Tag Archives: anti-vaxxer

A Picture is Worth ….

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Are you offended by the Featured Meme above? If yes, you’re probably a Republican. Kind of a litmus test, you might say. It’s art, but it’s art with a message.

Of course, there are reasons to be offended by it. It involves a child. It’s about violence done to children. It also relates, in a manner of speaking, to religion. Yet, it’s not about religion exactly. It simply says that people who are prepared to sacrifice children to school shootings to continue having unlimited access to guns for anyone and everyone while also claiming to be a Christian following the teachings of Jesus is a **** ing hypocrite. Politest way to put it. I’m having a hard time being polite these days, what with anti-vaxxers prolonging the pandemic and Trumpers still believing in phantasmagorical conspiracy  theories. The suffering conitnues, and for the anti-vaxxers, anti-mandaters and other aggrieved haters, I have no more f***s to give.

Meanwhile, here is the latest collection of memes/photos/call-them-what-you-will. These items say much about our society and the issues we face now. I provide them for those of you wise enough to stay off Twitter and Facebook from which they have been purloined. But some are very clever and, I think, worthy of wider distribution, a picture being worth a thousand words and all.

WARNING: This is political art. Some of it is harsh. It’s art meant to convey a point of view, not merely an interesting array of shapes, colors and so on.  As such, it has jagged edges and sharp points. Our democracy and thus our country, in my opinion, are under extreme threat.  If you’re concerned about the jagged edges and sharp points, please stop now and await my next kinder, gentler post. 

 

Wondering in the Third Winter of Our Discontent

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We are in the third winter of COVID-19. No let-up in sight, although there are some predictions that the peak of Omicron is imminent. Those predictions say that, after the peak, a precipitous drop will occur. We may then, yet again, be out of the woods, they predict/suggest/speculate/hope.

I don’t know. No one does. But we do know some things, and the things we know raise some questions. Knowing things always leads to more questions because we never know everything. As soon as we know some things, we want to know the others. What comes next, for example. Despite not knowing everything, we have progressed as a species from the muck of the Stone Age to now. As a species, we’ve done many foolish things. But here we are, stumbling along.

Thus, I have some questions. I understand the anti-vaxxers are coming to Washington, my home, to “protest” against vaccination against COVID.

I gather they don’t want to be “forced” to vaccinate and don’t think it’s right that they be penalized in any way for their “choice.” Among other things, they claim this is a matter of fundamental personal freedom – the right to do with their bodies what they, and they alone, decide. They appear to believe there are bad things in the vaccines that will, variously, distort their thinking (really), prevent pregnancy, give them heart attacks, and do other unknown but harmful things to their bodies and minds.

Thus, I have some questions. Here in the third winter of our discontent.

  • Do you anti-vaxxers smoke, drink alcoholic beverages, eat processed meat? If you do one more more of those, do you know, really know, what’s in them?
  • When a doctor says, “go home and take two of at night before bed, do anti-vaxxers say, “no thanks, doc. I don’t know what that could do to me, so I’ll take my chances on a heart attack.”
  • Do anti-vaxxers who do take medicines, either prescription or over-the-counter, ever read the labels/prescribing information on those drugs? You know almost all of them say something to this effect: “if you take this drug, you may experience catastrophic side effects including possible death.” And you take them anyway, don’t you?
  • How many global conspirators do you anti-vaxxers believe are involved in the effort to poison/drug/kill/murder people and/or publish falsified information about the infections, deaths and damage done by COVID?  50,000 doctors, nurses, epidemiologists, EMTs? 100,000? A million? Must be at least a million globally, right?
  • Do you anti-vaxxers really believe that medical professionals are falsifying the data on infections, hospitalizations, deaths from COVID? It seems so. Why do they suppose all these professionals who have spent years/decades/entire lives working to help people have suddenly decided to attack the population with a deadly virus and/or falsify the information about the damage it’s doing?
  • If indeed there is a global conspiracy, where do you anti-vaxxers think all the people who have disappeared due to claimed deaths by COVID are being held? Have they actually been murdered and, if so, by whom? If so, how is it that with more than 870,000 Americans having died allegedly by COVID, no one has come forward with a single shred/scintilla of evidence that those people are (1) being held incommunicado in the dessert out west (that many people would require a lot of space, not to mention places to sleep, food, restroom facilities, etc etc to keep them alive) AND what happens when they are released, or is the government/medical profession going to keep them locked up forever? OR (2) buried somewhere, OR (3) cremated somewhere and their ashes disposed of secretly? Is that even possible?
  • Has there ever been a global conspiracy, or even one confined to the United States, in which hundreds of thousands (or millions) of conspirators were involved and not even one came forward to reveal the truth and receive the accolades (and no doubt, a lot of money) of a grateful world?
  • Finally, for now, do you have any concerns about the counter-factual? That’s the one where you’ve been wrong about the vaccine and in reality almost all the deaths are among the unvaccinated with a much smaller number of dead being vulnerable people who were infected by unvaccinated people or denied medical care because COVID-infected unvaccinated patients were occupying all the beds and attention of medical staff? Any concerns about that at all?

So, anti-vaxxers, I have these questions. And more, actually, but those will suffice for now.

So, while you’re in town, maybe you could do a few interviews and answer these questions. Then, well, then we can talk about the next round of questions.

If I don’t see you, well, RIP.

Failure to Communicate

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What we’ve got here is failure to communicate. Some men you just can’t reach. So you get what we had here last week, which is the way he wants it. Well, he gets it.

If you don’t recognize those famous lines, they are from the movie, Cool Hand Luke. A young Paul Newman plays Luke, a prisoner on a chain gang. Luke is unable to submit to the authorities that now control his life, even if the inevitable, foreseeable outcome is his death.

The setting is simple enough: the Captain (the warden) warns Luke:

You gonna get used to wearing them chains after a while, Luke. Don’t you never stop listening to them clinking, ’cause they gonna remind you what I been saying for your own good.

Never one to pass up a chance to resist authority, Luke responds with,

I wish you’d stop being so good to me, Cap’n.

