Pretty dismal discussion in here at the time of writing. Largely complaints about tyranny. Makes me sad that we can't have a calm discussion about the merits of the policy.
From what I can tell, you might be opposed to this policy if:
1. You have fears about getting a vaccine, moreso than for coronavirus. If this is you, do you prefer a mask mandate? And if so, how do you enforce this in a restaurant, where anyone eating takes off their mask right away?
2. You have fears about the privacy implications. If so, what are those fears? Perhaps your vaccination status can lead people to make inferences about your health?
3. You are not particularly concerned about the community spread of coronavirus (and the implications of that)
There aren't a lot of choices. You can 1) avoid high-risk areas and escape infection/spreading disease, in which case, this policy doesn't really directly affect you. Or 2) you can take your chances with coronavirus, which you will get sooner or later, and spread it. Or 3) you can "take your chances" with the vaccine which, statistically and biologically, is safer than getting coronavirus and reduces spread.
This policy allows people to choose from 1) and 3) but not 2), which is in all ways the worst decision. Unless, of course, you think that the vaccine is more dangerous than coronavirus. And then I don't really know what to say.
I am pro-vaccine (and fully vaccinated), but I don't support this policy at all.
I don't believe this will have much of a net effect on vaccination rate, I believe it will disproportionately negatively impact poor and minority populations in NYC who already have a bad/mistrustful relationship with health care and government, and it is obviously a huge new governmental intrusion into our daily lives. It might well lead to anger and violence (as similar moves have across Europe).
These are my opinions, but I think the strongest arguments against it are facts: if you are fully vaccinated, you are at essentially no risk of serious illness from SARS-CoV2. And literally anyone who wants a vaccine can get one. Those who choose not to get vaccinated are making a risk calculation; they are making a choice.
This policy comes from an almost hysterical fixation on "cases", which are not a metric of any meaning. SARS-CoV2 is not going away. We should be reacting rationally to rates of hospitalization and deaths -- and right now, those are barely changed in NYC, thanks to the very high vaccination rate amongst the vulnerable population:
One can certainly argue that there exist small groups of people for whom the vaccine is not perfect protection. This is true, but it's no different than all other viruses, which have threatened immunocompromised people forever. We have never before justified such intrusive government policies based on the risks faced by these individuals. So while I empathize with them, this still seems like over-reach to me.
> if you are fully vaccinated, you are at essentially no risk of serious illness from SARS-CoV2.
Terrible first order logic. The threat from the virus is not only immediate risk to the individual, it is also further transmissions increasing the risk of creating new breakthrough variants. Every infected person is a gamble that risks nullifying the effectiveness of vaccines, so the goal must be to bring down infections as strongly as possible.
>We have never before justified such intrusive government policies based on the risks faced by these individuals
we should have. Tolerating disease spread and threats to vulnerable populations when vaccines are available that are practically risk-free (or the risk being magnitudes smaller than the payoff) is ridiculous. Maybe this finally shakes people awake and puts public health and safety to the top of the agenda rather than people throwing tantrums like children about government incursion.
edit: and another point I forgot, with such a significant unvaccinated population we will very likely see surges in admissions in winter again. Public health resources are limited. Unnecessary Covid hospitalizations cause immense opportunity cost in the form of crowding out care and driving costs. Which in many cases other sick people and the public will have to carry.
> we should have. Tolerating disease spread and threats to vulnerable populations when vaccines are available that are practically risk-free (or the risk being magnitudes smaller than the payoff) is ridiculous. Maybe this finally shakes people awake and puts public health and safety to the top of the agenda rather than people throwing tantrums like children about government incursion.
You can certainly go down this path, and dismiss everyone who disagrees with you as "children", but what you value is not the same as what everyone else values.
I am willing to balance the risk of never having a normal life again with an overall risk of illness and death that is on par with every other year I have been alive.
Eventually, I too will become old and frail, and become vulnerable to some virus or another. If I ever become so afraid of death that I demand that other people give up their basic human rights to "keep me safe", then I hope that illness takes me quickly after that. I don't want to live in the world you propose.
> an overall risk of illness and death that is on par with every other year I have been alive.
The excess death statistics would like to have a word with you, but more importantly:
> If I ever become so afraid of death that I demand that other people give up their basic human rights
Are basic human rights really what we're talking about here?
If so, they've always had limits when it came to impacts on others. The freedom to swing your fist ends at the tip of someone's nose; the freedom to spread certain pathogens might end there as well.
Of course, the article here is talking about vaccination as a condition for participation in venues where density and proximity is a concern. "Basic human rights" may well not quite reach into unqualified access to "indoor dining, in indoor fitness facilities, indoor entertainment facilities." Hell, it's hard to actually make an totally unqualified case for bodily autonomy itself, even though that's a good principle to start from, it isn't the only one.
Basic human rights were not lost from the world by smallpox or other vaccination mandates. They wouldn't be destroyed even if there were going to be a federal mandate for covid vaccination, which doesn't even seem to be on the horizon. They are certainly not going to be destroyed by proof of vaccination being required for entry to restaurants and gymns.
> The excess death statistics would like to have a word with you
Independent of the rest of your argument, this one is not a good one to hinge on.
"Excess death" is a pragmatic term, not a normative term. The baseline death statistics doesn't mean those deaths were OK, or natural and acceptable to endure. They include many peer to peer (e.g traffic accidents) or institution to peer (many "lifestyle" diseases') deaths too, which in themselves are also excess deaths in comparison to another baseline (e.g. obesity related deaths in comparison to 1960s).
These feeds back to the arguments of risk tolerance and freedoms; there is a mutually tolerated, implicit risk of peer-to-peer death in driving too. I am not saying this is comparable to the risk of death by covid (it is obviously not), but we can't make principled arguments of absolute safety nor absolute freedom without keeping things proportional to the risks and freedoms we're already been balancing.
> Basic human rights were not lost from the world by smallpox or other vaccination mandates.
If we're being anal about it, it is not entirely true. People have a right to keep the functional and structural integrity of their bodies; and even enhancing immunization would be a change in that, and that has an element of intrusiveness to it. Again, being a transmitter of the virus and harming other people's bodies is also a threat to the functional and structural organization of those bodies, and that is (very) intrusive too, but two things can be true at the same time, and therefore this is not the principle to argue from.
The honest argument would be accepting the need for striking a balance, accepting the sense of anxiety from both sides, and not pushing conclusions into people. We have to have people participate in the rationality of the decision making, from a place of empathy and growth.
I hope this is a moment we can also realize that just like public health is a shared resource and lack thereof is a shared liability, public rationality and sound decision making capability is also a shared resource and lack thereof is a shared liability. We've been turning a blind eye to all sorts of media training people to be more and more polarized, using shaming as a short-term compliance tool that has long-term stupefying consequences. Now we depend on all of us coming to our senses to survive this thing; we need a herd immunity against irrational self-deception just as much.
> "Excess death" is a pragmatic term, not a normative term
Fully aware of that. The reason I invoked them is to make the pragmatic point that those statistics alone and the correlated rise with covid should tell an analyst that risks associated with the virus aren't the same as "every other year they've been alive." That's a descriptive observation.
Of course, it also invites a normative judgment...
> If we're being anal about it, it is not entirely true.
It's essentially true, and this is important. There have been genuinely compulsory vaccinations in modern free societies... and these compulsions turned out not to be slippery slopes into totalitarian oppression, but the corner case that you'd expect from societies that, as you say, realize this isn't about "absolute safety nor absolute freedom," that both risks and rights can be qualified (and in fact, for rights to be meaningful at all, they must be qualified, since there are always cases where a right reaches a point of tension with another right).
And NY isn't even talking about genuine compulsory vaccination, it's proposing vaccination as a condition of participating in things that people can opt out of. It's not even as compulsory as a fine or paying your taxes or any number of other carrots/sticks that states regularly use to "push conclusions into people" because if you're going to have a society, you're going to blow past the limits of voluntarism at some point, as lovely as it is to try and maximize it within those limits.
> People have a right to keep the functional and structural integrity of their bodies
Yes, I anticipated that and you can see it in my comment where I refer to bodily autonomy. It's a good place to start, but like every other right it isn't unqualified.
and in fact, for rights to be meaningful at all, they must be qualified, since there are always cases where a right reaches a point of tension with another right
What? I have never heard anything like that at all. Rights are absolute.
That sounds like it is coming from the "Sure free speech is fine, so long as it doesn't offend me," crowd.
it's proposing vaccination as a condition of participating in things that people can opt out of.
People here are generally highly attuned to one of the big surveillance ad corps trying to massage people into accepting some invasion of their personal sovereignty, how is this different? You think if something like this is accepted there won't be pushes to go further?
If this infrastructure is put in place, it will be abused, and it will coopted for other things.
> What? I have never heard anything like that at all.
Sure you have. It's embedded in the common phrase (invoked earlier) about the right to swing a fist ending at the edge of people's noses. Or in the oft-invoked expression about yelling "Fire!" in a crowded theater. Or the frequent refrain about rights being paired with responsibilities.
> You think if something like this is accepted there won't be pushes to go further?
We don't have to "think" it, we can point to historic and present examples where like compulsory actions existed without devolving into totalitarianism because we have a society shaped by people who understood it's possible to have both substantial general protections and specific exceptions.
>We don't have to "think" it, we can point to historic and present examples where like compulsory actions existed without devolving into totalitarianism...
If there are, that should be the exceptions, rather than the norm.
Also, the parent asked if there won't be "pushes". So the implication is that there will be an overwhelming push in that direction, and very weak countering "pull" in the opposite direction.
And it is clear what direction it will ultimately go. So that is the danger in setting a precedent. So that further pushes in a "bad" direction will require much less effort, and only matter of time it is accepted to be the "new normal"..
The precedents you're invoking as fearsome are scattered over a century old, some older. Past vaccination requirements have been examined and upheld -- all without leading to an overwhelming push to eliminate general autonomy.
So the idea that "it is clear what direction it will ultimately go" is... kinda correct, actually. It is clear that general autonomy can remain a valued principle with specific exceptions. It is clear that they are the exceptions rather than the norm. And that the pull in the other direction isn't weak.
> What? I have never heard anything like that at all. Rights are absolute.
1A text: "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances." [0]
So is the right to the freedom of speech absolute? Not according to the body authorized to definitively interpret the law, the Supreme Court, which ruled that laws abridging the freedom to defame people through speech or press are constitutional.
Thus the right to the freedom of speech has limits and is not absolute.
"In United States constitutional law, false statements of fact are statements of fact (as opposed to points of law) that are false. Such statements are not always protected by the First Amendment. This is usually due to laws against defamation, that is making statements that harm the reputation of another." [1]
There is a rich literature about the origins/generation/properties of “human rights.”
As an easy example: how do you reconcile that rights are absolute with the over-used “can’t shout fire in a theatre” case that curtails freedom of speech. Many would argue that rights must be qualified, or exist in relationship with each other. All of these are humanist arguments, mind you. Nobody is trying to throw human rights out with the humans.
Really excellent comment. I liked the line about your different values from GP. I cannot prove this, but I feel as if it is becoming more “normalized” to not be able to reconcile this fact.
What are the odds that anyone is right about everything? We ought to be confident in our reasoned decisions, yes, but then not be surprised that someone else’s reasoned decisions disagree with our own.
Now we depend on all of us coming to our senses to survive this thing
Am I missing something? It seems to be clear for well over a year that "this thing" is not some existential threat that threatens our very survival. Why are people talking as if it is, and seeking to craft policy as if it is?
