When the pandemic arrived in Michigan last March, paramedics and other emergency medical technicians braced themselves for an onslaught of calls to bring individuals battling COVID-19 to the hospital. And while there was certainly a flood of COVID-19 patients to some hospitals, mostly in metro Detroit, calls to 911 dropped dramatically across Michigan as out-of-hospital deaths soared. Michiganders, including those facing serious illnesses, were avoiding the medical system.