"Fauci argues that it's difficult to distinguish between deaths that are caused "because of" COVID and those "with" COVID. The disease has been found to put stress on many systems of the body. "What's the difference with someone who has mild congestive heart failure, goes into the hospital and gets COVID, and then dies from profound congestive heart failure?" he asks. "Is that with COVID or because of COVID? COVID certainly contributed to it.""
January 1, 1970
https://en.wikiquote.org/wiki/COVID-19_pandemic_deaths