Perhaps not my survival, or your survival, but a bunch of countries' health systems have collapsed as part of this pandemic, which has definitely lead to excess deaths.
Personally, I believe that the global excess deaths figures will be bigger this year than last, due to all the developing world where vaccines are not available.
> The excess death statistics would like to have a word with you
What do excess deaths of vaccinated people look like?
> "Basic human rights" may well not quite reach into unqualified access to "indoor dining, in indoor fitness facilities, indoor entertainment facilities."
This is disingenuous. Freedom of peaceful assembly is widely recognised as a basic right.
Is this an absolute or relative thing? If I have Ebola and actively contagious, would I still have to right to peacefully assemble in a crowded venue? Or is there some cut off of potential harm where this is true?
No basic human right is absolute. Nowhere has completely unrestricted speech, everywhere puts some restrictions on voting rights, all regimes have cases in which your property rights are forfeit. But it should be a very high bar.
> What do excess deaths of vaccinated people look like?
VAERS currently reports 11,000 deaths (50% in USA mainland) after Covid vaccines. VAERS only has a subset of data on vaccine adverse events, so the true number when private/HMO databases are included will be some multiple (5x to 100x) of the VAERS total, https://openvaers.com/. A German pathologist has estimated that 30% of post-vaccine deaths were caused by vaccination. We need more autopsies in other countries, along with earlier post-vaccine clinical observation, https://translate.google.com/translate?sl=auto&tl=en&u=https...
> pathologists therefore worked with public prosecutors, the police and resident doctors, reports Schirmacher. More than 40 people have already been autopsied who died within two weeks of being vaccinated. Schirmacher estimates that 30 to 40 percent of them died from the vaccination. In his opinion, the frequency of fatal consequences of vaccinations is underestimated
Existing Covid vaccines are non-sterilizing, i.e. they do not prevent infection or transmission. In fact, because a non-sterilizing vaccine suppresses symptoms, an infected vaccinated person doesn't know to isolate (unless they get tested after exposure, as recommended by CDC) and can infect others. A non-vaccinated person would show symptoms and can self-isolate, ending the transmission chain.
Natural immunity is sterilizing, i.e. NYC essential workers who have already recovered from Covid are much better for public health than anyone vaccinated with a non-sterilizing Covid vaccine, https://thehill.com/opinion/healthcare/558757-the-ill-advise...
> During the pandemic, the professional laptop class protected themselves by working from home while exposing the working class that brought them food and other goods. It is now the height of hypocrisy to recognize immunity from vaccinations but not immunity from those exposed while serving the laptop class.
Just to clarify for those worried about what looks like legitimate numbers. The 6000 (unverified though there are legitimate reports) deaths on VAERS (down from the 11,000 when those that were posted from overseas sources were removed) means that the death rate for the vaccine using this number is 0.0018%.
To put that number into context, you are 944 times more likely to die if you catch covid than if you get a vacine in the US. That's right the anti-vaxer take on the VAERS numbers say getting a vaccine is 1000 times better than not getting a covid vaccine. Even in the country with the lowest reported (0.1% which is not necessarily the actual) death rate per covid case you are 100x better off getting the vaccine.
A more local statistic is the list of adverse events by age group, for the specific lot number on a vaccine card. One vaccine lot number can be distributed across multiple geographical regions. To run the query, replace 123456 at the end of the URL below, with the lot number from a vaccine card. More granular results can be found via the query wizard.
People dying from covid are old, to very old, and/or in poor to very poor health.
People dying from and having adverse reactions to the "vaccines" are young to not that old, and in good health.
In the US, over 300 million doses of covid-19 vaccines have been administered so far. Reported deaths of any cause (regardless of any established connection with the vaccine) among this group was on the order of 6000 people as of the end of July. [0]
US covid-19 cases are around 35 million and 600k deaths. How many of those were "young to not that old"? Well, one count[1] would put us at about 28k under 50, 10k under 40.
Let's be generous to the "vaccines are a threat to the young" position and assume for the sake of argument that ALL of the 6000 VAERS reported deaths were in fact caused by the vaccine and were ALL people under 40. Even making those assumptions, the order-of-magnitude difference in vaccination events vs infection events makes it utterly clear that covid itself is at least 10x more dangerous to people under 40 than receiving a vaccination is.
And if you dig into the adverse vaccine event specifics, my bet is that you find a pretty similar distribution of adverse effects -- sure, some of them are young people, just like some covid deaths are young people, but not most of them.
Shouldn't we take into account that someone dying earlier is worse than someone dying old? Not sure if that would flip the balance, it may for people around 20-25 maybe, or at least balance things.
If we've established that the vaccine is 1/10th the risk of covid itself to younger people (which I think I did in my comment), as far as I can tell any extra weight that might be assigned to preserving young life just falls out of the problem.
People do work with numbers like "Years of Life Lost," and FWIW I think that can inform some conversations even though I don't think it helps much with this one. It is not the end-all-be-all, though. You could, for example, look at the social costs of losing the accumulated experience/wisdom/social capital of people over a certain age, which may be why some societies emphasize respect for the elderly.
You did for people under 40, and I agree with your point, but I'm wondering if the results are the same for people that are between 20 and 30 for example. I find that 75% of the people that died of COVID under 40 were under 30 and 40 with https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm. So the risk would be more around 1/3rd (give or take) of the risk of covid itself, following your calculations. So you're betting that less than a third of people between 20 and 30 will get covid (again, give or take and highly in "my" favor, as you yourself pushed the data on this side already).
Considering that we still don't know the long terms effect of the vaccine, I can understand that someone between 20 and 30 without comorbidities would think that it's reasonable to wait and see, especially if he's less at risk (lives in the countryside for example, remote work, things like that).
> You could, for example, look at the social costs of losing the accumulated experience/wisdom/social capital of people over a certain age, which may be why some societies emphasize respect for the elderly.
That's a good point. You could also add a different value for years depending on the age, as people often value their youth more. 1.5 years lost when you're in college or starting your first job is not the same as when you're in your 70s and retired.
If you're going to use VAERS data to support your argument, you really must take extra care to demonstrate that you understand what those data actually are, and explain why your conclusions should be taken seriously.
Otherwise, you risk being lumped in with the multitude of bad takes made by people who misunderstand what VAERS is, and don't understand statistics.
> US Covid deaths peaked in early January, three months before US daily vaccines peaked in mid-April, and VAERS deaths peaked in March-April.
I find an April peak in VAERS deaths entirely unsurprising, since that's exactly when the rate of vaccination was highest.
If you know of non-VAERS public sources of vaccine adverse event data, references would be appreciated. A link was provided to one pathologist autopsy study, more are needed. CDC VSD (Vaccine Safety Datalink) is not public, sometimes we get data snapshots when CDC is investigating specific adverse events, like blood clots, https://news.ycombinator.com/item?id=27464528
Perhaps I wasn't clear. I wasn't complaining that VAERS was a bad source of data. I was pointing out that your post is hard to distinguish from the large body of bad posts that misinterpret those data because their authors fundamentally misconstrue what the data actually represent.
Are basic human rights really what we're talking about here?
If so, they've always had limits when it came to impacts on others. The freedom to swing your fist ends at the tip of someone's nose
Whoa, you've got that horridly twisted.
It's not a human right to demand that others undergo a medical procedure for your own perceived interest.
It's not a human right to demand others undergo a medical procedure, or be injected with something, because you've been told it will benefit you in some way.
Every individual has complete choice and autonomy as to the medical procedures they undergo. That is the human right.
>Article 6 – Consent
1. Any preventive, diagnostic and therapeutic medical intervention is only to be carried out with the prior, free and informed consent of the person concerned, based on adequate information. The consent should, where appropriate, be express and may be withdrawn by the person concerned at any time and for any reason without disadvantage or prejudice.
This isn't a medical procedure. You are certainly not allowed to make someone go through a medical procedure, since, you know, it doesn't affect you. Not being vaccinated affects everyone, so your choice of whether you get it or not is now going to have consequences on what you can do publicly. I've still not heard a single good argument for not vaccinating despite reading most anti-vax comments on this post.
>I've still not heard a single good argument for not vaccinating despite reading most anti-vax comments on this post.
The obvious good reason is you have one of the many pre-existing conditions that prevent you from getting the vaccine without causing yourself further risk of long term organ damage/failure caused by you previously taking other mandatory vaccines on a regular basis (healthcare workers, vasculitis is one such group of diseases common among the RN population - but what do they know, those front line workers with their anti-vaxx mumbo-jumbo).
The other obvious reason is another simple one - it seems its completely unnecessary for any relatively "healthy" person such as myself to worry about this virus. Our immune systems are designed for this battle, and based on the death rates, it seems despite the US population being very obese and largely unhealthy with a fairly high diabetes rate, we're somehow not dying in droves.
Third reason, vaccinations against every single little virus that comes along is effectively practicing negative selection. I think we all can assume where that leads especially with a leaky vaccine like this one - large scale true extinction event. We're breeding superbugs by vaccinating large scale populations, instead of small targeted vaccine administration.
>I've still not heard a single good argument for not vaccinating despite reading most anti-vax comments on this post.
Because if I put something in my body only because my master tells me to, I am a slave. Through and through. Bodily autonomy is absolute. It's different than the Modern American definition of slavery, which is mostly based on the New World forms of slavery, which are related to but different than the Old World forms of slavery. But they are all slavery. Either you have control of your corpus or you do not.
You have the choice to be vaccinated or not - businesses and have the choice to refuse to provide service to the unvaccinated, private property and all. And society has the right to insist on vaccines to participate. We all have rights and yours don’t cancel out others.
TLA is about a local government mandating that businesses check for vaccination status. That's infringing on rights of the businesses, "private property and all."
You were vaccinated as a child and you're presumably perfectly fine. And it's not about you. It's about not being selfish to end a pandemic that affects other people a lot worse than it does you.
We allow parents to make decisions for children up to a certain age. I'm definitely not arguing that.
It is about me. A population is made up of individual people. Those individual people have rights. Given a choice of a population of X size who surrender the rights to govern their body, vs a population of free willed humans of (X - (00.03 * X)), I would gladly take the latter, including as a casualty. Humanity under authoritarianism is never morally acceptable, regardless of how benevolent my dictator appears to be.
How do you know he wasn't already infected and thus has natural immunity? So how is this saving her or his life?
Why aren't we testing for those who actually need this vaccine or not (because antibody tests don't work very well and no one wants to improve that metric because thats not where the money is)
Concern over long term effects of mRNA therapy, of which I've found little evidence
Concern over long term effects of the spike protein presented by COVID-19, both attached to the virus and free-floating within my body as a result of mRNA therapy.
Concern over long term ability for my cells to accurately recreate the spike protein. From what I've read, this is actually low concern on my scale, the capping seems pretty thorough.
Concern over my body creating an immunoresponse to organs/nearby cells/systems where the spike protein has accumulated
Concern over my immune system being able to form a strong defense in the future over different coronaviruses when it's been trained to work outside it's normal operational parameters.
Concern over the hubris of mankind and the house of cards that is our trust in the peer review system.
Concern over the lack of experiment replication done in the modern medical fields
Concern over the fact that some of these companies have shady history, including knowingly selling me asbestos to keep my testicle dry during the summer heat.
Concern over the lack of transparency in the bridges between pharma lobbyists and government, politicians and media, and media and pharma corps.
Concern over the lack of transparency in more broader sense.
