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A couple of possible explanations:

- the countries with better preparation are rich countries with a lot of aged population, the population most vulnerable to the illness

- the countries with better preparation had better means of policy implementation, and they did implement solutions that were counter-productive

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Yes, I agree with you and other here about the importance of different demographics. However, when I look at only the top-ranked countries in the index (with less variation in age profiles) there remains no relationship, see: https://twitter.com/RogerPielkeJr/status/1569631903573250048?s=20&t=kzo3UMFL9WQwU07am1KsnQ

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