Vaccination rates in liberal states for the elderly are pretty good. But not 99%.
https://www.doh.wa.gov/Emergencies/COVID19/DataDashboard
edit: According to the dashboard, 59.5% of people in the hospital with covid like illness are 60+. That's vaccinated and and unvaccinated combined. We can definitively say that the hospital case load is not overwhelmingly dominated by the elderly unvaccinated.
It shows that 79% of hospitalizations in the state are unvaccinated people and that of those, 3,000 are under 34, 11,000 are between 34-65, 7,000 are over 65.
So it is indeed largely elderly unvaccinated in the hospital.
If I look at those numbers, the elderly are not "dominating" the hospitals. In fact, that would show that if you looked in a hospital at any given time, there would be more middle-aged than elderly. I get that "per-capita" the rate is higher, but that does not matter to the hospital census.
What am I missing?
Are you sure this is true? The data you linked to shows that hospitalization rate for 65+ unvaccinated is 7x 65+ vaccinated. But WA has a great vaccination rate, over 99% for 65+ with one or more shot. So even with 7x the rate, unvaccinated elderly probably aren't massively dominating hospitalizations because it is such a small pool of ppl.
vax rate: https://usafacts.org/visualizations/covid-vaccine-tracker-st...