I sincerely believe that we will see a much greater than 20% survival rate. Yes, we will see diabetics, those with wonky heart rhytms currently controlled by medications, HIV + individuals, those with really borderline blood pressures, those a few pills away from a stroke and those who are truly immune-compromised pass away fairly quickly, but to plan on a mass die-off after a harsh (but not catastrophic, just because you can't plan on it) winter is unrealistic.
Contrary to popular believe, for instance, is that people on home oxygen will quickly die off. In reality most cases use oxygen for comfort rather than true necessity. To qualify under Medicare guidelines, for instance, you need to have an oxygen saturation of 88% or lower on room air with minor exertion. Many people manage quite well at that. But supplemental oxygen makes them feel better though it does not prolong life. Perhaps 20% will die off shortly after their continuous supply is cut off, but the other 80% will carry on though their ability to perform anything the least strenuous will be impaired.
Famine, lack of utilities, deaths due to crime and other traumas make take their tolls, but the final result will be far, far less than 80% mortality even after a couple of years.
RR