After a moment’s pause, this retort unleashes Captain’s fury – “Don’t you ever talk that way to me,” then lashing Luke with a baton, knocking him into a ditch. Captain then delivers the iconic lines: “What we’ve got here is failure to communicate. Some men you just can’t reach.”

That, it appears, is where this country is with the anti-vaxxer, anti-mask crowd. They have chosen – yes, chosen, because belief is a choice, not a biological imperative – chosen to believe false prophets whose statements are resulting in thousands more avoidable COVID deaths. Arguing with these people about the science, the data, the facts is just like trying to tell Cool Hand Luke that he needs to shape up and make his life easier on himself and those around him. Luke can’t hear it and neither can the anti-vaxxers.

It is, therefore, time to change tactics. Beating the anti-vaxxers, while tempting, is not an acceptable solution. But thus far, with one or two notable exceptions, the government’s health authorities have proceeded by burying everyone in obscure and largely irrelevant information. If you don’t believe me, look at the CDC’s COVID Data Tracker website:  https://covid.cdc.gov/covid-data-tracker/#datatracker-home

This information is picked up by media and reported, more or less, in op-eds and other articles in the hope that the anti-vaxxers may read and be persuaded. There are other websites — CDC, New York Times and others – displaying vast quantities of COVID data, often in complex diagrams and charts that are difficult, if not impossible, for ordinary people to digest. The very complexity of the information makes many people leery of what the data says and, more importantly, often leads to inaccurate conclusions. Statistical skills in the general population are not a strong point.

The standard approach is not working, and it’s time for another approach. I recommend what I will call RealCOVID.

Here’s what I think should be done.

  1. COVID data should be reduced to its simplest essence, showing the most important information. At this time that is a comparison of deaths of vaccinated versus unvaccinated patients. Another useful analysis would be to add a simple presentation of the number of COVID infected survivors who continue to suffer adverse health effects and what the top ten or twelve such effects are. Keep it simple.
  2. The government should obtain, by whatever means necessary, prime-time space to display the latest death-data comparisons, as defined above, AND video from hospitals in which real doctors, real nurses, real EMTs briefly state what they have just experienced.
  3. Example: “I’m doctor LifeSaver and I work in the ICU. I just got off for the evening. I was attending to 12 COVID patients. Three, all unvaccinated, died during my shift. No vaccinated patients died. One of the other doctors and two nurses, all near physical and emotional collapse, had to leave the ICU early. That’s where we are.”
  4. The video should show, behind the doctor, a patient being intubated or perhaps even being prepped following death. In other words, show what is happening in the hospitals – give heft and bite to the statistics. Show the reality of COVID as it is happening. RealCOVID.
  5. The government, in cooperation with hospitals and clinics around the country, should have a daily COVID Report on prime-time cable and networks explaining what is happening and what is required to change the course of the pandemic.

I cite as an example the daily briefings that former Governor Cuomo conducted in New York during the peak of the pandemic in 2020. Those reports were seen all over the country. Whatever you may now think of Cuomo as a leader or whatever, the fact is that those briefings were authentic and, I believe, changed for the better the understanding and behavior of many, perhaps millions, of Americans. And they were a source of hope during the worst of the initial pandemic in New York, the then-epicenter.

These reports should not be presented by politicians nor by Dr. Fauci, but by in-the-trenches medical personnel who are qualified to speak in plain terms about the data and the proper defensive tools. We are blessed with many experts in epidemiology and other relevant fields of expertise regarding pandemics. Let’s use them.

No doubt many anti-vaxxers will remain unpersuaded. They have, for whatever reasons, become convinced beyond all reason that vaccines are evil and/or that government attempts to regulate behavior are an assault on freedom. We’re not likely to change their minds but instead of debating them, let’s just show them – every day, in every way. Maybe, just maybe, seeing the devastation will have an effect that complicated multi-page data/charts/diagrams will not.

What do we have to lose?

 

An American Team No More

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Americans once believed that when push came to shove, we would unite against common adversaries. A generalization, to be sure, but I believe it was accurate overall. It was true despite our ongoing differences about things like balanced budgets, the size and role of government and many others arising from America as the Melting Pot. Differences in the Pot were inevitable and, in some cases, resulted in sharp divisions. But, still, we believed that, faced with an outside adversary, Americans would come together as one nation to fight back.

World War II was a good example in “modern” times. Men and women went to war, more women worked in factories doing the necessary, and often dangerous, work that men had performed before going off to fight the Nazis and the Japanese. It was a terrible time. Many were grievously wounded, physically and mentally, and many died, leaving behind others ill-equipped to go it alone. People did without many luxuries. Ration stamps were used to allocate food, among other things. It was a a terrible time.

The idea of Americans united against outside adversaries found expression in movies involving alien invaders. Some of those movies showed the entire world coming together to fight the aliens. Faced with an outside threat, often with more advanced technologies, “we” prevailed with grit, ingenuity and a sense of common purpose. That was, of course, a fantasy but “we” always won in the end.

No more. We have a new common enemy that is attacking the entire world from within. This enemy is invisible and highly adaptable. We have seen its like before and always, always came together, solved the puzzle and prevailed. And yes, I know there were always outliers, but they were the exceptions. In 1918, the closest modern parallel to COVID-19,

It is estimated that about 500 million people or one-third of the world’s population became infected with this virus. The number of deaths was estimated to be at least 50 million worldwide with about 675,000 occurring in the United States. Mortality was high in people younger than 5 years old, 20-40 years old, and 65 years and older. The high mortality in healthy people, including those in the 20-40 year age group, was a unique feature of this pandemic. [https://bit.ly/3ql2V8v]

You likely know that the United States blew past that 675,000 death figure some time ago. As of two days ago, December 22, U.S. COVID deaths had reached 805,112 and climbing – almost 1,400 deaths on that one day and a 7-day moving average approaching 1,200 and rising.

The numbers are so large that our minds balk at acceptance and comprehension. But the numbers are real. The sickness and death are real. We are not even counting the cases of Long Covid, the condition in which the debilitating effects on the heart, lungs and brain (among others) last beyond the initial illness for … no one knows how long.

