Tag Archives: vaccine

The Road Not Taken

Kudos to President Biden for taking the hard but right path to restoring the physical and economic health of the country. Shame on those who continue to harp on the ignorant and irrationally resistant themes of “my rights” at the expense of the health and welfare of others. ENOUGH!

We’re at the fork in the road. Nothing short of a full-on frontal attack on the virus is going to get us out of this mess. The great American poet Robert Frost captured the idea in his famous poem, The Road Not Taken:

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood
And looked down one as far as I could
To where it bent in the undergrowth;

Then took the other, as just as fair,
And having perhaps the better claim,
Because it was grassy and wanted wear;
Though as for that the passing there
Had worn them really about the same,

And both that morning equally lay
In leaves no step had trodden black.
Oh, I kept the first for another day!
Yet knowing how way leads on to way,
I doubted if I should ever come back.

I shall be telling this with a sigh
Somewhere ages and ages hence:
Two roads diverged in a wood, and I –
I took the one less traveled by,
And that has made all the difference.

Biden has taken the road that many politicians would eschew – the one that will, and has, inevitably create another furor. Rather than the “safe path,” Biden has shown the courage of a leader by doing the right thing rather than the safe or easy route. You can hide from destiny only so long, as this great story reminds us:

A merchant in Baghdad sent his servant to the market.
The servant returned, trembling and frightened. The
servant told the merchant, “I was jostled in the market,
turned around, and saw Death.

“Death made a threatening gesture, and I fled in terror.
May I please borrow your horse? I can leave Baghdad
and ride to Samarra, where Death will not find me.”

The master lent his horse to the servant, who rode away,
to Samarra.

Later the merchant went to the market, and saw Death in
the crowd. “Why did you threaten my servant?” He asked.

Death replied, “I did not threaten your servant. It was
merely that I was surprised to see him here in Baghdad,
for I have an appointment with him tonight in Samarra. 

The choice we face now, that we must face, is between aggressively striking at the virus with all the tools at our disposal or continuing to beg the irrational and uninformed to do the right thing. The former has a chance to stop the pandemic, to take advantage of the astonishing opportunity that the rapid deployment of vaccines has provided. The latter approach has virtually certain terrible consequences: more illness, more death, more permanently damaged bodies.

The reality is that the vaccines are safe and effective. The reality is that the rapid spread of the Delta variant has again overwhelmed the nation’s medical capabilities. COVID infections that are mainly in unvaccinated individuals are denying needed medical services for people with other medical conditions.

I have read some of the insane rantings of primarily right-wing and libertarian “authorities” who claim to have inside knowledge that the virus was released deliberately by agents of the federal government who are cashing in on the vaccines. These people claim that the vaccines contain various poisons, microchips and who knows what else.

It seems that one can always find someone who claims to have the inside track on awful secrets and conspiracies that are constantly being plotted against the rest of humanity. These sometimes include people with “medical credentials,” but often they are former workers in the pharmaceutical industry who are certain that they have inside information to expose the crimes being perpetrated in the name of … whatever. They readily accept the plausibility of conspiracies involving many thousands of people around the globe, no one willing to spill the beans, all in the name of “follow the money” or some other cliché that substitutes for actual thought.

We see this same theme played out in science fiction movies and what I call “caper movies” in which bad guys pull off, at least temporarily, extraordinary schemes to steal, blow up, capture huge sums of money, power over the world, etc. Movies like Air Force One, Die Hard and so many others. I have struggled through a few episodes of a TV series called Eureka that is loaded with utterly implausible, preposterous concepts and science-like doublespeak and gibberish. Some people apparently take such stories to be true. It’s an easy shift from one phantasmagorical storyline to another. Harry Potter is real, flying broomsticks and all.

Reality is more mundane. Two kinds of sickness pervade the country. One is the COVID-19 virus. We’ve learned a lot about it and about how to prevent its worst manifestations. Vaccines, masks, social distancing – that’s pretty much the essence. Study after study confirms the validity of these measures, if, at least, they are applied broadly and consistently.

But it’s damned inconvenient and mighty annoying. COVID has shuttered many businesses, interfered with our fun and instilled a deep-seated fear in many people that they and their loved ones, including children for whom they are responsible, are being exposed to an invisible, highly transmissible and deadly disease. More than 648,000 dead from a disease that our former president assured us would “soon disappear like magic.” Damned annoying.

The other sickness is the resistance to the solution. We know what to do but for many Americans, the disease isn’t the real enemy. The real enemy is the government. Many people appear to believe the government unleashed the virus. Why would the government do that? Did the government want to destroy the economy? Weaken our national defenses? Reduce the population? End civilization? Apparently, many believe so.

