Directly caused is a very tricky question to answer on both the positive and negative sides. For example is someone who has terminal cancer who dies of COVID co

Directly caused is a very tricky question to answer on both the positive and negative sides. For example is someone who has terminal cancer who dies of COVID counted? Even though they are on a cocktail of drugs to treat the cancer they may well have lived for months or years later. Similarly, someone with well managed diabetes, do we write them off as having a comortality even though they may have lived for decades longer by all available indications.