Our inability to comprehend is part, but only part, of the reason that so many – in the millions – people deny that COVID is real. Some are so deep in denial that, even when hospitalized in critical or worse condition, they continue to claim their disease is something else, that the doctors and nurses are lying to them when they say, “you have COVID.”

Whatever the roots and reasons that tens of millions refuse to get vaccinated, those people appear to be lost to the team – to Team America. The huge number of unvaccinated Americans – two years into the pandemic – are a breeding ground for the virus to mutate. And mutate it does. All viruses do. The anti-vaxxers are responsible for the prolongation of the pandemic and the personal and economic destruction that the virus has inflicted. Omicron has swept across the globe in weeks, displacing the Delta variant. There is no end in sight. And the next variant may not be as “mild” as Omicron.

The best we can hope for is that, slowly and at huge unnecessary cost, we will reach the point of so-called “herd immunity” when there are an insufficient number of vulnerable hosts that the virus cannot continue its deadly passage through the population. And, of course, medical science is delivering more effective treatments, the latest of which (in pill form) was just announced. Maybe we’ll reach the point where COVID is “just another flu.” Maybe.

Meanwhile, millions more will suffer. According to every credible source, COVID deaths in the United States are expected to exceed 1,000,000 in the near future. Eventually, maybe, we will win again. But it won’t be because of Team America, the coming together of citizens to fight and vanquish a common and deadly enemy. It seems we’re past that. Tens of millions of our fellow citizens are content to have others suffer and die under the name of mindless slogans. Freedom! My body, my choice! Nobody tells me what to put in my body! And on and on.

Instead of a united front against this deadly enemy, we have tens of millions reciting slogans to justify and explain why they are no longer members of the team. The price for their ignorant intransigence has been/will be very steep indeed.

This problem is, of course, only one manifestation of a mental state that afflicts our society. We can conclude that because there is a powerful identity among the anti-vaxxers and the evangelicals/Trumpists/Republicans. Their delusional state of mind regarding the pandemic is closely aligned with their willingness to believe many other unbelievable ideas. Chief among them is the idea that the January 6 assault/attempted coup was not Trump supporters but was engineered, rather like the pandemic, by a global elite of BLM, antifa, liberal/progressive Democrats and others of like mind, aided, if not led, by the federal government (you know, the Deep State lying in wait to destroy the country).

People who hold such beliefs do not comprehend the logical absurdity that those “elites” would have tried to stop the certification of President Biden’s victory (the candidate they favored) in order to continue the presidency of Donald Trump (the candidate they fervently opposed). If they can’t see that, they can’t see the point of joining with other Americans, and other peoples around the world, to stop the pandemic with the only tools that work. They are lost to our team, probably forever. Donald Trump didn’t create these people, but he surely inspired them.

Going forward, then, policy makers must understand the full extent to which our “team” has been broken, perhaps permanently. That means, among other things, that there is no longer anything like “politics as usual.” The aliens have arrived, and they are among us. If we’re not careful, they may kill us all.

September 18 — What Do I Expect from the Police?

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As a resident of the District of Columbia, and a long-time resident of the DC area, I am fully aware that I live, by choice, in the heart of protest country. I also disapprove of violent protests regardless of which side is responsible. Peaceful protest, fine; choose your issue. I may think you’re a fool to believe, for example, that the 2020 election was stolen, but if you want to go out in public and proclaim you believe it was, go for it.

BUT don’t dare come here with the idea that you can violently display your anger or whatever it is and get away with it. That’s what happened on January 6. It appears that members of that violent mob of cowards and traitors who haven’t yet been arrested for their crimes are returning on September 18 to protest the arrest, detention and punishment of those who were arrested for attacking the Capitol. There is much conflicting information about who is doing what, which groups will show up and in what numbers. https://cnn.it/3A9oqgl No doubt there will be counter protests. What’s good for the goose….

This is the “law and order” mob. They’re for “law and order” provided it doesn’t apply to them. The mob includes many white supremacist groups and individuals. It doesn’t take much to start trouble in this kind of situation.

It’s a rule of life that you get what you tolerate. Most people seem to be competitive by nature. If there are no boundaries established, likely as not many, perhaps most, will simply do what they want to satisfy their personal desires.

Thus, if we tolerate air passenger violence, we tend to get more of it. That’s happened in 2021, mostly over mask requirements. Thousands of people threw violent tantrums when required to follow federal law and crew member instructions to keep masks on except when actively eating or drinking. Screaming, fights with other passengers and crew, people being forcibly duct-taped to their seats! In airports and even during flight. It took a while, but the government is now imposing serious fines on people who act out this way. Yet, it continues. Probably because people don’t regard the threat of fines as meaningful. Jail time, on the other hand, might get their attention. You get what you tolerate.

We tolerate anti-maskers, anti-vaxxers, people with bogus claims of “sincere religious objections,” and more. We tolerate health disinformation. And so, we get more of it. Just turn on any Fox News show. Or join Twitter.

Purely as a thought experiment, what do you suppose might happen if some rules were changed? For example, if the rule were that any refusal to comply with a crew member demand to mask up on a flight would be met with instant and automatic banishment from air travel on any airline for, say, five years. No discussion, no arguments, no fights. Fight and you go to jail, plus lifetime banishment, 100 percent of the time. Next time you want to travel, you go by car. And the next time and ….

I can imagine some of the objections. What about the evidence? Suppose the flight attendant talked mean to me and hurt my feelings so I pushed back? What about my rights? My rights! OMG! I don’t like being told what to do. This is America. And so on.

The evidence objection is easy enough to resolve with some good technology that would record all interactions. Inform passengers at the outset, like the seatbelt instruction: “Buckle your seatbelt and mask up. No mask, we suggest you deplane now. If not, you will, we repeat, you will be arrested, jailed and banned. 100%.”

But it’s not just air travel. I am concerned about September 18.

My view is simple. I expect more, much more, from the law enforcement establishment than was seen on January 6. Some rules need to change to assure that this is the outcome. Trump and his criminal cabal are gone so this should be relatively straightforward.