Concern over the obvious astroturfing on social media, of multiple "influencers" posting the same copy and pasted messages, the bot responses, the general fiscal funding behind this debate.
Concern over the future implications of us accepting, as a society, the weaponization of fear, and the saving graces of corporations.
Concern over our willingness to change our lives in drastic manners because of the justification that it may save a life, which I see as an endless justification opportunity for future world leaders.
I read data. A friend is working on the vaccine for Novavax - him and his family will not be vaccinated anytime within this decade. This is very quickly turning into an endemic virus cycle like most others throughout history. We've been trying to eradicate the coronavirus family for at least 70 years with 0 results. This is a leaky vaccine, and breakthrough case numbers reported by Pfizer to the FDA don't paint a rosy picture (somewhere between 14-24%; they don't know, they didn't really test those people in their initial trials, they just assumed they had Covid based on symptoms, which is why they keep stressing that even though you've had your vaccinations, you're still at risk of infection and spreading the disease). Look at the numbers of fully vaccinated people in Israel currently hospitalized. I'd rather NYC enforced high quality diet and mandatory exercise than a newfangled vaccine. But I know, people just want the magic pill....every year...for the rest of their lives.
> Look at the numbers of fully vaccinated people in Israel currently hospitalized.
The country’s Health Ministry reported last week that the two-dose vaccine is now just 39% effective in Israel where the highly transmissible delta variant is the dominant strain. The shot still works very well in preventing people from getting seriously sick, Israeli officials said, demonstrating 88% effectiveness against hospitalization and 91% effectiveness against severe illness.[1]
So 88% effective against Delta-strain COVID causing hospitalization. That seems pretty good!
I think many people saying "look at Israel" are looking at the decreased effectiveness in stopping any symptoms against Delta-COVID and think that - disappointing - headline figure (39%) is the protection against hospitalisation rate. It's not, fortunately.
I mean that's fantastic. My immune system is also highly effective against corona viruses, fungal infections, and other pathogenic microbes. To each his own.
Thanks for the lesson. This is exactly how your immune system already functions. No need to set yourself up for risks with jabs if you've got a genetic precondition for various diseases related to routine vaccinations. I'm glad we agree.
> him and his family will not be vaccinated anytime within this decade.
because of the nanoparticle adjuvant that enacpsulates the subunit? yeah that's been on the top of my mind too, but covaxin is a traditional inactivated virus and it confers 70+% efficacy. my question is, if a vaccine that is the same genetic material (maybe a little less, but not heavily modified like mrna or run through the moth/tree approach like novavax) then why are we ignoring those who were actually infected?
food for thought: long covid is H O R R I B L E, and that should be everyones reason to take a vaccine.. but if you don't want to, just be prepared to sit on the sidelines for a year or maybe more. once the pandemic, as defined by the government, ends then you are on your own. there is already less patience for those who need to take extended time from work for a covid positive result
Long covid is highly debated as the evidence for such a disease is currently very weak, but we will see it crystallize in the next few years I suppose. Many in the health field see it as another psychologically-induced disease. Who knows? Let us not forget that every single viral infection that attacks the body, is likely to leave at least some long term damage or change (no matter how slight), and certainly the unlucky few have severe long term damage even from the flu.
Not just my friend, my friend. Everybody who worked on encapsulating the mRNA vaccine knows why the compound was not allowed for human use previously, and why they've all had to show the same diligence (because it caused clots which lead to stroke-outs and heart attacks in animal trials).
Your link shows what exactly? That yes, the majority of people with Covid currently, and majority of hospitalized (severely ill other words) are fully vaccinated.
Read the article, then respond. #1 you don't know everyone who worked on it, and #2 the entire point of the article is this is WAY lower than their prevaccinated days in January.
I'm not arguing wether the vaccine keeps some people out of the hospital, I've read the article broski. The article points out what some Israeli doctors are seeing; to quote one "80-90% of my covid cases are 100% vaccinated". This vaccine is coming up short and is probably causing more harm than good in the long run; we're heading into an endemic cycle. Everyone (each company) that has worked on mRNA vaccines in the last 10 years+ are facing the same ethical dilemma, as all of the compounds have not been approved for human use. Just saying what the virologist tells me. Go nuts with your vaccine ingestion (I don't care what you do one way or the other), but I would stay with Sputnik or the Sino vaccines especially if you have a history of blood clots or genetic predisposition to heart conditions.
> The article points out what some Israeli doctors are seeing; to quote one "80-90% of my covid cases are 100% vaccinated".
You seem to think this is bad or something? As the vaccine rate increases of course more patients will be vaccinated. If the vaccine rate was 100% then 100% of people seen would be vaccinated!
The number of people being hospitalised has decreased hugely though.
> Everyone (each company) that has worked on mRNA vaccines in the last 10 years+ are facing the same ethical dilemma, as all of the compounds have not been approved for human use.
Well this isn't true at all.
> I would stay with Sputnik or the Sino vaccines especially if you have a history of blood clots or genetic predisposition to heart conditions.
I don't know much about the Sino vaccine, but Sputnik is a adenovirus-based vaccine (the same as AstraZeneca). It probably has the same blood clotting issues as AZ, but the places it has been deployed have much less robust post vaccine medical surveillance.
But it's good you'd take it! I'd encourage you to do so ASAP.
In the US, you most certainly do not. Are you unaware of drug laws, for example? By your logic, you are now and always have been a slave, and so is everyone else. What was once a useful word is now meaningless.
What?
Vaccination absolutely is a medical procedure. How could you say otherwise?
It's now clear that these injections do not have the efficacy of what has traditionally been termed a "vaccination," but they're definitely being marketed as a preventative, or therapeutic medical intervention.
Getting a shot is not a medical procedure and more than going to the dentist is. The efficacy is still much, much higher than not being vaccinated. I'm not sure I see what you're getting at.
It depends on whether you consider liberty, self ownership and free contracts between consenting adults to be basic human rights.
Eroding liberty by restricting free association would have certainly been considered a violation of rights by the folks that listed them in the Constitution.
> The excess death statistics would like to have a word with you,
I think you're misunderstanding the conversation. The thread is talking about the risk _to vaccinated people_. What excess death statistics are you thinking of that show a categorical increase in risk for those vaccinated?
>the freedom to spread certain pathogens might end there as well.
There is a false equivalence here that freedom to opt-out of a commercial product, is excising one's freedom to "spread diseases".
To make it clear, would you want to pass a law that prevents someone with a genetic defect from marrying and having children? Because they would be "spreading" generic disorders, and by having offspring, they are "exercising their freedom to spread a genetic disorder", right?
Basically, it is the same reasoning. But it does not have to be force sterilisation.
You can say that any one that is not breathing through a mask is exercising their freedom to spread diseases, and so everyone should wear a mask all the time..
Basically, the point is there is a line where your right to be safe and the right of the rest of the world to exist in freedom is in balance. And arguments like the one that is being made is pushing that line to reduce the latter, and if we are not careful, the latter will be reasoned out, in the name of increasing the "protection" of the 0.01% of people from 95.02 to 95.03% (Just made up numbers to illustrate the point).
And it is not hard to imagine who benefits from it.
May be we need a "Citizen freedom index" for every country so that we will know when we are draining it.
Because if it is hard to improve what that cannot be measured, its hard to know when you are draining it as well..
Thanks for having the courage to write this. I couldnt agree more. I find the risk assessment argument of the thread parent really twisted. Younger people effectively have no risk of dying from covid. Elderly have. And now, the left is trying to force everyone to vaccinate, no matter how good or bad their immune system might be. This world has become a place I actually really dont want to live in. If this trend really wins and people accept a world of forced vaccination and masks and restrictions of public areas, I prefer to contract covid and die.
> Younger people effectively have no risk of dying from covid. Elderly have
Not true. Delta is showing increasingly worse numbers for younger people. Some children's hospitals are full from it. If you have another argument besides that one let's discuss.
So, yet another article about "cases" that are "surging"...however:
"The study does note that “it appears that severe illness due to COVID-19 is uncommon among children.”
"Among the 23 states and New York City reviewed by AAP, children’s hospitalizations made up 1.3 – 3.5 percent of all COVID-19 hospitalizations for the week ending July 29."
"According to the study, children were 0.00 – 0.26 percent of all COVID-19 deaths, and seven states reported zero child deaths among data from 43 states, New York City, Puerto Rico and Guam, with 0.00 – 0.03 percent of all child COVID-19 cases resulted in death in those areas."
If you're trying to provide evidence that Covid does not present a serious threat to children, it'd be hard to do a better job.
What you are describing could be called geritocracy, which is a bit of a pejorative, implying negative outcomes, particularly for the young. But then consider Florida, with the most old folks per capita, and what their policies and outcomes have been.
Jesus christ. Did you go to public school? In most cases vaccinations for common diseases is required to attend. Vaccines save lives, is very little burden to you especially if you "have a good immune system". The faster we get everyone vaccinated the faster we get rid of the need of masks and restrictions. It's morons like you elongating things.
If you get on that ventilatior you won't be thinking you made the right choice. You'll be wishing you took the vaccine like so many stories we see today. What an idiotic hill to die on.
Keep your FUD to yourself and to your family. I am young and healthy enough that I will not need a hospital if I get a covid infection. Your FUD does not change my attitude.
Will everyone you know with that attitude be so lucky? Or those that actually can't get the vaccine. You sound like a selfish jerk. Did you ever stop and think that maybe your family and friends won't be so lucky as to not need a hospital? It's not just for you!!!
Even if your young and healthy there's still a non-zero chance something could happen to you.
> there's still a non-zero chance something somethin could happen to you.
That was true before the pandemic, and it is still true today. If I die, I die. No need to restrict the lives of everyone else just because you are afraid of death.
Just because you don't like the message it's not FUD. Do you not wear a seatbelt in the car too? If you die, you die. Why bother wearing a bike helmet? If you die, you die. Unprotected sex with strangers? Sure, why not. If you die, you die. Why bother mitigating any risk that you can? I mean if you die, you die. Live your life free am I right? No need for silly restrictions like seatbelts, helmets or condoms.
Now you're finally getting it. I don't do any of those things you describe....and I don't particularly value or even like life. You stick to your value system and live however the fuck you want, and let everybody else value what they value and live however they want. If you're afraid of a virus potentially killing random people, I am not sure how you've made it this far without sheltering in place your whole life (hint, we have much scarier superbugs spread in hospitals that are almost immediately deadly to the immunocompromised).
Wow. So you're a moron. Doesn't even have to be random people. I don't want any of my friends or family dying from a currently preventable cause.
The problem with you "living however you want" is that it can impact other people...living. Every person the virus infects is a new chance for it to mutate and potentially get worse. We've already seen that happen once with the delta variant. You have an easy way to prevent deaths and you won't because?
Would you let someone "live their life" running around stabbing people? Some people might just get a nick, some could die, what does it matter?
So you call me a moron, and then you go on to compare stabbing people to not getting a vaccine...hmmmm.
People are largely unvaccinated in New York city (70% unvax), and yet, somehow, we don't see people lying in the streets (at least not from Covid). Hmmmm. Could it be that people's immune systems are functioning despite the human hubris and hysteria?
Your obsession with death avoidance is clearly anxiety inducing. Embrace life, embrace death, embrace (bad) luck and embrace decay are my personal keys to a stress-less life. I grew up in a country and in a household, where the car we owned had no seat belts. We also rode our bikes without helmets (shock! horror!). It was not a big deal. Never got into a car accident and I've personally been driving for over 30 years. For about a decade I drank and drove without incident. I jump out of airplanes with suspect and haphazard inspections on a regular basis. Had some close calls, but I'm still here (broken bones mend). My grandmother died at 99 (by choice mind you), her husband died at 30 of cancer. Life is a roll of a dice, you cannot escape your genetic lottery, a vaccine (especially this one) is highly unlikely to save much of your life if you're a person with 2.8 comorbidities.
