Indadumps said "For him to say that it is just a distraction is wrong. A woman who is in hospital to give birth but tests positive with covid is not a covid hospitalization. she is not taking up an extra bed due to covid, or even being treated for it. A man who has gall bladder surgery but tests positive for covid while in recovery is not a covid hospitalization. "
I don't think anyone is arguing that your examples doesn't happen. What the argument is, is that they shouldn't be lumped into the more complex "with Covid" cases, which accounts for the overwhelming majority of "with Covid".
From
https://www.theatlantic.com/health/archive/2022/01/for-covid-with-covid-hospitals-are-mess-either-way/621229/
"But the “with COVID” hospitalization numbers are more complicated than they first seem. Many people on that side of the ledger are still in the hospital because of the coronavirus, which has both caused and exacerbated chronic conditions.[...]Whether patients are admitted with or for COVID, they’re still being admitted in record volumes that hospitals are struggling to care for.
[...]
Some COVID-positive patients are unquestionably hospitalized for COVID: They are mostly unvaccinated, have classic respiratory problems, and require supplemental oxygen. Omicron might be less severe than Delta, but that doesn’t make it mild.
[...]
At the other extreme, there are patients whose COVID infection is truly incidental. They might have gone to an emergency room with a broken limb or a ruptured appendix, only to realize when they got tested that they also have asymptomatic COVID. Many health-care workers told me that they’ve treated such patients—but rarely. “It happens, but it’s not a big proportion,” Craig Spencer, an emergency physician at Columbia University Medical Center, told me.
[...]
The problem with splitting people into these two rough categories is that a lot of patients, including those with chronic illnesses, don’t fit neatly into either. COVID isn’t just a respiratory disease: it also affects other organ systems. It can make a weak heart beat erratically, turn a manageable case of diabetes into a severe one, or weaken a frail person to the point where they fall and break something. “If you’re on the margin of coming into the hospital, COVID tips you over,” Vineet Arora, a hospitalist at the University of Chicago Medicine, told me. In such cases, COVID might not be listed as a reason for admission, but the patient wouldn’t have been admitted were it not for COVID.
[b]These patients whose problems were exacerbated by COVID are often misleadingly bundled together with the smaller group whose medical problems are truly unrelated to COVID. In fairness, there’s no easy way to tell, for example, whether a COVID-positive person’s heart attack was triggered by their infection or whether it would have happened anyway. But health problems don’t line up to afflict patients one at a time. They intersect, overlap, and feed off one another. The entire for-COVID-or-with-COVID debate hinges on a false binary. [/b]