hokeyfine said:
didn't say anything about being right or wrong, or being left-leaning would be more believable.
The question I raised was, of course, “How credible is this Dr. Annie Bukacek, M.D., out of Kalispell?”
And, actually, I
inferred that she had a right-ish slant from the sites that had, or had not, posted the video. Examples of those posting were reddit.com and billingsgazette.com. The more mainstream sources seem to have ignored it … no attempts (that I can find) even to refute it.
In any case, the fact that she might have a right or left leaning bias is irrelevant, and doesn’t answer the question. FWIW: I started to watch the video, which began with a long introduction of her. Her credentials seem quite reasonable. However, she is not a very good public speaker – as a speaker. She spent a lot of time looking down at her manuscript and it was hard to hear and follow her (not close enough to the mike, for one). I finally found a transcript of what she said. It’s most likely only a partial record, so perhaps she has some disclaimers that are not shown.
Dr. Bukacek said:
Few people know how much individual power and leeway is given to the physician, coroner, or medical examiner, signing the death certificate. How do I know this? I've been filling out death certificates for over 30 years.
More often than we want to admit, we don’t know with certainty the cause of death when we fill out death certificates. That is just life. We are doctors, not God. Autopsies are rarely performed and even when an autopsy is done the actual cause of death is not always clear. Physicians make their best guesstimate and fill out the form. Then that listed cause of death … is entered into a vital records data bank to use for statistical analysis, which then gives out inaccurate numbers, as you can imagine. Those inaccurate numbers then become accepted as factual information even though much of it is false.
…
So even before we heard of COVID-19, death certificates were based on assumptions and educated guesses that go unquestioned. When it comes to COVID-19 there is the additional data skewer, that is – get this – there is no universal definition of COVID-19 death. The Centers for Disease Control, updated from yesterday, April 4th, still states that mortality, quote unquote, data includes both confirmed and presumptive positive cases of COVID-19. That’s from their website.
Translation? The CDC counts both true COVID-19 cases and speculative guesses of COVID-19 the same. They call it death by COVID-19. They automatically overestimate the real death numbers, by their own admission. Prior to COVID-19, people were more likely to get an accurate cause of death written on their death certificate if they died in the hospital. Why more accurate when a patient dies in the hospital? Because hospital staff has physical examination findings labs, radiologic studies, et cetera, to make a good educated guess. It is estimated that 60 percent of people die in the hospital. But even [with] those in-hospital deaths, the cause of death is not always clear, especially in someone with multiple health conditions, each of which could cause the death.
…
The assumption of COVID-19 death can be made even without testing. Based on assumption alone the death can be reported to the public as another COVID-19 casualty.
First: I cannot tell how accurate this transcription is, since I didn’t listen to the whole talk. But I would quibble with only one point … if it is reported here accurately. She (supposedly) says, “accepted as factual information even though much of it is false.” Not sure I would agree with such a black-and-white assertion. A great deal of it may be “uncertain,” but we, and she, cannot possibly know how much of it is “false.”
Earlier on this thread, I posted the link to CDC guidelines for encoding deaths attributed to COVID-19. That’s now several pages back, so here it is again:
https://www.cdc.gov/nchs/data/nvss/...-ICD-code-introduced-for-COVID-19-deaths.pdf
And here are two crucial quotes:
CDC said:
What happens if the terms reported on the death certificate indicate uncertainty?
If the death certificate reports terms such as “probable COVID-19” or “likely COVID-19,” these terms would be assigned the new ICD code.
...
Should “COVID-19” be reported on the death certificate only with a confirmed test?
COVID-19 should be reported on the death certificate for all decedents where the disease caused or is assumed to have caused or contributed to death. Certifiers should include as much detail as possible based on their knowledge of the case, medical records, laboratory testing, etc. If the decedent had other chronic conditions such as COPD or asthma that may have also contributed, these conditions can be reported in Part II.
Some of the terminology she used in her talk perhaps betrays her bias. But her basic premise is, in fact, valid. In fact, I hadn’t really absorbed the full implications of that last paragraph from the CDC. It means that any signs of COVID-19 essentially take precedence over other possible cause(s) of death. “Contributory” causes – which could well be the primary cause(s) – are relegated to “Part II.”