I got the 70% unvaxed from a nytimes.com article; apparently it was dated. Looks like only 40% are unvaxed now according to your link. What's the Covid death rate in that highly congested and dense city? In my state, it is .13%, and that's counting many many deaths that have nothing to do with Covid as a "Covid death" (according to my wife [RN] and her friends who work in local ERs and ICUs as well as a head administrator of our largest public state health network).
Survivorship bias. Look it up. Congrats. You didn't die or kill any one drinking and driving or not wearing any seatbelts. Lucky you.
But guess what? They do save lives. That's why it's against the law to not wear a seat belt or bike helmet in most places or to not drink and drive. The vaccine can save lives too but it works best if as many people as possible to protect those who can't, to prevent breakthrough infections etc.
I'm not "obsessed" with death avoidance. I'm just not such a selfish asshat that I can give an hour of my time to go get vaccinated, reduce spread and maybe save some lives.
It's not like those people with comorbidities were going to die tomorrow without COVID anyways, they were going to live 5, 10, 20 extra years. Time to see children and grandchildren grow up, spend with friends etc.
I know, its all survivorship bias, none of it has anything to do with my OCD genes or the thousands of little mitigations to risks I take every day.
>The vaccine can save lives too but it works best if as many people as possible to protect those who can't, to prevent breakthrough infections etc.
What works best is for sick people to stay the fuck home until they're not sick anymore. Healthy people's immune systems, won't allow a large viral load to allow for transmission. This is not a magic virus, there is nothing new here.
>I'm just not such a selfish asshat that I can give an hour of my time to go get vaccinated, reduce spread and maybe save some lives.
Homie, if you believe you're saving some lives by getting vaccinated...I don't know what kind of propaganda you've been feeding on along with those cheetos you were complaining about the other day.
The vaccine will not stop you from transmitting the virus to other immunocompromised people. Don't take my word for it, take Pfizer's.
I'm honestly surprised DUI laws are not brought up more as an analogy when discussing mask mandates and other public health measures.
An argument for driving drunk that sounds a lot like more than a few no-mask and no-vax arguments; "I drive drunk all the time and have never hurt anyone; I will probably never kill anyone. If you can't accept the risk of driving on the roads with me then stay home!".
And also, in both cases of course it's the potential harm to others that tends to make the laws acceptable. In the case of SCOTUS, it's settled that the government can take EXTREME measures in the name of public health.. Likely far beyond anything we have had to deal with so far.
But the courts acceptance (which is the source of truth of what is legal) is contextual. So the slippery slope arguments are off base IMHO because something upheld in the context of the pandemic could be struck down outside the pandemic..
We live by rule of law and it's a glorious thing. As much as I enjoy being cynical, getting together to agree on rules we wouldn't otherwise hold ourselves to(game theory?) is an amazing thing.
This is effectively a "think of the children argument". People with health complications will always be at higher risk of bad disease outcomes than the rest of the population. That includes the regular flu, too, and is pretty much guaranteed to include some form of COVID forever at this point. You don't get to use that as some kind of moral high ground to force your personal stance on everyone else.
Educate people about the low risk and high benefit of getting vaccinated. Encourage them to do so as a generally good thing for society. But framing it the way you are right now is not just unhelpful, it actively makes unvaccinated people think you hate freedom and don't give a damn about anyone's personal opinions.
1) I didn't mention children at all. I'm certainly not making a "think of the children" argument. That implies you think COVID is overblown and not a serious threat. But it is, and it's killed millions.
2) I don't give a damn about dumb opinions, and it's not my job to "educate" people that, let's be honest, don't really want to learn. The solution to stop deaths by DUIs isn't to try and convince people that they're wrong for driving drunk. The solution to stop deaths by lead poisoning isn't to try and educate consumers about the danger of lead in food.
Framing that as "hating freedom" is disengenuous. It would be nice if people did the bare minimum to not endanger lives, without requiring the force of law. Sadly, that's not always the case.
1) Replace "children" with "immunocompromised people". It is the exact same argument. Don't be pedantic. And yes, I do believe COVID is overblown in how it is presented. The risk factors are very clear now and nowhere near as bad as they were originally presented, or as bad as people still seem to think they are.
2) You just did it again - stating other people's opinions are "dumb" because they don't adhere to your personal mantra is exactly how you make other people completely disengage. Just like I'm going to do now.
To be clear, there's nothing wrong with thinking of children (or the immunocompromised or handicapped or any other group). "Think of the children" is an argument where you use children to justify an absurd, overblown, or bad faith argument.
You seem to think it means "I shouldn't have to think about other people's well-being because freedom." I think that's pretty callous.
As a person with a disability, I request respectfully that you leave disability out of your flawed "everyone needs to comply with my opinion" nonsense. I dont want to see disability abused by people like you. Understood? Keep your patronising to yourself and your family.
Yes vaccinated people can pass it on, but not as easily (study released today). Yes getting vaccinated will end the pandemic sooner because A) it won't be transmitted as much, and B) hospitals won't be at capacity for milder cases. Just get vaccinated
>It would be nice if people did the bare minimum to not endanger lives, without requiring the force of law. Sadly, that's not always the case.
I completely agree, we need to somehow get rid of all cell phones, so that people can stop with all of the distracted driving for one. Then we can make sure we force folks to eat right, exercise, and get 7-9 hours of sleep a night. No sleep, no car.
I think if the vaccines offered sterilizing immunity, you'd have a much stronger argument. As it is, vaccinated are able to transmit the disease, also putting immunocompromised at risk.
That the vaccines appear to lack durable protection is a problem as well IMO. What are the compound impacts of the vaccines if booster shots are required on an annual basis?
While we are at it. I also don't care if your bosses mother died or not. Since she is your bosses mother, she likely had an age where death is lurking around the corner anyway.
She wasn't retired, so I'd guess in her early 60s and didn't have any other major health issues from what I understand. But I'm glad you laid your cards on the table about not caring. I mean, it was already pretty clear.
Laws exist to protect innocents from people like you.
I am still not impressed. My father died with 39, my aunt with 42, and both my grannies didnt go beyond 70. This was way before corona. Life isnt guaranteed to last for 100 years. Stop fucking over the whole world just because you can not accept that it is finite.
Okay, so then you die. Nihilism is your choice, so that's cool I guess. But your post is about you, and only you, fullstop. There are other people out there, despite whatever solipsistic beliefs you have.
With an R0 value of 6, you're statistically likely to infect 6 other people. Why is that acceptable to you?
> With an R0 value of 6, you're statistically likely to infect 6 other people. Why is that acceptable to you?
Because I have been "statistically likely" to infect N other people every time I had a cold, a flu, or any number of other viruses, most of which are fatal to at least some segment of the population.
Moreover, those N other people can get vaccinated if they're worried about this particular risk. It's a great vaccine. It essentially prevents death from SARS-CoV2. If they don't, that's their choice.
Being alive is risky. You can try to eliminate all of that risk, but you will be dead long before anyone puts you in the grave.
Many unvaccinated people don't have a lot of faith in the medical establishment. And if they stayed in when they got sick, then died quietly in their homes, it would be different. But they don't. Once they're sick, they suddenly believe in the miracle of modern medicine again. They fill up the hospitals and drain their community's limited medical resources, leading to excess non-covid deaths. This behavior is widely perceived as selfish and hypocritical, because it is.
Some of their "freedom" is now being stripped away by their vaccinated counterparts, who are growing increasingly impatient and frustrated, and who outnumber them.
This may also be selfish, but at least it's democratic.
> Moreover, those N other people can get vaccinated if they're worried about this particular risk. It's a great vaccine. It essentially prevents death from SARS-CoV2. If they don't, that's their choice.
Except for the people that are unable to get it due to a medical condition. Or unable to get it because they're too young. Or able to get it but it didn't work for them.
And then the fact that, as it spreads, it has a chance to mutate, so the more it spreads, the more we have to worry about dangerous variants.
Anyone who chooses not to get the vaccine just because "they don't want to" is putting the rest of society at risk... purely because they're selfish. As far as a lot of us are concerned, that's a pretty horrible type of person to be.
Of course, such people are welcome to not interact with the rest of society (nobody, not even other unvaccinated folks, per risk of mutation); live on farm and grow your own resources, etc. At that point, you're not putting anyone else at risk, so it's no longer selfish. However, I very much doubt many of such people, claiming "it's my body, so I can do what I want" are willing to actually follow through what's required to avoid putting _other people's bodies_ at risk.
> Except for the people that are unable to get it due to a medical condition. Or unable to get it because they're too young. Or able to get it but it didn't work for them.
> Of course, such people are welcome to not interact with the rest of society.
People who's bodies are at risk are free to avoid participating in society. Being sick sucks, but doesn't give you the right to force others to do medical procedures in order to protect you.
Yes, in our world, participating in society is often mandatory, and not a choice that you can make. That equally applies to people who are sick, and to the people who don't want to be forced to have things done to their body against their will.
There are many communicable diseases, and many things healthy people can be forced to do in order to protect the sick. The choice whether or not to force them is a tradeoff - safety for the society versus freedom for the individual.
People who value individual freedom more than they value safety are simply making a different tradeoff than you do. At some point, a society designed to minimize the risk at the expense of human freedoms becomes a nightmare to live in.
For example, we could significantly reduce the risk of rapes and murders (especially of vulnerable people) by forcing everyone to wear a bodycam and an ankle bracelet. We don't do that because we have decided that this is not a tradeoff worth making.
On the other hand, we did decide to reduce the risk of people dying from drunk driving, we have sacrificed our freedom to drink and drive for the sake of the safety of the other people on the road.
My point is, where you draw the line is a question of your values. Neither side is being "dumb" or "selfish". Some people value social prosperity and safety and are willing to sacrifice their (and other people's) freedoms to increase it. Others value individual rights and freedoms, and are willing to accept some risks and sacrifice some safety in order to not have these rights taken away.
Society without freedoms is better able to protect the vulnerable, and also the life in such society is less worth living.
False equivalence. Actively requiring someone to take an action to participate in society is not the same as someone making a personal risk assessment for themselves and deciding whether or not to participate in society based on that.
Besides, if we go with your standards, those that can't take the vaccine would not be allowed to participate in a mandatory vaccine society anyway. So either they're forced to avoid participating, or they at least have the option to based on a personal assessment.
1. We all go a little out of our way to help those who need help (the sick, those the vaccine doesn't work for, those who cannot get the vaccine for other reasons), OR
2. Some people are selfish and only care about their own self gratification, so are unwilling to sacrifice a tiny bit to help everyone else.
I'll take the society with more 1 and push back on 2.
Yes, and I'm weighing it based on various well educated professional (scientists, doctors, etc) putting forth the opinion that it is well worth the risk given the benefit to society as a whole.
Versus a bunch of people that refuse to get the vaccine because ... they feel like they are better able to analyze the facts than those well educated people.
There was literally an interview with a woman on NPR recently who said, "I have grand children, so I'm not getting the vaccine". Like... she thought that having grand children was a reason _not_ to get the vaccine. And she followed it up with "they don't think we're smart enough to make good decisions for our families". Here's the thing; "they" are clearly correct.