Logic and reason have little to do with this mindset. It’s analogous to those who argue that the January 6 insurrection was actually the work of the winners of the election who wanted to stop the certification of their win so that the loser, whom they hate, would be installed as the winner. That make sense to you? If so, take two giant steps to the right.

Along comes the new president who starts an unprecedented and initially successful campaign to deliver life-saving and pandemic-ending medicine into tens of millions of citizens without any meaningful adverse consequences and at no cost. And yes, yes, I understand we can’t prove that ten years from now there won’t be some inexplicable adverse outcome for somebody. There is no scientific or medical reason to suspect that could or would happen, but we can’t predict the future with 100% certainty, so ….

But, you know, in the long run we’re all dead anyway. In the meantime, we can return to “normal life.” All we have to do is get vaccinated and comply with a few annoying but otherwise trivial practices a while longer with a few minimal restrictions on our behavior.

But, no, this is apparently asking too much for millions of Americans. They have their “rights” to protect, regardless of the consequences. “Freedom” is their watchword. Don’t tell me what to do even if it’s for my own good. Sounds like a teenager who thinks he knows everything already and is invulnerable. Or the guy with the boat who insists on going out in the hurricane because he can “handle anything.”

Many of these people end up in the ICU, begging for the vaccine, only to be told by doctors, “it’s too late for you. You should have taken the vaccine earlier. It can’t help you now. Nothing can help you now.”

The solution is in our hands, if only our minds will allow us to see it. I despair of it, after engaging yet another person who on first encounter seemed reasonable and thoughtful, but then insisted “we are being lied to” and that the vaccines contain deadly poisons that make them magnetic. She argued with me that the vaccination program was unnecessary because “natural immunity” was superior protection to the vaccines and lasted longer. How she knows this: read on the internet.

I end where I began. History will record that Joe Biden acted justly and rightly in ordering mandatory vaccination programs, with, in most cases, very generous opt-outs for people with true medical conflicts and genuine religious objections (I don’t know what religion that is, but the exemptions are available).

I find some inspiration in these closing words from Ulysses by Alfred, Lord Tennyson:

Though much is taken, much abides; and though
We are not now that strength which in old days
Moved earth and heaven; that which we are, we are;
One equal temper of heroic hearts,
Made weak by time and fate, but strong in will
To strive, to seek, to find, and not to yield.

 

First, Nothing – Then ….

In the beginning, the Earth was a void. Just a roundish rock, really. Lots of volcanoes and other nasty things in the early times. How it came to exist, or more importantly, why it came to exist is a question to which mankind will almost certainly never have the answer. Some people are happy to simply believe that some spirit put it here and then planted humans and all the other biological forms. Whatever.

In my worldview, over an unimaginably long time, evolution took its course. Single-celled “creatures” formed, evolved … you know the story in general outline. That’s more than enough for most of us. We could continue to struggle with the question of how to reconcile those biological facts with the spirit mythology but, for me at least, that’s a waste of time. It turns out that evolution gave humans the ability to believe two or more inconsistent concepts at the same time. We live with the cognitive dissonance, partly by compartmentalizing. You can pray on your knees in your worship space on Sunday to the spirit of your choice (there are many to choose from) and then drive in your high-tech car or search for information on your computer/smart-phone and never give a thought to how both are valid. So be it. It’s who we are.

But on this day, this day of terrible memories, on which many say they are inspired to new hope, we should be reminded of the intersection of inconsistent ideas and what that can mean. Men claiming to be men of faith who believed we were evil incarnate decided to teach us a lesson. They used their “faith” to justify killing almost 3,000 people and had hoped to kill many more.

In truth, the actions they took on 9/11 led to many, many more deaths and much, much more suffering. The words of the prince in Shakespeare’s Romeo & Juliet come to mind:

See what a scourge is laid upon your hate,

That heaven finds means to kill your joys with love!

And I, for winking at your discords, too

Have lost a brace of kinsmen. All are punished.

Evolution produced the cerebral cortex in the human brain. Over millennia, homo sapiens became the Earth’s dominant species. With that came the capacity to change everything. We could do much more than just kill another animal or eat another plant to survive. We were way smarter than that. We learned agriculture, invented tools and machines, built enormous cities, how to fly in machines, how to write and share knowledge.

But there were hard times too. Times when food was scarce. Times when another “group” had access to resources other “groups” wanted. Dominance rather than sharing was apparently critical to survival and thus the prime instinct, to live on, led to competition, fighting, killing. More for me, less for you. I win, you lose. Too bad. At least for today.

Mankind evolved to be the smartest and dumbest creature on the planet. Able to perform miracles of learning and healing and loving, mankind also learned to hate, to fight even when the fight was self-defeating. To change the planet in ways that now make it likely to become uninhabitable. Yet, we continue. The same mistakes. The same hates.

Compartmentalizing.

