Some on here and around this country are not fully grasping the nuances on recording a death exclusively COVID-19 when there are underlying serious pre-existing medical conditions. Like I said, even Birx doesn't believe the CDC's numbers.
Example: I may have a serious underlying medical condition of hemophilia where my blood does not clot well if at all. I get injured in a normally survivable car accident and am not attended to quickly enough, so I bleed out and die. What caused my death, the hemophilia or the car accident or both? Traditional recording of the cause of death would always note hemophilia as the primary cause with a notation that I was in a car accident. If I did not have the hemophilia, I would live because it was a survivable car accident.
The same applies for recording COVID-19 deaths. If there are no underlying pre-existing conditions and the person tests positive for the disease and dies, it is a COVID COD. If a person has any number of other underlying conditions that could cause death and the person contracts COVID-19 and eventually dies; it is disingenuous to state a COD of only COVID-19. The primary reason is that another catalyst could have also contributed to the COD of a person with pre-existing conditions such as flu, asthma, allergic reaction, etc.; yet they do not record one of those as a contributing cause, only when it is COVID-19. This is what is happening in many blue states.
Depending on the seriousness and complexity of the underlying conditions, the COD should be either the pre-existing, or, a combination that includes the COVID; as it is in all other situations. Add in that in NY there were hundreds, perhaps thousands of deaths during the worst period where they did not even test for COVID-19. It was assumed, noted as the COD, body bagged and buried. Pre-existing conditions were not even considered. How many of those patients had the flu, an allergic reaction, asthma with pre-existing conditions? No way to know. Strange how the trend line charts show flu just mysteriously disappearing as COVID-19 was starting to blow the roof off.
Accuracy in diagnosis and recording is important if a country is serious about protecting the lives of its citizens. To not have a universal standard for doing so that has a strong penalty for violations is ludicrous. The impact of bad numbers has multiple, far reaching, serious consequences.
EDIT: I know about NY because we have family on Long Island. A nephew and his wife. His wife is an attorney and judge who is pregnant and self quarantined due to the pregnancy.