I also know of a few cases where people were taken to the hospital with a heart attack, asthma attack, or kidney failure and they ended up dying because there were not given the proper care at all due to the hospitals being extremely overwhelmed. In different times, they most likely would not have died.
They did not come in with COVID-19 but that was the cause of death put on their death certificate - in those few weeks at the peak practically every cause of death was recorded as COVID-19 regardless of the real cause. Yes, they were collateral damage of the virus, but that is not what their actual cause of death was.
Bottom line is that there is political motivation both ways to play around with the numbers.