re: Out of 75 million kids, only 499 have died from Covid so far

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Can someone explain the difference between dying from Covid & dying with Covid? It seems to be a popular distinction on this thread, but I don't get it.

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A couple of key points.

1) If someone has Covid and diabetes, they are much more likely to have severe negative outcomes. So while around 1/3 of Americans have pre-existing conditions, 90% of Covid deaths are in the group of people who have pre-existing conditions. If you drill down to several key pre-existing conditions (hypertension, obesity, diabetes), a huge portion of Covid deaths occur in those subsets. These are still, I believe, correctly classified as Covid deaths.

2) The more indefensible practice is death certificate harvesting. This is when health agencies (at various levels, Federal, state, county) find a death and then reclassify that death as a Covid death based upon a Covid diagnosis within X days of their death or based upon a suspected case of Covid. These “harvestings” happen 3, 6 or even more months after the death.

That’s also why it’s hard to make sense of some of the daily death numbers as they include deaths that actually occurred weeks and months ago.