I think both likely contribute. America has an overwhelming number of obese and diabetic people, two things that have been shown to be big issues with a rough covid infection. The data is, and has been trash though. South Korea, for example, was on top of things and got testing rolled out quick. Meanwhile it was still very difficult to get a covid test in the US. I had a friend who had a really rough go with covid early on and wasn’t able to get tested for a long time after some really bad symptoms and even then it came back negative. Doctors said that there are a lot of false negative tests and that it was 100% covid by the symptoms.
I think testing is more accurate now but it’s still an issue actually getting a test. This is one of the main reasons why I think countries like Japan and SK had things under control much better. People were able to get tested and they self isolated better if they popped. What boggles my mind is how this hasn’t just devastated countries like India where sanitation is not exactly a priority. Maybe that lack of sanitation boosted their immune systems or something. Unfortunately for us, I think it’s past the point where just fixing testing is going to be the thing that helps the most. If we had been on top of that early on, before it spread, I think it would be a totally different situation right now.
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