I think we should be digging on the government agency that determines reimbursement to medical providers, CMS. This may be how the "healthcare" we receive is controlled/directed at least in some aspects.

Why do some countries in Europe not show spikes in excess deaths this year? Furthermore why do some of those countries lack periodic death "spikes" in general?!

No one wants to get a bad flu, especially not one that seems to have been "made in China" as a bioweapon. However, for me the bottom line is the change in overall mortality due to this apparent "highly contagious" illness. There has been a lot of attention paid to Sweden, but why no attention paid to Finland, Luxembourg or Hungary, for example? Those countries might have poor data collection, but if not it seems that they have been "skipping out of" cyclic "death spikes" for at least a few years now.

I have been using euromomo.eu as my source for the graphs.