The demographic cohort in which coronavirus deaths are most prevalent is the elderly. Particularly the elderly with other serious health problems, such as COPD or cardio-vascular problems, any one of which could prove fatal. So a great many coronavirus fatalities are actually cases of death by multiple causes. These are people who were hanging on by a thread, and coronavirus pushed them over.
It didn't help that Governors and other officials in a number of America's largest states issued state orders that nursing homes could not reject coronavirus patients, along with orders that acute care hospitals transfer less serious coronavirus patients to nursing homes to clear beds for an anticipated overwhelming surge in cases that never materialized. Nursing homes are precisely where the most fragile elderly are congregated. So an appalling percentage of coronavirus fatalities occurred among nursing home residents. This is something that most of the media doesn't really want to cover and it's a story waiting to be told. (I believe that close to 50% the fatalities in my California county were associated with nursing homes).
The June 27 New York Post wrote:
"In at least 24 states, the majority of deaths were nursing-home-related. New Hampshire recorded the largest percentage of nursing-home COVID-19 deaths, with 80 percent, or 293, of the state's fatalities coming from the facilities. Rhode Island and Minnesota followed, each with 77 percent, according to the database, which includes stats from the facilities, along with local, state and federal governments."
It's probably even worse than that, since reporting rules vary from state to state. Some states (including New York State) don't require nursing homes to directly report coronavirus deaths. (It's probably on the death certificate, but it isn't collated.) And many nursing home residents are moved to regular hospitals before they finally die and probably aren't recorded as nursing home deaths because they didn't actually die in a nursing home.
But today I don't think that legal requirements requiring nursing homes to take coronavirus patients are in widespread effect any longer, and belated efforts are finally being made to protect these populations from infection, so the numbers of coronavirus fatalities is way down (like 75% off its peak). That's happening as the number of cases rises, to record levels in some cases. How is that? How can cases rise as fatalities fall?
A couple of reasons. First, medical professionals have long suspected that there were lots of asymptomatic and minor cases out there, that might not present as anything worse than a cold. Now with much more widespread testing, that's being confirmed. I still remember Deborah Birx saying in one of those briefings that people shouldn't panic when numbers of cases rise with increased testing. It's something they expected.
And second, the demographic cohort that's most likely to violate social distancing these days are the young. We see it everywhere. Whenever a crowd congregates, it's typically kids. The people throwing crowded parties are kids. The crowds rioting in the streets are kids. So while cases are indeed rising, the rise is most pronounced in a younger age cohort where fatalities are less likely than the populations that produced most of the earlier fatalities.