In a world where vaccines are widely available, there is little value in forcing the vaccinated to collectively protect people from their decisions to remain unvaccinated. If anything, it just sows more social discord and ill will in the population that is doing the most good from a public health perspective. If some parent doesn't want their kids to get chicken pox vaccination and their kid gets chicken pox and dies, so be it. They made their choice, I made mine to vaccinate my kids against varicella.
1. Some people aren't vaccinated because they're too young, they have some medical condition, or they had the misfortune to be born to anti-vaxxer parents.
There are also other downsides, like people in need of non-urgent treatment getting turned away from packed hospitals, and medical staff who are pushed to the point of exhaustion.
2. This stance isn't compatible with the current position/branding of either the Democrats or the Republicans.
A lot of Democrats are squeamish about people's deaths, even when it's a result of the person's own informed choices.
If I killed myself juggling chainsaws, many people would say "ha, what a dumbass" - but if somehow Biden came to comment on it, he wouldn't say that - he'd say every death is tragic and his thoughts are with my family.
That, alongside the fact they've spent a lot of time telling their supporters how very important it is to wear masks, means it's unlikely you'll find any Democrats politicians agreeing with you publicly.
And as for Republicans politicians? Well first of all it's their supporters who are dying, they're not going to come out in support of that; and second of all, by maintaining the stance that these deaths are avoidable and a result of the crisis being mishandled, they can use that against Biden at the midterms.
Kids being unvaccinated strikes me as a weak argument because they are the least vulnerable demographic on average. Rare medical conditions is also a weak argument because those types of people are exceedingly rare.
> This stance isn't compatible with the current position/branding of either the Democrats or the Republicans.
Ouch, this really strikes at one of the core issues. In a very real sense, covid could be re-framed as a proxy war for political control, a crisis that has (and continues to be) artificially hyped and prolonged for political advantage.
I have heard that, yes.
But I've also heard [1] saying when a Houston 11-month-old presented with Covid, five "major pediatric hospital groups" said they had no beds available, and she ended up at a hospital 150 miles away.
I can understand why a politician might not give two thumbs up to such a state of affairs.
[1] https://abc7chicago.com/baby-with-covid-treated-at-hospital-...
Not everyone benefits equally from vaccination. The elderly, sick, or immunocompromised especially.
Not everyone who's unvaccinated is making the decision themselves. Infants, children, the disabled, and elderly may not be competent (or allowed) to make the decision, and if denied vaccination by an antivaxxer, are put at risk without informed consent.
Vaccines aren't an absolute protection. They seem to reduce rates of infection about 8-fold, and hospitalisation and death by about 25-fold. But illness, hospitalisation, long-term health impacts, and death, can still result.
The longer the disease is around and spreading actively, and the more different individuals it spreads amongst, the more it mutates. Delta is already more effective at breaking through vaccinations than the original Covid virus, and the likelihood of more infectious or more severe mutations persists.
Much of the world cannot yet get vaccinated, and is at greater risk of transmission by Covid spreading elsewhere.
Covid patients use resources and staffing of healthcare workers, first responders, and caregivers which are already overtaxed and which will result in undertreatment of other medical conditions.
The most powerful argument though was made to me elsewhere:
But of course these people weren’t fully informed; they were misinformed. They chose to believe people who lie to them. They trust people who betray them and are willing to sacrifice your lives to score some political points. They are the victims of a massive misinformation campaign that didn’t just start with the pandemic, but started way back in the 1980s. All of America is the victim of that, and much of the rest of the world too, but these people in particular. They are the dupes mobilised and sacrificed as part of the murderous political game that the Republicans and conservative media have been playing for decades now.
<https://joindiaspora.com/posts/aa6b8d80d96e0139c1dd002590d8e...>
On top of that though, this doesn't seem like a long term concern. Eventually enough people will have natural immunity or vaccinated immunity that it's not really possible to overwhelm hospitals like it was when the virus was totally novel.
It would be nice if Covid was a slow-moving target like smallpox. It isn't.
Would you believe there’s literally an entire field of study about this called “Public Health”? You can do a Masters in it and everything
Would you believe that that's _exactly_ the kind of things that Public Health professionals and academics _do_ debate and try and explain?
Three reasons unvaccinated-by-choice individuals continue to pose a public health burden:
1. Vaccines not yet available for children under 12
2. Economic costs of covid treatment for unvaccinated (including long covid) passed on to taxpayers / insurance groups
3. Increased risks of even more deadly / infectious / vaccine-resistant virus mutations emerging from ongoing spread
2. Same could be said about Cancer, the Flu, or obesity
3. Same could be said specifically about over-vaccinating. High levels of vaccinations have been known to cause super-bugs.
Eventually, a mutation may allow partial or large bypass against current vaccines -- then it is everyone's problem.
In the short term, increasing ICU loads result in less ICU space for others (e.g., those in a car accident). They also drive up group insurance costs, which we'll end up seeing in our premiums in coming years.
Because they won't reap it alone, everyone else will.
COVID is not 'bad' because of the case fatality rate - it's dangerous, but if just a few people had it, it wouldn't be huge cause for alarm.
What makes COVID evil is it's virality.
The contagion means a lot of people get it, a lot of people suffer, and systematically it causes all sorts of lingering problems.
For example - as long as it lingers, pretty much all of Healthcare System is seriously hampered and compromised.
Every person who gets sick or who undergoes some kind of serious thing (i.e. surgery after accident) is going to be 'much more vulnerable to COVID' etc..
