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Vaccine passports will hurt the poor and threaten medical ethics

18 点作者 justwanttolearn超过 3 年前

6 条评论

logicalmonster超过 3 年前
I think this is a pretty reasonable article, particularly the section on unintended consequences of these policies.<p>In a bureaucracy, policies are designed around fixing what is measured. If the only thing that is focused on is COVID-19 cases rather than general health, far more overall harm might be imposed on the public health from the vaccine passports.<p>&gt; One of the most important risk factors for severe COVID-19 illness is obesity. Many people rely on gyms, especially during the winter months, to access physical activity and maintain their ideal body weight. Those who live in apartment dwellings may not have access to green spaces for exercise. Thus, by barring access to gyms, we are restricting physical activity, which in turn contributes to increasing rates of obesity and greater risk for severe disease.<p>I&#x27;m sure I&#x27;m not the only one who tends to gain more than a few pounds during winter. What do you think is going to happen when you impose significant barriers to a large number of people from working out? Many people are going to stop working out and gain far more weight. Not only does this have a significant impact on COVID outcomes, but also heart-disease and other health conditions.<p>Humans are pleasure-seeking creatures. What do you think will happen when you block them from going out peacefully anywhere fun for the winter? Winters in cities are already miserable experiences. People are going to turn to things that are accessible to them for pleasure: maybe drugs, alcohol, risky sexual and other behaviors, stuffing their faces with sugary food, etc.<p>The unintended consequences of vaccine mandates may lead to dramatically worse overall health outcome on a population level.
908B64B197超过 3 年前
&gt; 5. Why are people vaccine-hesitant? While it is easy to dismiss the unvaccinated as conspiracy theorists and selfish, this is overly simplistic and frankly inaccurate. The unvaccinated are disproportionately of lower socio-economic status, ethnic minorities and children. Many minority groups have legitimate reasons to distrust the medical establishment, based on a long and sordid history of racism and classism. Some are unable to get vaccinated because they cannot afford time off work for vaccination and post-vaccine side effects. It is imperative that we understand the unintended potential health equity impacts of vaccine certificates on specific population groups, and that we target our efforts to vaccinate these populations in a way that is respectful, accessible and meaningful.<p>This right here is what the priority should be.<p>Policy-makers, with private doctor(s!), chauffeurs and staff won&#x27;t empathize and understand the burden of vaccination for the lowest 10% percentile. But that&#x27;s the long tail is, and were we&#x27;ll see outbreaks in the following months if we keep ignoring it.
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tsjq超过 3 年前
If vaccines are accessible to poor people (free or subsidised), how would vaccine passports hurt them?
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tablespoon超过 3 年前
Does this reflect genuine concern for the poor, or is it a bad faith tactic to try to shoot down a policy for other (perhaps unstated) reasons or priorities? Because I&#x27;ve seen a lot of the latter lately.<p>Especially with something like vaccine passports, any special issue the poor disproportionally experience is probably better dealt with through some kind of mitigation (e.g. make vaccines free, arrange free transportation or mobile clinics, mandate paid recovery days) than by scrapping the idea entirely. It&#x27;s stupid to let a small issue prevent a bigger issue from getting addressed.
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justwanttolearn超过 3 年前
Title&#x27;s too long to post, original title is: Opinion: Why vaccine passports won&#x27;t slow COVID spread, will hurt the poor and threaten medical ethics
tynpeddler超过 3 年前
This article asserts none of its top level claims, it merely brings up a series of questions they feel are important for the discussion. There are below the fold assertions that are outright false, such as &quot;Vaccine certificates render the individual in an impossible place of having to choose vaccination or loss of employment and exclusion from society.&quot; Vaccines are free. Vaccination is hundreds of times safer than infection, and infection has a much higher societal cost. If you can&#x27;t afford the vaccine, you definitely can&#x27;t afford the illness. Given this structure, this article looks suspiciously like JAQing off.<p>Assuming that the article is in good conscience, I&#x27;m just going to give a quick answer on each of the points.<p>1. What is the intent and what are the end points? Vaccine certificates impose a significant burden on the population.<p>Yes, vaccine certificates would impose a burden. However, unchecked covid19 imposes a huge societal burden as well. Given current knowledge, covid19 has a much higher cost than a vaccine certificate. A 1-2 year expiration on a vaccine certificate law would be one way these concerns could be balanced.<p>2. Can we stop transmission with vaccine certificates?<p>False dichotomy. We don&#x27;t need to completely stop covid19. We just need to lower the societal cost. Vaccines are very good at doing that, and this article doesn&#x27;t really have a strong argument as to why vaccine certificates wouldn&#x27;t at push vaccination numbers higher.<p>3. What are the logistical considerations of such a program?<p>Similar any similar nation wide legal system. Also, I can&#x27;t help feel that this article uses &quot;Think of the homeless!&quot; the way that some people like to use &quot;Think of the children!&quot; The homeless aren&#x27;t the only members of society (in fact, they&#x27;re a smaller population than the children) and their concerns must be balanced against everyone else&#x27;s. Given the extreme cost of dealing with covid19, both financially and in terms of medical resource utilization (both resources that the homeless use as well), it&#x27;s reasonable to believe that a higher vaccination rate will improve resources available for the homeless.<p>4. What are the unintended consequences?<p>Something. There&#x27;s always an unintended consequence. Yet life goes on, and legislative bodies still pass laws. This point isn&#x27;t an argument against a vaccine certificate, it&#x27;s merely an argument that such a law should be well crafted. Something I agree with 110%. Given the extreme cost of covid19, it&#x27;s also fair to say that even a flawed implementation could still be very useful.<p>5. Why are people vaccine-hesitant?<p>A valid question, but much like point 4, not particularly an argument against vaccine certificates. One thing that I have to iterate again is that if you think the vaccine is expensive, think how much worse the illness can be.<p>6. Are vaccine certificates ethical?<p>Vaccination records have been considered ethical for some time, this article makes no argument as to why covid19 vaccines are special.