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: Experts from the CDC and various medical journals attribute the 2021 excess deaths to the spread of highly contagious variants like Delta and Omicron , which caused significant mortality even in younger groups.

: Critics argue Dowd commits the post hoc ergo propter hoc fallacy—assuming that because deaths rose after vaccine mandates, the vaccines must be the cause.

The book's claims have been widely challenged by public health experts and fact-checkers :

: Dowd's primary thesis is that the introduction of mass COVID-19 vaccination campaigns and employment mandates in 2021 is the only major variable that changed to account for this sudden spike.