It is the job of DC law enforcement at every level to be sure that the government is protected so it can continue to function. No one has the right to interfere with the operation of the government. I expect the police, and such other reinforcements as they need, to put down with all necessary and immediate force any attempt to stop the courts from functioning as they are supposed to. The mob can blather all it wants to about the “injustice” of holding accountable the people who assaulted and killed police, threatened Congress and desecrated the Capitol. But they must be peaceful or face immediate and harsh consequences. Prepare for the worst and demand the best.

A democracy must tolerate much dissent. It is the nature of, and great strength of, a democratic republic that dissent is permitted, indeed encouraged. But when dissent boils over into violence aimed at stopping government functions, there is no basis for tolerance.

I understand well enough that there are people coming here on September 18 who believe that the people who stormed the Capitol on January 6 are American patriots. They are wrong. Their views are not entitled to deference of any kind or extent. If they get the necessary permits and want to march around like fools chanting about how the government is evil, how Joe Biden stole the election from Trump and all the other nonsense, go ahead. But that’s it. First sign of trouble, arrest them all. Use the same kinds of defense “tools” that have been used against multiple peaceful demonstrations in the past when Trump was president.

The consequences of failure to prepare and act appropriately on September 18 are too grim to contemplate. But they are real. There’s a popular saying on social media: “f*ck around and find out.” So it is written, so let it be done.

Facing the Abyss – What Should CDC Do Now?

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The COVID-19 virus that Trump predicted would “just go away” has now killed More than648,000 Americans out of more than40 million cases. https://wapo.st/38PnK3N

The leading states in new deaths are, unsurprisingly, South Carolina (+36%), Florida (+32%) and Texas (+24%). As cooler weather approaches and more people stay indoors more of the time, the cases/deaths toll can be expected to rise, especially in places with low vaccination rates and persistent refusal to follow national health guidance on masking and distancing. It is what it is.

Predictions now always face opposition from the determined crowd of COVID deniers, anti-maskers and anti-vaxxers who are doing their best to ignore reality and push the country closer to the abyss. This is happening despite the overwhelming evidence that the vaccines are safe and effective and that masking works to reduce infection rates. The excuses offered for rejecting vaccines, masking, etc. are too well known to warrant recital.

The CDC and the leaders of the healthcare community that know the most about all this have, to be sure, made “mistakes” during the runup from early 2020 to now. Those mistakes are an inevitable part of the steep learning curve during a novel virus epidemic, especially when combined with inept and corrupt national leadership promoting bogus cures and inspiring resistance to promising candidates to contain the spread. We are where we are.

The question now is what could be done to change the national narrative. I address this with full awareness that millions of Americans would rather risk a horrible death than be seen to “comply” with national health guidance. There may be nothing we can do about them, but I think there are some things we haven’t tried yet.

Starting with the CDC, setting aside the chaotic approach in the early days when Trump’s political pressure seemed to influence CDC’s public posture, I have been troubled by what I label “website data bloat.” The CDC Data Tracker [https://bit.ly/3hd72A0] is the object of my derision. The site is an extraordinary trove of information for Job and others with much patience, consisting of a multitude of boxes and lists and maps, many of which are redundant or require some study to fully understand what is being shown.

I speculate that the site is the product of turning over the communication function to programmers who believe more is always better and just don’t know where to stop or how to organize information to tell a story rather than “show what we’ve got.” But, whatever the root cause, the site, for all its robustness, does not communicate the story as dramatically as it could. And if anything cries out for dramatic storytelling, it is the continued, and avoidable, rampage of COVID through America.

It should come as no surprise at this late date that, having been blunted in impact among most older people (who, generally, have a higher percentage of vaccinated individuals than other cohorts), is turning its mindless “attention” toward other groups, including children, many of whom are too young to be vaccinated according to the latest protocols.

In my view, parents of young children who refuse vaccination should be prosecuted for child endangerment, but we know that’s not going to happen. We can, however, more effectively communicate the danger.

This is how. It will require a fundamental change in the way the government does things.

Instead of presenting a vast array of charts/graphs/pathways to still more charts/graphs and offering data in various formats (gross, per capita, per this and that), focus on one thing: the message. This is a situation in which the data should be used not just to inform but to persuade. To teach. To affect.

So, what to do?

First, move all the “just data” charts/graphs to the back of the site with a simple index of what’s there.

Second, in the front, using graphs backed by data, show the key facts in a direct comparison of, for example, deaths of vaccinated versus deaths of unvaccinated people over time. Include data on adverse effects of vaccinations to the extent it exists.

Third, add to the data on cases and deaths, the data on known cases of adverse health impacts (heart, lung, brain, etc.) for COVID “survivors,” information that has largely been ignored.

Fourth, stop focusing on the number of people with one shot. We know that for the main two vaccines, two shots are essential and that’s the key number to show. Focusing on one shot is misleading.

Fifth, show the damn videos!

A wealth of videos exists showing, especially, the end stage of COVID experience in hospital ICUs: the ones where the unvaccinated, wired and tubed beyond recognition, are facing intubation and medically induced comas and are begging doctors and nurses for vaccination and “do anything to save my life.” Show those videos in TV ads in lieu of the bland “please do the right thing” messages now in use. Show the healthcare providers, dressed like aliens from Planet X, saying, “I’m sorry but it’s too late. Vaccines can’t help you now.”

 Some people will see this as unacceptably harsh. To them I say, if you don’t like it, don’t watch. But if done properly (get some experts in this kind of dramatic communication on the task), this stands some chance of jolting resisters into doing the intelligent thing and rushing to get vaccinated.

Make the message simple and clear and unmistakable – if you don’t get vaccinated, this is what may await you. Or your family. Your children. Do it now.

We know from experience that presenting the public with vast quantities of unconsumable statistics is not achieving the level of success we need to stop the pandemic. It is time to pull out all the stops. Stop acting like the government and act like you’re trying to sell something: public health. Survival.

Do it now. We’re almost out of time. The abyss is nearer by the day. It doesn’t have to be this way. Act like it’s the emergency it really is. Just do it.

