u2019s long past time we got real answers as to how many were killed this way. It\u2019s long been something of a mystery why there have been no major studies on how many COVID &hellip; <a href=\"https:\/\/milesfortis.com\/?p=93247\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19,50,41,92],"tags":[],"class_list":["post-93247","post","type-post","status-publish","format-standard","hentry","category-fraud","category-goobermint","category-health-medicine","category-in-case-you-missed-it-o-the-day"],"_links":{"self":[{"href":"https:\/\/milesfortis.com\/index.php?rest_route=\/wp\/v2\/posts\/93247","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/milesfortis.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/milesfortis.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/milesfortis.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/milesfortis.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=93247"}],"version-history":[{"count":1,"href":"https:\/\/milesfortis.com\/index.php?rest_route=\/wp\/v2\/posts\/93247\/revisions"}],"predecessor-version":[{"id":93248,"href":"https:\/\/milesfortis.com\/index.php?rest_route=\/wp\/v2\/posts\/93247\/revisions\/93248"}],"wp:attachment":[{"href":"https:\/\/milesfortis.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=93247"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/milesfortis.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=93247"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/milesfortis.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=93247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}