Love your fellow man. Love nature. Then kill them both if you think it’s necessary to survive … or maybe just to have more. Acquisitiveness – another human trait. Get more stuff because more stuff is better than less stuff, and it shows other humans your superiority. Your dominance in the hierarchy. Humans are very invested in hierarchies. Animals, too, are invested in hierarchies and one might conclude that hierarchies are essential elements of life. But, of course, animals generally don’t just go invade their neighboring animals’ territory.

Is there another way? I don’t know. As a species, humans have the capacity to do the right thing. We’ve created countries, nation-states, wrapped ourselves in “national identity,” “ethnic identity,” “cultural identity,” “sexual identity,” take your pick. So many identities.

Identities help us know who is in our group and it doesn’t take much thought to see how this can be important in the world we have made. But identities are, by their nature, separating. Categorizing. If you’re X and I’m M, we’re in different groups and never the twain ….

So, here we are. Smart and stupid at the same time. Victims of our own intelligence. Suffering now from an unseen enemy, the coronavirus. Most of us are grateful for the science and scientists who brought us a life-saving vaccine. We are grateful for the healthcare workers who put themselves at risk when we are most desperate for their help and comfort. And some of us, a remarkably large number, believe in conspiracies, in dark images of evil people doing insane and immoral things. This group turns away from vaccines and other established public health measures and consumes instead known poisons and unknown other substances, placing their faith in politicians rather than scientists.

Those people walk among us. Many are our friends and neighbors. Many are dying. Yet they persist in believing the unbelievable. Compartmentalizing to prevent being told what to do or to have their “rights” diminished. These people don’t care much about the rest of us, though many often attend religious services and say many prayers. When there is a mass shooting, they send “thoughts and prayers,” but they resist meaningful measures to control violence, and the poverty and desperation that often precedes it, because … they have “rights.”

I am rambling so I will stop soon. I am distraught, I confess, at the idea that years of my inevitably shrinking future life are being stolen by ignorance and deceit. I’ll never get those years back. Neither will the victims of 9/11, the dead and the families and friends of the dead. Never get them back. The permanent silence that awaits us all draws closer by the day, and I wonder why it is that the smartest creatures on the planet continue to be the dumbest. I wonder why we can’t see and correct the self-destructive paths down which our evolutionary history has driven us. We can look back and see history. Other animals can’t. We can look ahead and predict the future. Other animals can’t. We don’t have to wait until the planetary water hole has completely dried up before figuring out a way to stop the loss. What is holding us back from using our intelligence to do what intelligence demands?

Maybe we’re just not intelligent enough. I don’t know.

 

Facing the Abyss – What Should CDC Do Now?

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

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:

WAPO Undermines Public Health Confidence – Again

I understand that the Washington Post and other so-called mainstream media think they have some obligation to report both (or many) sides to news matters of public interest. A lot is happening all the time so there is the difficult problem of triage – what do you choose to report and how much coverage do you give the chosen subjects?

In the latest problematic example, I am mystified as to the thinking behind the choice to devote 1,930 words to an item with the click-bait headline, “Biden team tries to get ahead of the virus — and maybe the science — with decision on booster shots.” https://wapo.st/2UChWHg The byline for this piece shows four names, all senior writers for WAPO with some degree of specialization in health policy.

To make the point of why this type of “journalism,” if that’s what it is, is so concerning, I am going to analyze the piece in some detail. Bear with me if you can.

The opening lines state the subject matter and point of view of the article:

President Biden vowed to “follow the science” in fighting the coronavirus pandemic, but some scientists say his decision to recommend widespread coronavirus vaccine booster shots relies on incomplete data and will put pressure on regulators yet to approve the plan.

You understand right off that the message is that the President has not lived up to his word, that “some scientists” think he’s made a major public health mistake in the fight against COVID-19 and is mixing politics with health science to get inappropriate approval from government health experts.

To support that thesis, WAPO quotes Vincent Racaniello, a professor of microbiology and immunology at Columbia University that the data thus far do not support the need for a COVID booster shot. I checked out Prof. Racanciello. He is a major figure in virus science. He sided with Dr. Fauci in his fight with Moron Sen. Rand Paul about whether Chinese researchers were doing “gain of function” research with bats that led to COVID-19. He is not, therefore, one of those random “doctors” who are dredged up by right-wing media to contradict whatever the CDC and other important health authorities have said.

Prof. Racaniello has tweeted his position on the sustaining power of COVID vaccines thus:

Science tells us that most Americans do not need a COVID-19 vaccine booster 1. With time, vaccine-induced antibodies wane but the same happens with all vaccines and infections. 2. It is not correct to conclude that COVID vaccine efficiency is waning. What is going down is protection against infection. Most human vaccines do not prevent infection. Results of studies have shown that despite waning antibody levels, most fully vaccinated people are protected against severe disease, hospitalization, and death. What we need to do is get everyone fully vaccinated!

