I have only been seeing 2 or so cases a shift the last few weeks. I haven't had any people I treated who have died in the last couple months either, which is a relief after having maybe 45-50 deaths over the course of the pandemic.
I think it is a mostly due to the 55+ crowd getting vaccinated. The vaccine appears to be amazingly effective. The world is very very lucky it is so effective. My only fear at this point is a variant emerges which the vaccine isn't protective for, and then we will have a huge surge again. If that doesn't happen, I think this pandemic will essentially be over by august and I don't see a lot of ongoing deaths in the US at that point.
I think it was a huge error for Texas and other states to drop the mask mandate. I am all for reopening almost everything, with some common sense measures (nightclubs and concerts are a problem, for example) but masks are extremely effective and should have been continued until everybody who wants one has access to a vaccine. My wife and I worked with literally several thousand covid patients, I did tons of procedures and intubations, and neither of us got covid which I directly attribute to masks and PPE use. I think that the anti-mask crowd are the very worst america has to offer the world and they disgust me. I had several colleagues die, and many others hospitalized. Health care workers were literally risking their lives, and meanwhile there were "No Mask Nevada" rallies every weekend in Las Vegas. Imagine how that makes us feel?
On a related note, I am completely ashamed to be an American at this point. The Trump administration could not have handled this worse. All he cared about was not slowing the economy down and that is why the pandemic was downplayed over and over and over by the administration. As far as Fauci - there has never been a significant respiratory virus that is this spreadable by asymptomatic people. The initial downplaying of masks was because it was felt that asymptomatic people wearing masks wouldn't be helpful, and it would take away mask supply for healthcare workers. That was a huge error, in retrospect of course, but other than that Fauci has been spot on throughout the pandemic and he is a legend in infectious disease whose work during his career has advanced medicine significantly. That there are people in this country sending him death threats and protesting against him to me is insane.