I just get so frustrated by this stance of "Science and facts are propaganda; _I_ know better, because I trust my gut. The welfare of society be damned".
The food pyramid, demonization of fats, antibacterial soaps, and countless other examples were touted as "factually beneficial for society" by well educated professionals until there was sufficient data to definitively prove them wrong, and those that challenged them based on the insufficiency of the data were considered "crazy" until they were proved correct.
> until there was sufficient data to definitively prove them wrong
Yes, and that's precisely how good analysis and decision making is supposed to work. You're supposed to change your mind when the information you based your decision on changes. That's a _good_ thing.
For any given discussion, given enough people, there will always be a set of people that believe each of the possible things that _can_ be believed. We have people that believe the world is flat. However, the fact that _some_ of those people happened to believe what turned out to be true when the set of input information changed... doesn't make them smarted than everyone else. Unless they were basing their conclusions on a known and defensible set of arguments... it just makes them randomly lucky. You can have a watch to tell time... then ignore it and say it's always 12pm. When it happens to get to 12pm, you'll be right. But you'll still be stupid.
lol no, the burden of proof for efficacy and safety is on those pushing the idea. It's perfectly reasonable to reject something based on a lack of, or questionable, empirical evidence.
There's nothing stupid about rejecting "expert consensus" when the data backing the experts doesn't exist.
We know what the efforts of Covid are. I personally know people who have lost their sense of taste, one for over a year and no sign of it coming back and hates cooking/food now - I’ll vaccinate up just to avoid that.
Hope you understand how ridiculous this statement is:
"However, I very much doubt many of such people, claiming "it's my body, so I can do what I want" are willing to actually follow through what's required to avoid putting _other people's bodies_ at risk. "
Most people are healthy enough to beat flu, coronaviruses, strep infections, etc. etc. etc. Most people are "good enough" immune-system wise, and are not at all a risk to anybody.
You're (intentionally?) leaving out the part where we don't know how the vaccine will pan out as more resistant variants get spread. This great vaccine might not hold, and getting a vaccine now helps prevent that from happening. You talk about choice of vaccine, as if those who get the vaccine have a choice against death.. but as the virus gets resistant, it becomes less and less of a choice.
With your argument standing on the foundation of choice of vaccine+no death vs no vaccine+death, why are you accepting of the fact that lower vaccination rates has a non-trivial chance to strip away the individual choice of life or death of themselves and their loved ones?
> You're (intentionally?) leaving out the part where we don't know how the vaccine will pan out as more resistant variants get spread. This great vaccine might not hold, and getting a vaccine now helps prevent that from happening.
I don't know a lot of things.
I don't know that I won't die in my sleep. I don't know if I won't walk out the door tomorrow morning and get hit by a taxi. I don't know that I won't get botulism and die from a bad pickle. I don't that I won't choke on that pickle. I don't know if the next SARS variant isn't festering in some pile of bat poop in a Cave in Kunming right now. I don't know that I won't end 2021 in a hospital, dying from some cancer that hasn't yet been diagnosed.
Life is risky. On the spectrum of "things I don't know but worry about", the third-order effects of someone else's personal decisions is pretty far down the list.
...in fact, this risk is way below the risk that other people seem to be actively trying to take away my freedoms on a daily basis, because they're scared of what "might" happen, and want everyone else to live according to their rules.
But yeah, I'm pretty comfortable with my level of protection from SARS-CoV2.
The problem is, there are other possible outcomes for a COVID case besides death, hospitalization, and recovery. There is absolutely no reason to think that we understand 100% of what this bug can do. For every uncertainty one might perceive about the "unapproved," "experimental," "insufficiently-tested," or "novel" vaccine, that goes double for the virus itself.
Allowing the virus to propagate freely is asking for trouble in the form of mutations as well. If it had been possible to inoculate the majority of the population in India, for example, we probably wouldn't be dealing with the delta variant right now.
Edit: if a single assertion above is wrong, please reply with citations, and we'll all be that much better-informed for it. Downvoting something that's objectively correct just because it disagrees with your political agenda is the weakest of weak sauce.
Interesting... some good food for thought there, because I'm usually vehemently opposed to the precautionary principle. It's good to see HN'ers agreeing with me on that for once.
When it costs us virtually nothing to do the right thing, though, I don't see how the precautionary principle applies. Usually we see that principle come up in arguments over nuclear power, large-scale environmental projects, major technological paradigm shifts, or medical therapies with a real potential for harm. It just doesn't seem to be in play here. Wear a mask in public, exercise reasonable social distancing practices when possible, and get vaccinated with something that has already been used successfully over a billion times. Is that really asking so much?
Yes. The harm is mostly psychological, but it is an existential threat to society. You might not agree, but that is my take, and I would bet it is shared by the others who are downvoting you.
> My children are in those “N other people”. They are not yet able to be vaccinated. It is not their choice.
The good news is (assuming that they're not immune compromised in a way that would make them vulnerable to a panoply of other viruses) they're at essentially no risk from Covid. The data on this is unassailable:
“Following the money”, it would seem neither the industry nor the Government share your sanguine view on the vaccines. It would be easy enough to revoke the legal immunity now…it’s been nearly a year and a half since COVID was introduced into US, it’s not the emergency it was in the beginning. Yet I think it is still in place.
If the COVID vaccines are so good, why the failure to accept the typical financial liability that comes with every other medical intervention? There’s a difference between being an anti-vaxxer and an anti-inject-stuff-in-my-arm-without-professional-liability-er. Those who “follow the money” in such things would have reason to be skeptical.
R0 of an infection is the expected number of cases directly generated by one case in a population where all individuals are susceptible to infection.
We are nowhere near all people in a population being susceptible to infection with the vaccine rollout (and the people that are susceptible, it's their choice.)
Irrelevant so long as vaccination levels are as low as they are: there's no population where infection starts in a vaccinated person and spreads amongst the vaccinated only that we can reasonably track.
What we do know is that vaccinated people seem to be getting COVID Delta and spreading it to close contacts: but that's a self-selecting the sample too - people who are getting vaccinated are also vastly more likely to take adequate precautions if they get infected.
I don’t get “nihilism” from any of that. It is just a healthy attitude about life and death, an attitude that is apparently not even close to universal in our culture.
I can try to understand the other side, but please do the same. Pretty much everyone has been disappointed by humanity this year, and we’re all feeling roughly the same emotions even though we have radically different worldviews.
I reread what he wrote and.. yeah, pretty nihilistic still. More-nihilistic-than-not? Hmm. Nah, that's too wordy.
And to point your point back at you, please re-read my post as someone who is trying to understand them. I honestly have no freaking clue why you think otherwise, other than the fact that I disagree with them. I literally asked them a question so that I can understand them better!
> please re-read my post as someone who is trying to understand them.
You may have convinced yourself that this is true, but I don’t believe it. Your comment was mostly passive-aggressive rhetorical sniping:
> Okay, so then you die. Nihilism is your choice, so that's cool I guess. But your post is about you, and only you, fullstop. There are other people out there, despite whatever solipsistic beliefs you have.
And the “question” you ask at the end reads like just another attack:
I'll admit that the first paragraph was passive aggressive. The question, though, was genuine whether you want to believe it or not. This thread's ancestor posters were only sharing rebuttals and not really trying to understand each others' reasoning. My question was in-mind that the OP was only talking about themselves, despite the issue at hand being about other people. The question I asked was written to attempt to get a genuine answer that took into account their own loved ones instead of themselves. I was hoping for a genuine answer, and I believe that they responded genuinely, even though I disagree with them.
You gotta understand, friend.. what I think is at stake here are the lives of the people that I love. With that in mind, the seemingly callous disregard of even their own loved ones is... a difficult thing to parse. So again, please try to read my words from the perspective of someone who's desperately frustrated, and at least attempting to figure out why someone is explicitly okay with knowing that their actions will get others killed.
What is the specific acceptable level of risk to expose others to? Please quantify, and show your work. If you're criticizing others on that basis then there must be a quantitative limit.
And note that the limit can't be 0. Real life always involves some risk.
We just need to look at what society and the law have determined is acceptable risk for one individual to put others at. Driving a car puts others in danger, but not as much as driving drunk or recklessly. Being both unvaxed and unmasked is unnecessarily reckless toward others, simply because one such spreader can put exponentially more people in danger than any single drunk driver.
> Being both unvaxed and unmasked is unnecessarily reckless toward others
Mandating an unapproved novel 'vaccine' while removing all responsibility from the manufacturers for the side effects is extremely reckless toward others.
Really, if you look at the history of this vaccine, it's the complete opposite of reckless. It was a great technology that had been in progress for years and was essentially held back by too much government regulation. Solving a vaccine for this virus within days was an incredible outcome of American soft power capitalism, and letting the free market pursue a profit. That's why the Bernie/communist crowd are so desperately eager to force Moderna and Pfizer to hand over the patents. How dare we invest in and make something so successful and lifesaving for some reason as ugly as profit. Remember, loosening responsibility is the norm and the ethos for a capitalist society. And the only people asking to see a vax card are private enterprises. It's good news all around, good for the economy. It's only bad for the mentally crippled who are so mired in conspiratorial thought that they can't see what's obviously good for themselves. But no one's ever going to make you get it. I just think we should turn the wilfully unvaxed away from the hospital when you get covid. Why should we pay for your mistakes?
I’m a member of society, and I (along with many others) believe that we are way across the acceptable boundary between my individual rights and the risk everyone else should bear.
What do we do now? Do we need to fight a war to decide who gets things their way? There won’t be any real winners in such an event.
> Being both unvaxed and unmasked is unnecessarily reckless toward others, simply because one such spreader can put exponentially more people in danger than any single drunk driver.
Worst possible case regardless of likelihood is not a good metric. I'll bet the average drunk driver, and indeed the average sober driver, causes many more deaths than the average unvaxed unmasked person in a post-vaccination world.
You'd bet wrong 1.3 million traffic deaths in a year. double it to 2.6 m for 2 years.
In the 2 years of covid we have had 4.25 million deaths with still 90% us and 97% of the rest of the world left to catch it.
You only need a unmasked person to have an R value 1.64 times higher than a vaxed/masked for the proportional deaths to not reach parity even with 90% people vacinated.
That's completely ignoring the fact that driving is actually a productive activity with a goal. Where as most of the reasons people give for not wearing a mask are either easily debunked or work just as well as a retort to someone asking you "why are you continuously punching yourself?".
WHO confirmed cases so using your numbers that does change it to just another 1.2 million dead americans assuming no change in death rate due to other strains the vaccine rather than another 5.5 million.
>> That's completely ignoring the fact that driving is actually a productive activity with a goal
And most antivaxers and the unmasked are welfare cases with nothing to do but look at reddit, and so are a burden on the state and a direct cost to me as a taxpayer even when there isn't a pandemic. Hey, maybe this will work out great in the end.
If we have 100 people responsible for a bad thing happening to 10 people in that group that is proportionally the same as 10 people being responsible for a bad thing happening to 1 person in that group and having 90 unrelated people to the side when we are divvying up blame.
Yes and no; if you're accusing unvaccinated-by-choice people of recklessly endangering others, then it's quite different whether they're endangering random other people or only other unvaccinated-by-choice people. (Similarly I have no problem with drivers on private car-only roads, only those who endanger pedestrians and cyclists on the public roads).
Also the dynamics of how far any given infection would spread are very different in a post-vaccination world.
