"up to the really sick point you don't know if you are going to get sick"
you might not know yourself but the doctors will know based on clinical risk factors and biomarkers. E.g. elevated crp and il-6 is correlated with severity and fatality.
some researchers are even designing tests using multiple markers and machine learning to accurately predict severity.
https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(20)30275-7/fulltext
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