American Ignorance is Killing Us

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Dr. Anita Sircar, an infectious disease physician and clinical instructor of health sciences at the UCLA School of Medicine, has published an opinion piece in the LA Times, “As a doctor in a COVID unit, I’m running out of compassion for the unvaccinated.” https://lat.ms/2W9yrLp

I’m with Dr. Sircar.

Conditions continue to deteriorate in Florida and other states of the former Confederate States of America. The Governor of Florida continues to act like Donald Trump – basically taking the position that this virus is no more than a common cold. He preaches that some vague idea of “freedom” is more important than stopping the worst pandemic in modern history that is now, once again, ravaging the country. #DeathSantis, as he is often called on Twitter, claims that parents should be able to make all decisions regarding the health of their children, just because they’re parents, without regard to their knowledge or the impact their decisions may have on others.

Florida seems to have adopted as its unofficial motto: “my body, my choice,” a favorite mantra of the anti-vaccination mob. Ironically, Texas simultaneously has placed into law SB8 that effectively bans abortions regardless of rape, incest and so on. So much for “my body, my choice.” But that’s for another time.

Here I want to address the widespread ignorance that has left the United States and much of the world in a position of failing to stop a deadly viral pandemic even though the means to do so is readily available and free. I readily confess up front that at my late stage in life I am profoundly resentful of the arrogant and ignorant decisions being made by people that have effectively stolen two years of my life and threaten to continue doing so indefinitely.

Dr. Sircar’s op-ed tells a gruesome story of a patient under age 50, normally in good health (just some mild blood pressure issues). He tested positive 10 days before, began coughing with severe fatigue 8 days before and, after doctor-prescribed antibiotics did nothing, turned to … hydroxychloroquine, the drug promoted by Donald Trump and multiple medical quacks despite compelling evidence of its ineffectiveness against COVID. That, of course, also failed. As his health continued to decline, he was, Dr. Sircar reports, a “shell of his former self.” By the time he arrived at the clinic, treatment with monoclonal antibodies also failed.

He finally ended up in the ER with dangerously low oxygen levels, exceedingly high inflammatory markers and patchy areas of infection all over his lungs. Nothing had helped. He was getting worse. He could not breathe. His wife and two young children were at home, all infected with COVID. He and his wife had decided not to get vaccinated. [emphasis added]

Dr. Sircar goes on,

Last year, a case like this would have flattened me. I would have wrestled with the sadness and how unfair life was. Battled with the angst of how unlucky he was. This year, I struggled to find sympathy. It was August 2021, not 2020. The vaccine had been widely available for months in the U.S., free to anyone who wanted it, even offered in drugstores and supermarkets. Cutting-edge, revolutionary, mind-blowing, lifesaving vaccines were available where people shopped for groceries, and they still didn’t want them.

Outside his hospital door, I took a deep breath — battening down my anger and frustration — and went in. I had been working the COVID units for 17 months straight, all day, every day. I had cared for hundreds of COVID patients. We all had, without being able to take breaks long enough to help us recover from this unending ordeal. Compassion fatigue was setting in. For those of us who hadn’t left after the hardest year of our professional lives, even hope was now in short supply.

The man claimed not to be anti-vaxxer.

I was just waiting for the FDA to approve the vaccine first. I didn’t want to take anything experimental. I didn’t want to be the government’s guinea pig, and I don’t trust that it’s safe.

Dr. Sircar, notes that,

The only proven lifesaver we’ve had in this pandemic is a vaccine that many people don’t want. A vaccine we give away to other countries because supply overwhelms demand in the U.S. A vaccine people in other countries stand in line for hours to receive, if they can get it at all.

Dr. Sircar turned to remdesivir, explained its status among approved treatments with long-term side-effects unknown:

“Do you still want me to give it to you?”

“Yes” he responded, “Whatever it takes to save my life.”

It did not work.

 Dr. Sircar concludes the story:

My patient died nine days later from a fatal stroke. We, the care team, reconciled this loss by telling ourselves: He made a personal choice not to get vaccinated, not to protect himself or his family. We did everything we could with what we had to save him. This year, this tragedy, this unnecessary, entirely preventable loss, was on him.

She is exactly right about that. The op-ed goes on to lay out the likely outcomes for the unvaccinated going forward. If you, or members of your family, are like the patient described here, read the full story at the link above.

We are headed swiftly back into the abyss of a raging out-of-control pandemic, widespread deaths and long-term impairments, loss of businesses, collapse of the economy, failure of the education system and more. Many parts of the world are declining again to admit Americans. The travel industry, among many others, is reeling as business disappears.

The CDC has just issued another warning about Labor Day travel, asking the unvaccinated not to travel this weekend and suggesting that even vaccinated individuals carefully reassess the risks of travel.

Here are the reported facts, per CNN’s summary [https://cnn.it/3kIudDh]:

US is surpassing an average of 160,000 new Covid-19 cases a day

38.6% of eligible people (everyone 12 or older) are not yet fully vaccinated

Hospitalization rates for unvaccinated are 16 times higher than for vaccinated people

180 new COVID cases were traced to a multi-night church camp and a men’s conference, neither of which complied with CDC recommendations

More than 200,000 kids test positive in a week – infection rates in children are increasing exponentially

Less than half of children 12 to 15 are vaccinated with even one dose

More than 200,000 children tested positive for Covid-19 in the last week, a five-fold increase from a month ago, with corresponding increases in hospitalizations

Between August 20 and 26, an average of 330 children were admitted to hospitals every day with Covid-19 — highest rate of new Covid-19 hospitalizations among children in more than a year

Hospitals and staff are again being overwhelmed and some are running out of oxygen

If the virus had a personality, it would be laughing out loud at the folly of humans who are so able and willing to ignore reality in favor of conspiracy theories and myths perpetrated by other humans who have no credentials or other authenticity as authorities on health decisions. What else is there to say?