Sure now your only recklessly endangering those who can't get vaccinated and those who opt in. So maybe at steady state the numbers do work out in favour of it being less dangerous than driving proportionally(excluding the people who opt in to this danger). But you realise we're talking about driving, an activity that actually accomplishes something, as opposed to not getting vaccinated which accomplishes at most nothing. If driving accomplished nothing you can bet you wouldn't be able to do it in the city were you are involving others it'd be relegated to tracks.
Technically, I was talking about drunk driving, which kills a lot fewer people than (productive) driving. That's why I selected the limited case of people who innocently die because of a driver's wilful negligence, which is exponentially fewer than those who die because of antivaxers' wilful negligence. Probably even when there isn't a pandemic with an R6 replication rate.
In a post-vaccination world, you'd be exactly correct. And no one is advocating for a permanent mask mandate. But in the present world, where large sectors of the population are not vaxed, the likelihood of an unvaxed spreader killing someone versus a drunk driver, for any individual on any given night, is probably equal or greater.
I'll admit something. I happen to love driving twice the speed limit after a few drinks. Feels great. And I indulge that sometimes on country roads when there's no one around. I know I'm a better driver after a few beers than most people are sober. If it were up to me, there would be a test, and a rating on my license that let me drive with a higher BAC than other people. But you know what? My personal pleasure isn't worth the damage of taking someone's life, or of entitling everyone else in society to do the same. So, on the whole, it's obviously better that it's illegal. Even though it infringes on my personal freedom and pursuit of happiness.
In the US, all of the at-risk population who wants to be vaccinated has been. The only people who can't get vaccinated are children under 12, and they are at virtually zero risk.
Yes, but the at-risk who don't want to be vaccinated are soaking up enormous resources, including hospital beds and doctors and nurses that should be attending people with other health emergencies. Moreover they're a breeding ground for variants that can evade the vaccine. And beyond that, even if they only kill each other, how is that okay?
Because their question is a strawman towards something I wasn't attempting to understand. I can see where they're coming from with their question, but that's a whole different discussion. Like, if you want to have a discussion about why me riding a motorcycle is dangerous to myself and others, let's do that. But it's a different question and not relevant to a pandemic.
I am willing to balance the risk of never having a normal life again with an overall risk of illness and death that is on par with every other year I have been alive.
It’s not about you. It’s never about you. There are plenty of people who cannot legitimately get vaccinated. Since these people have no choice to get the vaccine, then your rights to choose for yourself are rightly curtailed.
I’m always curious about these arguments. Why do you think your rights are superior to the rights of others?
That's a bit dramatic, no? The proposal is wear masks and get a needle in your sholder, we aren't putting people in concentration camps here.
I see it as on par with indoor smoking bans and seatbelts. You are giving up a relatively small degree of freedom in order to stop a highly contagious, highly mutable virus; and yes, to protect people who aren't you.
You're not being asked to give up your basic human rights though. What you are being asked to do is to get a free, readily available vaccine that will protect you and others from current and future harm.
Everyone here has never been able to go to school in the usa since they were kids unless they proved they were vaccinated against the standard diseases we've been giving out shots against for decades. Same goes for most high education too.
It's just become "a thing" now thanks to the rightwing using it as another way to aggravate their base, and thanks to "experts" who have an internet connection and think they know more than epidemiologists.
Unless these steps are taken this will never end and the daily hassles will be worse and go on longer for everyone.
Sure, self preservation or self preference first. I get that. What about empathy to frail or at risk people? What about people on cancer treatments that diminish their immune systems? Those people even vaccinated may be at higher risk.
Are you saying that the greater good in overall societal health is less valuable than your individual preferred method of existence? Genuinely curious.
Certainly not an absolute one. For example, fire codes typically have occupancy limits that prioritize public safety over the desires of owners and patrons.
(There's a stronger argument for refusing a vaccine being an absolute right)
Places open to the public can almost arbitrarily ask people to leave (at which point their presence becomes trespassing), they just can't ask people to leave for being members of protected classes.
So if I don't like what your t-shirt says, that's all it takes.
And for instance, Walmart doesn't have to open to the public tomorrow just because they opened to the public today.
Also please explain how setting restrictions on use of the space based on conduct, such as being vaccinated or not, is more arbitrary than, say, a dress code.
Discrimination is largely legal. You absolutely can discriminate on any characteristic you like, with several well defined exceptions (such as race or sex).
> The threat from the virus is not only immediate risk to the individual, it is also further transmissions increasing the risk of creating new breakthrough variants
> Tolerating disease spread and threats to vulnerable populations when vaccines are available that are practically risk-free (or the risk being magnitudes smaller than the payoff) is ridiculous
Those are very different justifications with very different policy implications, it is best not to conflate the two.
If breakthrough variants was the major concern (and it should have been) vaccine rollout should have been fast in addition to very high percentages, and vaccinated/unvaccinated population mix should have been minimized with policy. Anything less gives the perfect arena for evolutionary algorithm to learn its way around the vaccine immunity.
Second issue is the fading immunity of current vaccines in comparison to natural immunity. Vaccines got disproportionate attention and funding at the expense of covid treatment bets, which would have helped with developing higher natural immunity levels. To what degree conflicts of interests due to EUA play in this, we don’t know. But once booster shots enter the “mandatory” territory, that will cause an additional drop in compliance. How many boosters can we really mandate, for how many years?
How in the world could vaccine rollout have been any faster? This is the fastest a vaccination program has ever been run, for anything, ever. We're at 60% population vaccination after SIX MONTHS, which is absolutely insane -- polio was slower, and they were allowed jet injectors! Vaccination is going as fast as possible, and policy was implemented to minimize all mixing of people, not just Vax/unvax.
We’re not talking about the total vaccination rate; it is a matter of how diffuse or concentrated it had to be for a particular locale to minimize variant training. Obviously it brings up questions of fairness thus was avoided by politicians.
> Vaccination is going as fast as possible, and policy was implemented to minimize all mixing of people, not just Vax/unvax.
It was a lofty aspiration but wasn’t/hasn’t been good enough. We could have had different levels of strictness from the beginning when lifting lockdowns, instead of going a full open and betting on a no variant scenario, instead of now with too late of an attempt, which will anger people and won’t be likely to work well.
That study (at least the abstract) does not support your contention.
It makes the case that previously infected individuals do not need to be prioritised for vaccination, not that natural immunity is better than vaccine driven immunity.
Perhaps you misread the paper? You cherry picked a portion of the abstract and made it seem like that conclusion was made. Here, let me help you:
"Conclusions: Individuals who have had SARS-CoV-2 infection are unlikely to benefit from COVID-19 vaccination, and vaccines can be safely prioritized to those who have not been infected before."
You can prioritize those who have not been infected before BECAUSE those who HAVE been infected are unlikely to see a benefit in vaccinating to begin with.
More unvaccinated people -> more people getting covid -> more chances for mutation into variants
It's really that simple. We want as few active infections as possible globally so that existing vaccinations can work for the variants they were made in mind with. Otherwise we will be at the disadvantage in a perpetual arms race trying to quickly stamp out the global "fires" of new variants.
If you actually want that, then you need some kind of megaproject to build vaccine factories to supply the entire world and to distribute them to the whole world's population. This virus doesn't respect borders.
Yes in fact, that's the core of what a lot of people have been wanting by trying to get an IP waiver from the WTO. You don't even need new factories, as there's tons of factories out there that are itching to make the various vaccines.
It was my understanding that the developing world doesn’t have the required infrastructure nor qualified workers to manufacture the complex covid vaccines. So the whole patent point is moot.
Your understanding is incorrect, hence the ongoing process for the WTO waiver. Even the mRNA vaccines aren't that crazy, it's a culture of e. coli that's been genetically engineered to produce the vaccines; the manufacturing steps themselves are pretty run of the mill bio reactor stuff with slightly more stringent temperature controls on the tail end. The non mRNA vaccines are pretty much equivalent to any other standard vaccine.
In a world where the delta variant can infect fully vaccinated people fairly easily, aren’t the vaccinated the real problem? The unvaccinated aren’t putting any particular pressure on the virus when it comes to evolving around the vaccines, but the vaccinated are.
Unless we could magically get the cases to zero this problem isn’t going away. Mask mandates will slow things, but eventually you’ll need enough people to actually get infected to drop the replication rate.
Evolution is incremental. To become vaccine evading, the virus has to have a host it can replicate it, and a host that is a resistant target.
In fact it needs a big pool of them, since once infected develop immunity they no longer produce trial mutations.
So you need a pool of the unvaccinated, coming into frequently, regular contact with the vaccinated in order for any specific vaccine escape to evolve.
This is because, any incremental improvement needs to become a population dominant strain within the unvaccinated population: that you survived in a vaccinated person for a little bit is irrelevant if at the end of the day every virus with that trait dies without spreading.
Even if you successfully do spread from a vaccinated host, you need to either land in another vaccinated host (who then spreads you around: so isolation measures are effective), and while you're doing this you need to develop a better escape system: not guaranteed, because if overall viral loading or time to immunity is shorter, that's less time to generate variants.
But...a good way to optimize this, is to just spread to a pool of unvaccinated people. With luck you retain the vaccine-escape mutations, become dominant within the unvaccinated pool, and then get lots of opportunities to try and infect vaccinated people and get a little further.
This, incidentally, why viral evolution tends to consist of "the virus jumped between species several times" - because crossing a species barrier requires ongoing persistent contact between a host you can replicate it, and one you're trying to cross over into.
Right, but aren't you assuming that the delta variant can't go from vaccinated to vaccinated effectively? I don't think we really have solid data on this yet but it seems possible, at the very least.
If that is happening, and the R0 from vaccinated to vaccinated is above 1, aren't we creating immense evolutionary pressure to defeat the current vaccines?
If host A and B are both vaccinated, then either the virus has achieved vaccine escape (it is spreading amongst the vaccinated population effectively), or if it hasn't then it still dies out.
If 1 vaccinated person infects another say 3, but then those people fail to infect anyone else - then it doesn't actually matter what selective advantages that viral strain had - 100% of the virus has died out.
But if the same chain terminates in the vaccinated people then infecting an unvaccinated person...then the new mutation escapes and potentially becomes dominant within the reservoir (unvaccinated people) and a failure to spread through the vaccinated population doesn't lead to the destruction of the mutant strain.
Only the vaccinated will preferentially evolve variants that are resistant to the vaccine. The vaccines are leaky, as evidenced by the recent outbreak in the Northeast. A saner strategy with leaky vaccines is to vaccinate the small population that is vulnerable and let the rest of the population of develop a natural herd immunity. Otherwise you are creating a fitness advantage to resistant strains.
This is not how it works, and "natural" herd immunity has never been a real concept in epidemiology - which it is clear you are speculating on without bothering to read about but should also be trivially obvious from the fact that until vaccines none of the vaccine preventable diseases ever went extinct on their own.
> Herd immunity is a form of indirect protection from infectious disease that can occur with some diseases when a sufficient percentage of a population has become immune to an infection, whether through vaccination or previous infections, thereby reducing the likelihood of infection for individuals who lack immunity.
Yes, and wikipedia is not the study of epidemiology.
Epidemiology as a field did not publish papers or study the idea of "natural" herd immunity till last year when politicians started throwing the term around and a whole lot of researcher's scrambled to see whether this insanity had any merit.
Of which the answer is what we already knew just spelled out more specifically: no, this doesn't actually happen in the wild without vaccines, because it's literally just spreading the virus. Viruses burn themselves out after infecting basically everyone, provided immunity is long lasting.
