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Title : "And yesterday, he had the gall to suggest that American doctors, people who are putting their lives on the line, on the front lines to save other lives..."
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"And yesterday, he had the gall to suggest that American doctors, people who are putting their lives on the line, on the front lines to save other lives..."

"... along with nurses and so many others, he suggested falsely that they’re inflating the number of COVID deaths to make more money. What in the hell is wrong with this man? Excuse my language, but think about it. It’s perverted. He may believe it because he doesn’t do anything other than for money."

Said Joe Biden, at his rally in Flint, Michigan yesterday. Transcript.

What exactly was Trump's claim and is there any basis for it? Here's FactCheck.org (with a long quote from Trump):

The supposed “incentive” referenced by Trump is likely a reference to the financial assistance for hospitals treating COVID-19 patients that was created by bipartisan legislation — and that Trump himself signed into law in March. As we’ve explained, the Coronavirus Aid, Relief, and Economic Security Act, or CARES Act, created a 20% add-on to be paid to hospitals treating Medicare patients with COVID-19; Medicare is the federal health insurance program for those 65 years and older.... 

We asked the Centers for Medicare & Medicaid Services whether it could point to any specific cases of fraudulent reporting or billing for COVID-19 cases and it didn’t answer our question. Instead, the agency noted the requirement of a positive COVID-19 test for the enhanced Medicare reimbursement — a requirement implemented in September — and said that if, upon review, the medical record lacks a positive test, that increased payment will be considered an overpayment and recouped by CMS.... 

Medicare payments are based on the diagnosis and diagnosis-related groups — not on outcomes or a death certificate. That said, it’s worth understanding how COVID-19 deaths are classified. Death certificates, as we’ve written, can list multiple causes or conditions that contributed to a person’s death. So the disease often shows up alongside other comorbidities. 

Those ailments could be caused by COVID-19, such as acute respiratory distress syndrome, or they can be long-term conditions, such as diabetes. It is well-known that seniors and people with underlying medical conditions are at increased risk of severe illness from COVID-19. 

But in 92% of death certificates in the U.S. citing COVID-19, the disease is listed as the underlying cause of death — meaning the condition that started the chain of events that led to a person’s death — according to the CDC. The CDC says that its “mortality statistics are compiled in accordance with World Health Organization (WHO) regulations specifying that WHO member nations classify and code causes of death with the current revision of the International Statistical Classification of Diseases and Related Health Problems (ICD). 

ICD provides the basic guidance used in virtually all countries to code and classify causes of death” — including “the rules used to select the single underlying cause of death for tabulation from the several diagnoses that may be reported on a single death certificate.” 

Bob Anderson, chief of mortality statistics at the CDC’s National Center for Health Statistics, told our colleagues at PolitiFact: “If a terminal patient still had, say 6 months to live, but was infected by the virus and died, the certifier might determine that COVID-19 was the underlying cause of death because of the timing. In the same way, if that same terminal cancer patient was in a car accident and died from that trauma, the car accident would be the underlying cause.... If, on the other hand, death from terminal cancer was imminent or COVID-19 symptoms were mild, COVID-19 might be viewed only as a contributing factor — not the underlying cause — or, if the patient was asymptomatic, it might not be viewed as a factor at all — and therefore, not reported on the death certificate.”

ADDED: The best defense of Trump here is that he wasn't accusing the medical personnel of fraud. He was trying to explain why the death statistics for the United States look bad in comparison to other countries. The key question is whether other countries are counting COVID deaths different from us.

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