Well, here’s something. A respiratory therapist, Karen Gallardo, described the Seven Stages of Severe COVID in a Los Angeles Times article at https://lat.ms/3yzlGan. It’s not pretty. Heavily summarized, they look like this:

Stage 1: Debilitating breathing problems force you to the ER

Stage 2: You’re drowning. Transfer to ICU

Stage 3: Breathing is worse. You are put on a “positive pressure ventilator” velcroed tightly to your face

Stage 4: In preparation for full intubation, from which most patients never recover, you are advised to call your loved ones, likely for the last time. Then,

You are sedated and paralyzed, fed through a feeding tube, hooked to a Foley catheter and a rectal tube. We turn your limp body regularly, so you don’t develop pressure ulcers — bed sores. We bathe you and keep you clean. We flip you onto your stomach to allow for better oxygenation. We will try experimental therapeutics.

Stage 5: If you’re not one of the few Stage 4 survivors, you may need special machine that bypasses your lungs and oxygenates your blood, if your hospital has one.

Stage 6 (Ready?):

The pressure required to open your lungs is so high that air can leak into your chest cavity, so we insert tubes to clear it out. Your kidneys fail to filter the byproducts from the drugs we continuously give you. Despite diuretics, your entire body swells from fluid retention, and you require dialysis to help with your renal function.

The long hospital stay and your depressed immune system make you susceptible to infections. A chest X-ray shows fluid accumulating in your lung sacs. A blood clot may show up, too. We can’t prevent these complications at this point; we treat them as they present.

If your blood pressure drops critically, we will administer vasopressors to bring it up, but your heart may stop anyway. After several rounds of CPR, we’ll get your pulse and circulation back. But soon, your family will need to make a difficult decision.

Stage 7 (End Game):

After several meetings with the palliative care team, your family decides to withdraw care. We extubate you, turning off the breathing machinery. We set up a final FaceTime call with your loved ones. As we work in your room, we hear crying and loving goodbyes. We cry, too, and we hold your hand until your last natural breath.

The End

Fix Stupid

Position of Republican Governors who fight to prevent implementation of strong, sensible public health measures recommended by federal and other health experts:

Vaccinate or Else!

3 Replies

Somewhat, and only somewhat, like the Most Interesting Man in the World from the beer ads, I don’t usually curse but when I do, well …. run.

As the world crumbles around us, I am sick to f*cking death of the whining, immoral, selfish, ignorant, indifferent fools who refuse to get vaccinated because of … what? Their “rights?” Their “freedom to choose?” I am not interested. I don’t want to hear it anymore. We now have people seriously saying we should pay these people to vaccinate. Or just be nice and understanding of their concerns. Or just leave them alone because they’re Americans and have the right to decide how to protect themselves and their families, never mind the impact their intransigence and ignorance may have on others, including children who are, for all practical purposes, entirely at the mercy of decisions made by adults.

No, no and more no. I lost a relative to COVID. I lay her death at the feet of Donald Trump and the mob of lying, sniveling cowards who supported him while he knowingly downplayed the severity of the coronavirus, promoted the use of medically unsound remedies, and generally allowed the country to sink into near oblivion. More than 600,000 dead in the United States alone. Most of them On Trump’s watch.

In early 2020 we lived in New York City, the epicenter of the initial coronavirus explosion in the United States. Within days of my wife’s office in midtown Manhattan closing (in mid-March,) I experienced what turned out to be mild symptoms of COVID as then understood. A local clinic doctor, dressed like a spaceman, said, “You almost certainly have COVID, but we have no tests for people like you who are still standing. Even if we confirmed it, we would just send you home. So, go home, stay there and good luck.” Given my health history, this was a terrifying direction that felt like a potential death sentence.

My wife was not as lucky as I was. She had been incredibly healthy, worked out all the time, ate right and all the rest but within days was in extremis with every known COVID symptom except the very worst ones – she had no lung or brain involvement. Some days you just get lucky. It was terrible. No other words for it.

I did what I could to help her through long nights when she was unable even to walk unaided, fevered, with severe body aches and all the other horrors you have likely read about by now. We lived about 50 yards from the Emergency Room entrance to Mount Sinai West hospital and, on many nights, I thought we were on the verge of having to take her in, knowing that she would be alone under the “no visitors” policies. The horror went on for over two weeks around the clock. People were dying left and right. Many of those who survived had permanent heart, lung and brain damage. The sirens bringing victims to the hospital blared throughout the day and night, day after day. It felt like the end of the world.

We were among the most fortunate in that we both recovered, long before much was even known about the virus, long before there was any realistic suggestion that a vaccine might be developed in less than a year. We were, of course, in lockdown. Our essential needs, and a few luxuries, were met by a stranger in our building, with a big heart and a lot of courage. [See the text of Angels In New York reposted below, originally in my discontinued blog AutumnInNewYork.net]

COVID is thus not an abstraction for us. It has taken the life of someone we knew and loved. It destroyed our sense of security in life – that if we worked hard and subject to the usual ups and downs, all would somehow be well. The pandemic stole more than a year of my waning lifetime. We burrowed in like animals, waiting for an invisible monster to slide silently into our lives again and possibly destroy us. We were afraid of everything: the mail, the Amazon boxes, the concierge at the front desk, the neighbors.

But, as I said, we were among the very fortunate who survived, almost entirely intact. When we moved to Washington in late 2020, a flukish circumstance enabled us to be vaccinated in January-February of 2021. We joined the growing legion of the saved, eventually able to walk outside without masks, to eat outdoors in restaurants without feeling we were placing our lives on the line and generally to resume a semblance of normal life. This was true freedom.

Now, inevitably it seems, the Delta Variant of COVID has arrived, reaching the United States virtually overnight, and is rampaging through the country. And what happens? The former president, who downplayed the virus at the outset, called the virus a “Democrat hoax,” secretly had himself vaccinated and is focused entirely on promoting the Big Lie that the 2020 election was stolen. His voice could have been influential in altering the course of the Delta Variant infection but, no, he only cares about himself. One of his chief sycophants, Ron DeSantis, Governor of Florida, has taken up the mantle of COVID-denier-in-chief, while the Delta Variant ravages his state. His continuous mixed messages just end up reinforcing the resistance.

And on and on it goes. If this keeps up, we are facing another wave of avoidable deaths (almost all current COVID deaths are from unvaccinated people) and possibly nationwide lockdowns that would deal a death blow to the economy and to hope itself.

