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To be fair, on all likelihood a 20-year-old with hypertension and diabetes is still some 50 times less likely to die than a healthy 70-year-old. And since 50 - 90% of people in ICU die regardless even someplace like Manhattan, I don't think health care quality will be as much of a factor as some believed. Remember, there is no medicine or treatment confirmed to help you with this. In fact, to try to treat it might kill you.

As for Brazil, since I've seen some people interested, research on hospital reports of acute respiratory syndrome and consolidated data from register offices on excess mortality suggest the true death toll is 50 - 100% higher than reported. Not great, not terrible (Peru and Ecuador are 300 - 400% higher than reported, in comparison).

It's true that the federal government tried to fuck things up even more, but states weren't having any of it and developed their own combined reporting tool, as did the media. And a ruling from the Supreme Court forced them to resume reporting as before, which they more or less seem to be complying (perhaps because to lie too much is futile now, given the other reporting tools).