COVID is not an individual problem, it's a systematic problem.
That clashes with notions of choice, freedom, and individuality etc. - which makes it a particularly pernicious issue from a Public Safety perspective.
Edit: It's usually evident to me why my comments are downvoted, I should say in this case, especially without any reasonable retort ... I'm at a loss, but I'll triple down on my comment: until smart people get it in their heads that the issue is systematic and mostly not individual - then we're not going to be make progress. It's not a question of 'I Am Vaccinated' - it's a question of getting to 'Effective Herd Immunity' and suppressing the net virality / R0 of the virus. It's an issue that exposes the material fact that we live in communities whether we like it or not, and that this may challenge some of our assumptions about 'liberty' - then take it as an opportunity for a little bit of personal development, but in the meantime, reality is not waiting up, so we have to get with the program together, or face the consequences, together.
Given that reality, the only responsible choice is for everyone to suck it up and wear a mask.
Now had the unvaccinated in the US bothered to get vaccinated, the Delta variant might never have taken hold.
That's conjecture. A conclusion from this study[1] is that vaccines correlate with dominance of fitter variants, including Delta. That suggests that it's possible that vaccines allow them to propagate.
"the decline in lineage diversity was indeed correlated with increased rates of mass vaccination. Furthermore, the decline in lineage diversity was coupled with increased dominance of the B.1.1.7 (alpha), B.1.1.617 (delta) and P.1 (gamma) variants of concern, suggesting that these variants may be “fitter” SARS-CoV-2 lineages.”
[1] https://www.medrxiv.org/content/10.1101/2021.07.01.21259833v...
Oi vei.
You will pay the price along with them.
So long as the pandemic persists, any number of our systems are compromised, especially our healthcare system.
You still have a decent chance of getting COVID even with the vaccine, though it'll likely be mild, you can still be hospitalized and face consequences.
The vaccine is not a 'seat belt' i.e. just an individual action resulting in some individual consequence, it affects everyone.
The guidelines for the unvaccinated (that is, keep masking) haven’t changed, while the immunized are once again being called upon to act. “Asking people to mask up again is triggering a lot of emotional stuff,” Lindsey Leininger, a public-health-policy expert at Dartmouth, told me. “You can’t tell people that those feelings are invalid.”
The reactions to those feelings ARE harmful to children, disabled people, and (yes) the unvaccinated. Even if you don't care about the last group, the first two groups don't deserve to get long COVID, or die, because you had a hard feel about having to wear something over your mouth.
The pandemic is over for people that got vaccinated. For those that can't, they should evaluate their risks and act accordingly.
It's well known most people judge risk emotionally rather that rationally. We still need to get out of bed in the morning however.
Had we not ended up in a situation where we're nowhere close to herd immunity because of the anti-vax sentiment through so much of the US population, the Delta variant might never have taken hold like it has. So I stand by my original statement.
Also, from the very beginning it has been stated that, like almost all respiratory illnesses, covid will become more contagious and less severe over time. Now that it has happened, everyone is pointing fingers.
can you provide a reference for this?
For example long term respiratory system damage. People with long COVID have had diabetes diagnoses at a high rate. This hasn’t had the side effects of a typical respiratory virus.
Or elderly people under guardianship of antivax - like my grandma being cared for by my aunt (though I doubt my grandma would have received the vaccine even if she was fully capable of making decisions, from past comments).
There’s also the fact that every cell producing the virus has the chance of making a mutation that will ravage the global poor who cannot receive vaccines because production is limited and the rich are hoarding them.
I am sympathetic to your viewpoint though. If I had a magic wand and could ensure the immunocompromised and others wouldn’t be harmed I’m OK with letting the willingly non vaccinated reap their own consequences.
Every single American adult has had the opportunity to get the vaccine. Any who don't have made a personal decision and there should be no reason to continue mandated masks or lockdowns for any group (vaccinated or unvaccinated).
Children are not contracting the virus in meaningful numbers, and in even fewer numbers are having serious side effects.
The biggest pushers of mask mandates for the vaccinated are other vaccinated individuals. No unvaccinated individual I have encountered has pushed for everyone else to mask up at their behest.
19% of new US COVID cases the week of July 29 were in children [0]. Deaths and hospitalizations in children are extremely rare but medium-term side effects, including cognitive effects, appear to be relatively common [1]. It's unclear how long those effects will last and whether they'll be permanent, but the societal impact of a double-digit percentage of children experiencing noticeable long-term cognitive declines would be absolutely devastating.
[0] https://services.aap.org/en/pages/2019-novel-coronavirus-cov...
[1] https://www.hackensackmeridianhealth.org/HealthU/2021/05/19/...
The delta variant has changed that and Louisiana had 3,000 child cases in just 4 days. The child death rate from COVID is higher than the child death rate from the flu AND many many more kids will be exposed to COVID than will be exposed to influenza.
some people cannot get vaccinated
[1] https://www.cnn.com/2021/08/01/health/us-coronavirus-sunday/...
Obviously triage is more complicated than that, and acuity is always going to be the dominant factor. But if you have limited resources and have to make hard choices about who gets treatment, I don't see why vaccination status shouldn't be considered.
Triage has lots of ethical questions, this doesn’t seem to be among the most controversial to me. There are patients haranguing doctors for daring to tell them they are dying of COVID. We are exhausting our medical system to care for the uncaring.