I am in no f*cking mood for more of this ignorant nonsense. This is like sitting in theater watching a group of fools enter the haunted house, knowing they are headed into dangers they don’t see even though the evidence is everywhere. The feeling of impending doom can be a high for fans of horror movies, but I always hated them. My new sense of impending doom is far more profound and realistic now.

And, so, what is happening? CHAOS. The Republican Governor of Alabama has awakened from her self-induced political coma to say “it’s “time to start blaming the unvaccinated folks.” https://wapo.st/3x2eOSo Why now? Here’s why: her state has had a “92 percent increase in coronavirus infections and a 72 percent rise in hospitalizations over the past week.” But just one-third of Alabamians are fully vaccinated, one of the lowest levels in the nation. Meanwhile, “exhausted health providers say they are bracing for case spikes that are largely preventable, driven by the hyper-transmissible delta variant.” And, once again, and totally predictably, “hospitals are becoming overwhelmed in states with low vaccination rates.” And, also predictably, “a number of prominent Republicans and conservative media voices continue to shower vaccines with skepticism, and social media disinformation continues largely unabated.”

Examples of failed strategies abound. The National Football League adopted new rules that a team

“could be forced to forfeit a game if there is a coronavirus outbreak linked to unvaccinated players. The move has both competitive and financial implications: Players won’t get paychecks for forfeited games, the NFL said. About 80 percent of all NFL players had at least one shot before the rules took effect, said league spokesperson Brian McCarthy, who credited seminars about the vaccines’ benefits, on-site vaccinations and other tactics.”

The operative word is “could,” because the policy has two conditions: a game must be canceled because of a coronavirus outbreak among unvaccinated players or staff members and cannot be rescheduled. In any case, many players among the college-educated vaccination holdouts may well be prepared to take the chance. The policy applies to mostly very well-off athletes and staff for whom the risk of financial sacrifice may be a small price they can easily afford to pay. If the NFL wants to stop the virus, it needs to tell the players: “vaccinate or you’re off the team.” More on that in a moment.

A well-meaning article in the New York Times, Should Vaccinated People Start Wearing Masks Again?  https://nyti.ms/3BBvaoq has a lot of nice advice and information about masking and distancing practice in the face of the Delta Variant, but the problem now is that the complexity of the situation has worsened.  People generally don’t do well with such complex decision-making. The article presupposes freedom of choice, deep understanding of risks, a multitude of factual situations and more. It’s just too much to expect.

Contrast that with the decision of more than 400 colleges and universities requiring returning students for in-person classes to be vaccinated. The schools have simplified the decision-making: vaccinate or study elsewhere. Period. Hospitals and health systems are now also lining up to mandate vaccination or strict testing regimens that could lead to being sent home without pay or termination of employment.

The federal government has stated, correctly in my view, that private companies may require vaccination to return to work in offices. Failure to return could result in loss of employment and unemployment benefits.

Meanwhile, the data on the benefits of vaccination is overwhelming:

As of July 12, more than 159 million people in the United States had been fully vaccinated against Covid-19. Of those, just 5,492 had breakthrough cases that resulted in serious illness, including 1,063 who died. That’s less than 0.0007 percent of the vaccinated population. Meanwhile, 99 percent of deaths from Covid-19 are among the unvaccinated.

 In this one instance, I find myself partially aligned with Dr. Leana S. Wen, a regular WAPO columnist who seems always to find grounds for disagreeing with Democratic health policies. https://wapo.st/3iK5ddB  Dr. Wen says, “the Biden administration needs to strongly urge a return of covid-19 restrictions.” She’s not referring to lockdowns, at least not yet. She notes that “the CDC’s honor system didn’t work” but that “vaccinated people are still well-protected” and thus “in settings where everyone is known to have immunity, no additional restrictions are needed.”

In all other contexts, however, where the risk of infection spread is present, “indoor mask requirements should be reinstated.”

The problem, yet again, is that urging jurisdictions to follow science is no longer a realistic option. Los Angeles County issued a new mask mandate, only to find that its sheriff declined to enforce it. At the risk of letting some reality creep in, Dr. Wen notes, correctly, that “the areas with the lowest vaccination rates are also the ones least likely to implement mask mandates.” Nevertheless, she sticks to the “Biden administration can make a difference” theme.

Then, Dr. Wen makes what I believe to be a classic mistake:

The federal government could also use this opportunity to — finally — incentivize vaccination. It could say that areas with high vaccine uptake do not need to reimplement mask mandates, and mandate vaccination on planes and trains and in federal buildings.

Incentives have been tried in various places and they don’t solve the core problem. And a random policy on travel will just confuse everyone even more and lead to further non-compliance. Wen gets its right with her next suggestion:

And [the Biden administration] can finally get behind a vaccine verification system that would allow restaurants, gyms, workplaces and universities to create safe, maskless environments where everyone is vaccinated.

But, it’s going to require more than encouragement and cheering from the sidelines to get this done. We need, must have, a nationally mandated policy on vaccination.

I’m with Max Boot on this. https://wapo.st/3i55mt4: “Stop pleading and start mandating.”

…. even as evidence grows that vaccines are safe and effective, resistance to them is also growing. A recent Post-ABC News poll found that 29 percent of Americans said they were unlikely to get vaccinated — up from 24 percent three months earlier. Only 59 percent of adults are fully vaccinated.

…. the biggest obstacle to vaccination is now Republicans who are being fed a steady diet of anti-vaxxer propaganda by Fox “News” Channel, Facebook and other social media, and reckless demagogues such as Sen. Rand Paul (R-Ky.) and Rep. Marjorie Taylor Greene (R-Ga.).

This is madness. Stop making reasonable appeals to those who will not listen to reason. (According to an Economist/YouGov poll, a majority of those who refuse to get vaccinated say vaccines are being used by the government to implant microchips.) It’s a waste of time. Start mandating that anyone who wants to travel on an airplane, train or bus, attend a concert or movie, eat at a restaurant, shop at a store, work in an office or visit any other indoor space show proof of vaccination or a negative coronavirus test.