It is misleading though, since this definition is merely ‘flattening the curve’ for the rest of human life, and accepting the increased death rate every year. By contrast, a successful vaccination effort also ‘flattens the curve,’ but additionally substantially reduces the rate of deaths. The latter is what we have observed happen with high confidence in the vaccinated population for COVID: deaths of vaccinated individuals is much less common than for unvaccinated (back of napkin math seems to currently be somewhere between 100-1000 to 1 across most age ranges)
I don't think when people talked about herd immunity they meant that the coronavirus would be wiped out, just that it'd get the replication rate down to a manageable level. Just like those diseases that vaccines wiped out, the young would always be at risk of being infected. In this case though, the young (babies excepted) are also fairly protected from it getting serious.
the dynamic is a feedback loop in either direction. More vaccinations means slowdown of spread which means slower rate of mutation and in turn easier ways to control the virus. Faster transmission means faster rate of mutations and having a harder time controlling the virus.
'Zero covid' or near-zero covid anyway does not 'reek' because it is perfectly attainable. The virus could be squashed pretty much completely. The fact that we cannot do it is the result of institutionalized failure, resignation and normalization of dysfunction, not actually a matter of fact.
We have in fact eradicated one highly transmittable, airborne virus through a global vaccination effort already, namely smallpox. And that was almost half a century ago.
Haven’t we seen several recent papers suggesting animal reservoirs for the virus? If those papers are correct, it seems that elimination from the Earth is never going to happen (well, it’ll happen when the sun turns into a red giant).
> We have in fact eradicated one highly transmittable, airborne virus through a global vaccination effort already, namely smallpox. And that was almost half a century ago.
Exactly. It was half a century ago when the global population was half what it is today and travel (especially international) was massively lower as well. Also Smallpox had a much lower mutation rate than COVID does, and it's not transmissable until obvious symptoms develop (much different than COVID). Thinking the same strategy would work today is kind of a pipe dream.
A core difference is the smallpox vaccine had/has sterilizing immunity while the covid vaccines do not. I think given non-sterilizing immunity and the rate and scale of global vaccine roll outs, zero covid is virtually impossible.
Think about the end game here - we have evidence of ~4 covid viruses that have adapted to humans, one of which may have been responsible for an epidemic a couple of 100 years ago. Now days they are relatively benign, they make up part of what we call "the common cold".
This is historical evidences that covid viruses in humans evolve to become relatively benign, likely this happens faster if we let it kill more people more quickly, but, well, modern medicine. So what will it take for the current covid variant to reach this state - we'll need it to evolve a benign version that out competes the current covid-delta .
A benign version of a virus that out competes its more lethal cousins is something that we also call a "live vaccine".
So why shouldn't we help it along? if we know it's going to happen naturally why not make it happen faster? past attempts to generate live vaccines have mostly worked but have not always gone well, but they were made with technologies that essentially consisted of whacking them with a mallet and hoping they would stay dead - the mRNA vaccines are much more like engineering. Why not take an existing relatively benign vaccine and fit it out with a protein coat similar enough to C19 and release that?
Obviously this is not something one would do blindly, it would require lots of testing, especially with immunocompromised people. And testing (without releasing it early) would be hard - tested people would need to remain in lockdown.
Of course the crazy anti-vaxxers would scream bloody blue murder - but given that their current propaganda already paints the current vaccines as "live vaccines" and warns people to stay away from the vaccinated that horse would seem to have already bolted
People here pretend that if only USA was 100% vaccinated, then there will not be another variant.
There will always be another part of the world where a variant will arise, and eventually make its way here to the US.
OTOH, the USA is unique in the freedom it offers compared to any other country in the world, and a key ingredient in my opinion to its success.
One of the most shocking aspects to me is how the US citizens have changed to so nonchalantly willing to give away their freedoms and those of their neighbours.
I would not have believed if someone told me this 2 years ago.
And in the past years, I had often wondered about the 'good' Germans during the time of the Nazis, and why they did'nt first lift a finger when the atrocities against the Jews started, and later, a good number of them actively participated in elimination of the Jews.
the last year has been quite an eye opener. My hope is that more US citizens, regardless of their political persuasions and belief about the vaccines step back and think about the uniqueness of the freedoms they enjoy, and their willingness to throw it all away.
And that's why governments managed to kill over a hundred million people in the past century, because they convinced people it was for some "Greater good".
A completely separate problem. If you're not grounded in reality, it doesn't matter if you're operating in a deontological or consequentialist mode. You can justify bad outcomes with either.
The mindset of fear that is inculcated that pits one group against another is the similarity that starts it off.
1940s Germany: Germans were convinced that Jews were the outer, not deserving of protection
20th century communism, too many examples - China, Russia, Cambodia, etc : Different classes - writers, teachers, scientists were identified as the outer group, and hate was inculcated
Today's scenario: the 'unvaccinated' are made as the other group.
That’s not a particularly good analogy. The persecution of the Jews by Nazis was based on immutable characteristics (such as whether or not one’s grandparents were Jewish). Likewise, if you had built a career as an intellectual, teacher or urban professional in Phnom Penh in the 1970s, you couldn’t suddenly turn around and pretend to be a peasant to avoid persecution. Even being short-sighted and wearing glasses was enough to be marked as an enemy of the Khmer Rouge regime.
Choosing not to be vaccinated is not an immutable characteristic. It’s a behavioural choice and a better analogy would be choosing to drink and drive – behaviour that is rightly frowned upon by most of society.
'Drinking and driving' is not a good analogy either.
There is no one that argues that 'drinking and driving' is good for anyone at all.
OTOH, regarding vaccines, there are so many different human conditions, side effects and issues seen with vaccines that it is fair to be skeptical.
The other big factor is the time that has elapsed, and different folks have different levels of comfort.
All of this being brushed aside - to identify a group of folks to crush -- is the evil being discussed.
---
that they are immutable or not is quibbling, in my opinion.
Using the Khmer Rouge, the system decapitated the intellectuals not because they are learned, but because they had the ability to think and decide for themselves.
Now, in the US, I argue, that people who chose to think differently are being targeted, with the carrot being provided that they can change...
Is this not coercion? There is a line between persuasion and coercion, and very clearly, it has been crossed.
> Public health resources are limited. Unnecessary Covid hospitalizations cause immense opportunity cost in the form of crowding out care and driving costs. Which in many cases other sick people and the public will have to carry.
We have already decided as a society that individual choice outranks the cost to the health system. See obesity, smoking cigarettes, drinking alcohol, workaholic culture with very limited vacation days, etc
Ask yourself if you would be ok submitting your photo ID, proof of citizenship, and phone's unique ID in any of the settings that the mandate will cover.
Do you honestly think they will dismantle it one day? Especially if Apple is making it so easy for them.
For the record, no I don't think I should have to present my ID to get a Metrocard or ride a train. I do think that is oppressive. Because by that point they will have intruded into our lives way too much.
NY state has been encroaching for years. They have been fantasizing about a "no ride" list for Amtrak.
And many officials have invited the TSA and ICE to set up surprise mobile checkpoints for commuters at bus terminals.
All under the justification of protecting us from terrorism.
This is just the thin edge of a wedge to expand their control over us. And yes, most of them do want more power and money, and our civil liberties stand in the way of that.
The flu virus can and has mutated in the past to become extremely deadly (see 1918). Why is it different this time? Why should it be treated differently than the flu, when it comes to variants? I think everyone should get vaccinated, but I want to fill in all logical holes to help this debate.
I don't follow - are you saying that the flu vaccine shouldn't be mandated because it's not effective, and if there was an effective one, it should be mandated?
You misunderstood what I was saying. I'm not talking about 1918. Covid vaccines are being pushed to tamp down breakthrough variants. There is also as much risk of a deadly breakthrough variant of the flu right now. My point of bringing up 1918 is to show that deadly flu breakthrough variants are possible. Considering that this is still the case in 2021, should we mandate flu vaccines as well, right now? If not, the argument for mandating covid vaccines is inconsistent.
> We should be reacting rationally to rates of hospitalization and deaths -- and right now, those are barely changed in NYC,
No. No. No. No. No.
Why is this so hard for people to understand? A virus doesn't just enter your body, and quietly go away. In MANY cases, it can have a lasting effect on your underlying health and wellness. This isn't a point of question, it's a known FACT that is all too often left out of the discussion entirely.
I am vaccinated. I have friends who are vaccinated, and have still gotten COVID. One of them still doesn't have their sense of taste and smell back, after nearly 3 weeks post symptoms. They describe being brain fog, and tiredness that they didn't have before, as well as an "itch" in their lungs when exercising that they didn't have before.
There's absolutely no reason to say things like "hysterical fixation on cases". Bringing cases down means LESS LIVES LOST and less HEALTH lost.
Thank you for providing an excellent example of the fear-based reasoning surrounding "cases". I understand that you are scared, but is incorrect to imply that my opinion comes from a lack of understanding of what you're talking about.
> Why is this so hard for people to understand?
I understand your argument, but I disagree with you, based on a long education in this area, a deep understanding of the data, and personal experience.
> A virus doesn't just enter your body, and quietly go away.
Some do not. This one does.
> In MANY cases, it can have a lasting effect on your underlying health and wellness.
In some, rare cases, we see examples of post-viral syndromes. We have seen these for many different viruses.
> I am vaccinated. I have friends who are vaccinated, and have still gotten COVID. One of them still doesn't have their sense of taste and smell back, after nearly 3 weeks post symptoms.
Again, lingering symptoms following an illness are not unknown. Every time I get a head cold, I typically develop a cough that lasts > 3 weeks. By ~all current evidentiary standards for "long covid", I have had "long cold".
Similarly, my grandmother lost her sense of smell to a head cold when I was a child. She never got it back, entirely. Sad, but not something that we took extraordinary societal interventions to prevent.
> They describe being brain fog, and tiredness that they didn't have before, as well as an "itch" in their lungs when exercising that they didn't have before.
Neither of these are objectively defined. I have an "itch" in my lungs, right now (probably allergies). I have never had Covid. When I don't sleep well (which is often, thanks to the state of our society), I have trouble focusing. Is that "brain fog"?
Point being: some people are going to have after-effects from infection. That's unfortunate, but it's not unknown, and the virus isn't going away. If the choice is to completely up-end our society to prevent people from ever getting sick again, then I'm strongly opposed.
I am sure you believe what you are saying, and I am also not doubting that you have some education on the topic, but I have to disagree.
Take for example, this study [1] demonstrating significant loss of grey matter in the brain for COVID patients, both hospitalized and non-hospitalized.
As our understanding of virology evolves it is becoming more and more clear that the notion of ephemeral infections is just flat out incorrect. You likely maintain SOME impact from that infection, its just a question of how severe, or in some cases WHEN (see: chicken pox -> shingles). Viruses wreak havoc, and that is a point which is well documented, and slowly but surely people are starting to pay attention.
My gripe with your comment is that it completely disregards this point and treats the risk of viruses and either death, or no risk at all. The truth is far more nuanced than that, and there's legitimate reasons to want overall CASE COUNT to come down. It's about saving quality of life, including, actual life. Vaccination is the path to do that.
I also don't agree with your comment that "If the choice is to completely up-end our society to prevent people from ever getting sick again, then I'm strongly opposed."
Asking for proof of vaccination is not "completely up-ending" our society. It's quite reasonable to ask for certain personal hygiene requirements (shirts, shoes, etc.) but we can't ask that someone be reasonably protected from a getting and spreading a very dangerous virus? You're somehow OK with being required to wear clothes, which provide almost no protection from anything, but not OK with being asked to show that you're an unlikely COVID carrier/spreader?
