
Things you’re not allowed to mention…



Protesters have swarmed downtown Boston and the state Capitol in the seven weeks since Republican Gov. Charlie Baker issued the first-of-its-kind requirement for students from preschool through college.As the Massachusetts mandate plays out, other states have weighed similar requirements while colleges throughout the country pile on their own orders to prevent flu patients from clogging doctors offices and emergency rooms alongside people infected with coronavirus this winter.
State laws across the country already require various vaccines for students and health care workers, while allowing a host of exemptions. Governments still have broad authority to implement new flu shot orders, potentially paving the way for mandatory inoculation against the coronavirus in a country where vaccine skepticismis spreading and President Donald Trump has resisted many public health protocols during the pandemic.
“This is a brave new experiment by the state of Massachusetts,” said Lawrence Gostin, who heads a university-based center on health law that serves as an official collaborating institute with the World Health Organization. “If it turns out to be a wholesale success, that should influence other states to go a similar route, not just with flu but with other vaccines. But if it causes a backlash and only marginal benefit, states might be hesitant to adopt that model in the future.”


As Friday’s hospitalization numbers across the Sun Belt appear to confirm CDC head Dr. Robert Redfield’s assertion that the American COVID-19 outbreak has peaked and is starting to fade, the State of Virginia is setting a new precedent by seriously discussing forcing Virginians to be vaccinated with whatever rushed-to-marked candidate the FDA approves first.
During an interview that aired on Friday, the state’s health commissioner said he planned to invoke state law to make vaccinations mandatory – once a western product is available, presumably.

As Friday’s hospitalization numbers across the Sun Belt appear to confirm CDC head Dr. Robert Redfield’s assertion that the American COVID-19 outbreak has peaked and is starting to fade, the State of Virginia is setting a new precedent by seriously discussing forcing Virginians to be vaccinated with whatever rushed-to-marked candidate the FDA approves first.
During an interview that aired on Friday, the state’s health commissioner said he planned to invoke state law to make vaccinations mandatory – once a western product is available, presumably.
Nor is there an alternative to vaccine-induced herd immunity in a pandemic. Relying on enough people becoming infected and then immune is dangerous, as exemplified by the Swedish experience where the COVID-19 mortality rate exceeds that of its more cautious neighbors.Broad induction of immunity in the population by immunization will be necessary to end this pandemic. In simple terms, a refusal to be vaccinated threatens the lives of others.
So here’s what America must do when a vaccine is ready:
► Make vaccinations free and easily accessible.
► Exempt only those with medical contraindications to immunization. It is likely that more than one vaccine platform will prove effective (as was the case for polio vaccines) and, as a result, medical conditions that prohibit all COVID-19 vaccines will be rare.
► Do not honor religious objections. The major religions do not officially oppose vaccinations.
► Do not allow objections for personal preference, which violate the social contract.
How can government and society assure compliance with protective vaccines? Vaccine refusers could lose tax credits or be denied non-essential government benefits. Health insurers could levy higher premiums for those who by refusing immunization place themselves and others at risk, as is the case for smokers.
Unnerving toll:Sweden hoped herd immunity would curb COVID-19. Don’t do what we did. It’s not working.
Private businesses could refuse to employ or serve unvaccinated individuals, schools could refuse to allow unimmunized children to attend classes, public and commercial transit companies — airlines, trains and buses — could exclude refusers. Public and private auditoriums could require evidence of immunization for entry. The only legal limitation on government or private action is that it not be discriminatory, and it’s hard to see how discrimination would occur if vaccinations were free and accessible to all.
The discovery, testing and mass deployment of a COVID-19 vaccine are welcome developments in potentially ending the Coronavirus pandemic. A safe and widely available vaccine will also allow employees to return to the physical workplace. The benefits of an inoculated (and presumably safe and healthy) workforce are obvious. Employees immune from COVID-19 will experience fewer absences because they are healthy and so are the people that they care for (or that care for them). Offices and other facilities will avoid pandemic-related closures and disruptions associated with deep cleaning and other infection control measures. Inoculated individuals will be able to travel and participate in service, customer and other people-facing positions without fear of becoming ill or perpetuating an outbreak and making others ill. And while less obvious, incidents of mental health disorders and other very real but debilitating anxiety-related illnesses should wane in the face of actual progress in fighting the pandemic. If a fully or near fully inoculated workforce could materially reduce and even eliminate the direct threat the pandemic poses to the workplace, it seems natural to implement a mandatory vaccination program as soon as a COVID-19 vaccine is widely available – after health care workers, first responders and others at high risk are vaccinated – to ensure employee health and safety.
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