I understand the argument that Republican Governors may resist a national vaccine passport, but that’s too damn bad. The federal government has the authority under the Commerce Clause, among other powers, to compel compliance. It should act before it’s too late.

The argument that the federal government should step in with financial awards for getting vaccinated suffers from multiple problems. Principles developed in behavioral economics tell us that people are more concerned about loss than about gain. Offering some modest amount, declining over time, as recommended by Charles Lane in WAPO, https://wapo.st/3kSyfue, not only rewards the wrong behavior, it assumes that the recalcitrance of anti-vaxxers and COVID-deniers can be overcome with a few pieces of silver. For some, maybe that’s true, but it seems unlikely for the vast majority, and we have little time to lose with such experiments.

Adopting a strong, mandatory federal policy that supersedes all conflicting state laws, regulations and mandates (recall the Constitution’s Supremacy Clause), with significant consequences attached to non-compliance, is now the fastest path to assuring the bulk of holdouts are vaccinated in time to prevent the worst consequences of an uncontrolled pandemic resurgence. The mandate must be accompanied by clear and specific instructions on the acceptable proof of vaccination.

Anticipating the objections, yes, of course, the plan would require some form of exception for limited religious and demonstrable medical issues involving people with relevant co-morbidities, small children and the like. Compared to the consequences of an uncontrolled and continuously morphing viral pandemic, those are small problems. Some of those affected would, however, experience limitations on their behavior until we can be satisfied that herd immunity has been achieved.

Will this approach have implementation issues? Very likely. We have fiddled around so long that a rational, well-executed plan may be nearly impossible, but that’s not cause to shy away from trying. At this stage, we are grasping at straws, but it seems apparent that nothing of a “voluntary nature” is going to overcome the suicidal tendencies of, mainly, Republican anti-vaxxers. They are unmoved by the data showing that most of the deaths and other serious consequences of COVID infection are among the unvaccinated.

We must, therefore, remove the question from consideration: you want to drive, you get a license. You want to go to restaurants, movies, bars, travel, etc., you get vaccinated. Otherwise, stay home in lockdown. Our lives depend on it. End of story. If the vaccine resisters don’t approve, well, return to the first sentence of my second paragraph ….

************

Repost of Angels in New York [from April 20, 2020]

Just when you least expect it and are sinking into the despair of self-isolation with a sick spouse and extreme personal vulnerability to the coronavirus, someone appears as if by magic to save the day. It’s not magic, of course; it’s human kindness and generosity at its best. I referred to her as an angel in an email and, with no prompting from me, my wife used the same terms. It must therefore be true.

The story is simple enough. My wife has come down with what appears to be COVID-19. We don’t know how it happened. We’ve taken all the precautions. Nonetheless, a doctor in a televisit said she thought it was COVID. It fits the symptoms list perfectly. Fortunately, so far, there are no breathing issues. But you may take my word for it – this virus is mean as a junk yard dog. Everything bad you’ve heard about it is true.

Anyway, my own vulnerability has led my wife to vehemently object to my leaving the apartment. Since she became ill six days ago, I have left only twice to pick up food deliveries and packages at the concierge desk and that was over her protest. When she started to need some things we had consumed, like ginger ale, I found that it is impossible to order online at CVS for delivery of items sold “only in store.” We then recalled that a few people in our building (700 apartments in two towers) have volunteered through the resident portal to help people like us. One of them was recent. I found her message and we began to communicate.

Skipping some of the details, she instantly agrees to trek to the CVS around the corner to buy whatever we need. Faced with imminent store closure (it’s Saturday night at 8 pm and the normal “open 24 hours” has apparently been suspended), she makes them stay open until she gets everything we asked for and delivers it to our door. She exhibits no impatience whatsoever as we text back and forth about the options/brands, etc. She wants us to have exactly what we want, not just what is convenient for her to grab and go. I am a bit overwhelmed.

This leads to a second trip the next day when we discover other needs. She texts me from the store to recommend an over-the-counter medication that may help my wife’s nausea (it did) after consulting with the pharmacist about it. She sends photos of various options so I can choose specifically what she should buy.

She patiently helps me struggle to reimburse her through her website (standby re that), but refuses to accept anything beyond the actual cost of the purchases. She says: “no way I’m taking anything other than exact amount.  Grandpa, who stormed the front in Battle of Bulge, would be horrified and embarrassed if I were to dishonor family name during time of national crisis.”

Now, I know I’ve encountered someone very special. An angel in human disguise. In New York City. We exchange a bunch more emails and texts after I check out her website where she manages, as a hobby, a meditation/mindfulness training program for working people. My wife in particular is interested in this for her post-recovery work life. It turns out this new friend-by-text and I are both alums of Yale University (me, Yale College, she the Law School) and Harvard (me the law school, she the Business School). To respect her privacy, I will not identify her by name. Her resume is intimidating. I joke that I and members of my class often observe that we probably couldn’t get into Yale now and her background shows why. She finds this amusing. She has a sense of humor and an infectious positive attitude toward life. [Is it a pun to refer to “infectious positive attitude” during a pandemic?]

I explain that since there is an immutable rule of life that no good deed goes unpunished, there will be two consequences to her work as Good Samaritan for us: one is that my wife must make dinner for her when the lockdown ends and life returns to some semblance of normality. The other is that I will write about her in this blog.

This is a story that must be told and included in my tales of life in New York City. She demurs on the blog but we agree she will bring dessert of her choice to the dinner. She sends me a remarkable photo of a multi-color dessert cake she had baked and says, “be afraid.” Date to be determined but I am optimistic we will make this happen.

And, for sure, my wife and I will be made better by having known this generous, ebullient, kind-hearted person, an unexpected benefit from the pandemic. As I conclude this post at 7 pm, I hear the New Yorkers that have balconies applauding, banging pots and cheering for that other group of angels working in the Emergency Rooms and ICUs around the city. This happens every day and apparently has started a national “movement,” as well it should. Giants and angels come in all sizes and in many disguises. If you’re lucky enough, an angel will find you too. I hope so.