[fer]

Spain is a funny one.

The Community of Madrid is the succession tax haven of the country, so loads of people go live there their last years so their families aren't taxed on the inherited wealth.

Combine with the regional government short of condemning to death the elderly in nursing homes by refusing to hospitalize them[0], but I guess it's fine since they forgave themselves [1].

Add to the mix that the healthcare access hasn't kept up to handle what Madrid brought to itself, and then you obtain these numbers [2].

TL;DR: during the first wave, while most regions had peak excess deaths of 10-50%, Madrid had 200%, at the same time as being one of the most populous. In the rest of the periods, Madrid has been usually at the lead as well.

With Madrid removed the numbers are in line with Germany and Sweden.

[0] https://elpais.com/espana/madrid/2020-06-08/la-comunidad-de-...

[1] https://www.lahoradigital.com/noticia/32918/madrid/la-invest...

[2] https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPu...