Right - so ~25% of excess deaths in April in the United States were not directly caused by COVID-19, but were almost certainly indirectly caused by the virus, either via the 'medical care chilling effect' mentioned above, or through misattribution, or through other mechanisms like the increase in suicide.

This excess death mechanism has the potential to be very severe in very poor countries, where famine is likely to follow this plague. It's really quite sad.