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Ubi wrote-
“Group C – Get very sick go to hospital and do better
Group D – Get very sick go to the hospital and sadly die.
For illustrative purpses lets say 50% of the population is in group A, 30% in group B 10% in Group C and 10% in group D. (I’m making these number up this isnt based on real data)[ this is what I refer to as the “imaginary study”]
Obviously The ultimate goal is to get as many people out of Group D as possible.
Dr. Zelnko’s study sadly did not show any statistically significant reduction in those in group D.
It DID however show a reduction in Group C these people did not get hospitalized, again these are people who without HCQ would have lived anyway.

From your last line-
Q How do you know they “would have lived anyway” ?
We cannot know.