The delta variant is NOT in itself causing cases to surge in the US. That is being driven by unvaccinated people, failure to mask, and a return to physical interactions. ANY SARS-CoV-2 variant would behave in the same way.

Those messages were met with considerable hostility by many Twitterfolk – this is a sensitive subject in which nuances of language can have huge emotional effects.

Returning then to WAPO, the article noted that,

While Biden acknowledged the plan was “pending approval” from the Food and Drug Administration and experts who advise the Centers for Disease Control and Prevention, the president mostly portrayed it as a done deal, saying that tens of millions of booster shots would become available the week of Sept. 20.

Thus, while the President expressly acknowledged that health policymakers’ approval was needed, WAPO’s writers assert that the President is dissembling. But then the article notes that he was not dissembling:

The president’s top science and medical advisers — including senior CDC and FDA officials — concluded last weekend that widespread booster shots were necessary, drawing on an array of data from the United States and Israel that suggested immunity from a two-dose regimen of coronavirus vaccine declined over time and that greater protection might be needed against the highly contagious delta variant.

Based on the rest of the article and on many other sources, the “dispute,” if there is one, is about whether to announce the booster program ahead of the surging infection numbers or wait until “more data” is available. Biden’s approach is supported by multiple health experts, including

  • Francis Collins, director of the National Institutes for Health, and
  • Claire Hannan, executive director of the Association of Immunization Managers

But, WAPO goes on, “a number of outside experts faulted Biden’s timing and said the White House was acting prematurely based on the latest vaccination data.”

For instance, the administration focused on multiple research studies showing that vaccine effectiveness against mild to moderate illness wanes over time, while boosters ramp up antibodies tenfold or more. Most, although not all, of the recent data shows the vaccines continue to provide robust protection against severe disease….

Many prominent figures in the scientific and medical communities said that’s the key measure of vaccine success. The vaccines’ main purpose is not to prevent infection, so much as to keep people from getting severely ill or dying, they note, and recent concerns about breakthrough coronavirus infections have been overblown….

It may be that WAPO and the White House may be talking about two different things. As a matter of national emergency planning, the President is concerned about waiting until the resurgent virus (Delta Variant and possibly others) is even more widespread before beginning to boost resistance. The “dissenters” are making technical points about what the data shows right now about the continued strength of the vaccine.

“The metric that matters is the protection against severe disease, hospitalization and death among people vaccinated,” said David Rubin, director of PolicyLab at Children’s Hospital of Philadelphia. He said the booster decision was premature and potentially misleading. “It tends to portray that we’ve lost confidence in the ability of this vaccine to prevent severe infection. And I don’t think that’s the case,” he said.

Given that case counts are surging in multiple states, vaccinations are lagging, and health resources are being overrun yet again in multiple states, why is this “conflict” being written about as if the President were being dishonest or has, like his predecessor, attempted to politicize national health policy?

WAPO cites efforts by Dr. Fauci and others to reassure health policy staff but then “some experts said the White House was backtracking on its pledge to allow regulators to shape coronavirus policy,” citing Biden/Harris’s criticism of Trump for “publicly pressuring regulators to approve the first coronavirus vaccines.”

Does WAPO really believe that disagreement over whether it’s timely to talk about a booster program is the same as Trump’s declaration that the virus is “their new hoax” or whether hydroxychloroquine is a real treatment for COVID?

WAPO keeps doing the dance, first stating why the White House wants to get ahead of the virus, then citing more people who think it should wait for more data and trying to equate the push for a booster program to the “pressure the Trump administration exerted on scientific agencies, like a threat to fire then-FDA Commissioner Stephen Hahn if he didn’t move quickly to approve the Pfizer-BioNTech coronavirus vaccine.”

I can just imagine the reaction if a booster program becomes critical – “why didn’t the White House plan ahead and get on top of this instead of waiting until the catastrophe was obvious?”

WAPO continues both-sidesing this for many paragraphs, almost as if the authors were told they had to produce a certain volume of words. Granted, both sides are covered, but is this just a question of two honest differences of opinion when the political machinations of the prior administration are repeatedly injected into the discussion? Is WAPO really unaware of the differences between the Trump administration’s denial of the existence of a pandemic, and all that followed, versus the Biden administration’s effort to plan ahead and prepare for worst-case scenarios which are already present in places like Florida, Tennessee, Texas and Louisiana?

I have argued before that the main-stream press needs to be more cognizant of the effects of the words they use and how those words can be misused by people whose goal is not to protect the public but to score political points. WAPO seems intent upon feeding the misinformation media rather than focusing on critical issues of what is truth and what is not.