> I am sure you believe what you are saying, and I am also not doubting that you have some education on the topic, but I have to disagree.
Reasonable people can disagree on questions like this. But you came out of the gate insisting that I "didn't understand", which isn't true.
I understand, I just disagree that this is a disproportionate threat to our society that requires disproportionate response.
> Take for example, this study [1] demonstrating significant loss of grey matter in the brain for COVID patients, both hospitalized and non-hospitalized.
FWIW, that study is terrible. It is a statistical fishing expedition, is improperly controlled (i.e. are the changes due to Covid, or something else? You can't tell!), and the whole field of "looking at MRI for reductions in gray matter" is littered with spurious findings. Here's a comment where I go into this in much greater detail:
> As our understanding of virology evolves it is becoming more and more clear that the notion of ephemeral infections is just flat out incorrect.
It's not "flat out incorrect"...as I said before, we know that post-viral syndromes are real. This is not new information.
Having a cough or shortness of breath (by FAR the most common "long covid" symptoms) after a infection are no more an indication that the virus is lingering in your body, than leg pain after a cast is removed is an indication that you continue to have a broken leg. It takes time to heal.
That's fair, my apologies for proclaiming that you don't understand. I should have known better especially on this forum.
I see where you're coming from and I don't entirely disagree with your conclusion. The post you linked, makes a strong case for not jumping to conclusions based on grey matter studies, which I think is sound advice.
That said, I maintain that given the option to get COVID or not get COVID, I would greatly prefer the later. You similarly won't find me gaming long hours, and I make sure to get plenty of sleep. In other words, taking precautions that avoid injury is generally a good idea. And FWIW, I don't find the controls in that study to be terrible? I'm not exactly an authority of statistical analysis though, so I'll trust that this is outside my scope of understanding.
Where it sounds like we disagree most is whether or not the risk of COVID causing injury is worth something as small (or large) as asking for proof of vaccination.
It just so happens that I think asking for proof of vaccination is a relatively minor thing given the possibilities of COVID.
No matter what you do, at some point you'll likely catch a SARS-CoV-2 infection (or maybe you already have). This is pretty much inevitable, just like with the other endemic common cold coronaviruses. Fortunately vaccination can greatly reduce the risk of having clinical COVID-19 symptoms.
This implies that getting the vaccine for the sake of others is far more pointless than we thought right? This would make getting the vaccine a much more personal matter, rather than a societal one.
No, it's not. Vaccinated individuals - even those who catch the virus - have far lower levels of the virus in their bodies, which means fewer chances for mutations.
> CDC Director Rochelle Walensky said recent studies had shown that those vaccinated individuals who do become infected with Covid have just as much viral load as the unvaccinated, making it possible for them to spread the virus to others.
This is why the CDC started recommending masks again.
So the vaccine is for people who want to protect themselves against a serious reaction. Makes the case for vaccination far less compelling than what most people believe.
Seems like that is also up for debate. In this CDC study[1], 74% of cases were in the vaccinated. Probably around 69% of the population were vaccinated, meaning the fact that more than 69% of the cases were in the vaccinated suggests that the vaccinated were even more susceptible than the unvaccinated. I'm sure there are plenty of considerations with this study, but it certainly isn't glaringly obvious that vaccination reduces susceptibility.
The new data for the delta variant shows reduced protection for unvaccinated people (e.g. public benefit) from being around vaccinated people, but still shows benefit to vaccinated people.
What about it? To attempt to restate it: due to the emergence of the delta mutation, it is becoming less reliable to rely on the shared benefit of others being vaccinated to protect unvaccinated or immunocompromised individuals. So the risks to all populations is increasing, but not proportionally: the speed of spread to those without the personal benefit of being vaccinated is increasing much faster.
Edit: note, I’ve seen your other link, and do wonder why that was observed for that community. Here I am referring to current CDC estimates for the country and reports of hospital utilization averages overall.
> You similarly won't find me gaming long hours, and I make sure to get plenty of sleep. In other words, taking precautions that avoid injury is generally a good idea.
That's awesome for you, but not what we are discussing here.
What we are discussing here is you mandating that all drivers of cars gets to bed by 10PM and have a good sleep, on the chance that lack of sleep leads to bad driving which leads to higher chances of accidents, including to those who slept well last night, yet were involved in the accident.
The post I was replying to included links to studies, in which grey matter was assessed in people who play too many video games, don't sleep enough, etc. I was merely making the point that evidence of gray matter reduction in other studies, isn't reason alone to write off the one I linked. We should probably take them all seriously (assuming sound practices).
>What we are discussing here is you mandating that all drivers of cars gets to bed by 10PM and have a good sleep, on the chance that lack of sleep leads to bad driving which leads to higher chances of accidents, including to those who slept well last night, yet were involved in the accident
Not even close to the reality of the situation, but you wouldn't be the first to take a very hyperbolic approach to it.
It's not "asking for proof of vaccination" though is it? It's denying access to restaurants, bars and so-on to those do not or will not accede to such a demand. I don't see that social apartheid as minor thing.
Please let’s not throw around words like apartheid and Holocaust in situations that don’t warrant it. Both of those are commonly used by anti-vax community to draw attention to their perceived pain at being requested to vaccinate. But they trivialise the incredible violence done to millions of people, some of the worst crimes committed by our species. Trivialising these just to score points is unconscionable.
And let me be clear, taking a shot that is safe and effective is not an unreasonable ask. Restricting access to leisure to people who are willing to take this precaution isn’t unreasonable. And no, it’s in no way comparable to some of the worst crimes committed by humans.
There's no "holocaust" in my post, please don't tar me with that brush. Apartheid, "separateness" in Afrikaans, seems entirely appropriate here. Except that there won't be vaccinated bars and non-vaccinated bars, there will just be vaccinated bars, those who refuse to show a vaccine passport will just have to go sit in the park or something.
For the record, I'm fully vaccinated, but if/when bars start demanding vaccine passports in the UK, I stop going to bars.
Apartheid was a system of separation based on essential personal characteristics. Vaccination-admission requirements would lead to separation based on behavioral choice, probability of disease transmission, and liability risk.
It seems like an inappropriate and needlessly emotive choice.
Don’t play semantic games. “I was just using an Afrikaans word” is a sorry excuse. We know exactly what that word means and what specific historical crimes it refers to. You are trying to evoke the memory of those crimes to make this situation look unjust. It’s exactly that behaviour that I’m requesting you not engage in.
> they will have to go sit in a park
Seems fine to me. That’s hardly the worst thing that could happen.
If you’re already vaccinated, like nearly everyone aged 30+ in the UK is and refuse to open an app on your phone to show that … I can only hope that you’re in a small minority. I guess most people just want to get on with it, rather than sticking to some principle. Im not even sure what the principle is here. Hardly anyone will be negatively affected by this mandate because nearly everyone is vaccinated.
> i stop going to bars
Cool. Parks are better for your health anyway. Good day.
Well it seems we won't agree on the substantive point, but in case you're interested, that principle is a hostility to ID cards and demands from the state to provide them in various circumstances.
And refused entry to a bar I wouldn't dream of going to the park, I head home with two bottles of decent white wine.
They may refuse to serve me if I appear to be under 18 and refuse to show proof of age. I do not appear to be under 18 and have only once or twice in my life been asked for proof of age, in each case I declined, chuckled, and moved on the next pub.
Hahaha. What do you do when you’re travelling past international borders and they ask you for a passport? Do you chuckle them too?
Or let me guess, you don’t travel out of England at all so you can avoid the tyranny of passport checkers?
Or do you do the sane thing and show your passport? So then you concede that in certain cases at least the State has a compelling interest in verifying a person’s papers.
I was responding to a question about bars, not about international travel. I have no objection to showing a passport at a national boundary, I do object to doing so to buy some eggs or a glass of wine; don't you see those things as being different?
I don't see them as being different. I'll show ID when I'm asked in both places. You seem to think they're different somehow. In both cases the State is enforcing a rule for the good of society (keeping out Undesirables(TM), restricting access to alcohol from children). I think both of these are reasonable, and I'm happy to comply. You will only comply with one of these seemingly, and I can't see why.
Btw, it's beneath you to try an innocent "some eggs". We know exactly what Tesco is going to card someone for, and it's not eggs.
I disagree with you but upvoted for the first point about using hyperbole to further one's point. That's not acceptable and undermines those atrocities and their weight.
Both sides are doing it - left considers the entire right-wing populace as 'Fascists'. The right considers the entire left-wing populace as 'Communists' and along with it comes calling out atrocities, historical turning points, etc to further their agenda.
>that is safe and effective is not an unreasonable ask
There are more post-vax deaths recorded in VAERS for the covid vaccines over the past 6 months than for all other vaccines over the past 20 years. It's definitely not 100% safe. Sure the risk is low, but the risk of dying of covid is also quite low for a significant subset of the population. There's also absolutely zero long-term safety data on the vaccines, because it's impossible to know what the effects 3-5 years down the line of a new treatment will be when that treatment's only existed for under a year.
Go look at VAERs more carefully – not what someone on TV told you to believe it says but the actual data and its collection rules. The CDC requests reports of deaths following vaccination, even if there isn’t a suspected connection to the vaccine – they’re not going to want someone who died in a car crash but the whole point here is getting a large amount of data for analysis. The emergency authorization includes unusually broad collection because they’re trying to maximize the odds of seeing a real problem earlier.
“FDA requires healthcare providers to report any death after COVID-19 vaccination to VAERS, even if it’s unclear whether the vaccine was the cause. Reports of adverse events to VAERS following vaccination, including deaths, do not necessarily mean that a vaccine caused a health problem. A review of available clinical information, including death certificates, autopsy, and medical records, has not established a causal link to COVID-19 vaccines.”
Now, think about how broadly the vaccines have been given to hundreds of millions of people. Beyond the obvious conclusion that there is very little chance of a hidden serious complication which hadn’t yet manifested at that scale, think about how compressed that is in timing: if you take 100M people and look at that population for 6 months you’re going to see many deaths with or without vaccination. Now, remember that the elderly and other high risk populations were sensibly prioritized, so those rates will be even higher. Anyone looking at the data has to carefully adjust for things like that – it’s not just a query for the number of deaths but seeing whether it’s unusual for the cohort: are 70 year olds with pre-existing conditions dying at a different rate than they used to, not compared to a global rate covering kids to retirees?
“Apartheid” is a very serious term referring to a brutal system of racial discrimination. I think you are being extremely disrespectful to its victims by using the same term to describe people who suffer inconsequential consequences because they’re unwilling to be safe around other people.
The vaccines are available free to everyone, take minimal time to get, and extremely safe. This is an inconvenience on the level of having to wear pants on a hot day or wash your hands (which takes far more time in aggregate), and it’s only for voluntary activities which nobody needs to do to function.
Apartheid was being shut out of decent schools or jobs, packed into bad housing conditions, and being beaten if you complained about it, all enforced by a brutal prison system.
The vaccines aren’t safe for everyone. Lupus runs in my family, I already have an autoimmune condition, and I’ve already had COVID. For me, getting the vaccine would be all risk (even if it’s unlikely) with no gain.
"The American College of Rheumatology COVID-19 Vaccine Clinical Guidance recommends that people with autoimmune and inflammatory rheumatic disease (which includes lupus) get the vaccine unless they have an allergy to an ingredient in the vaccine."
and
"In general, you should get the vaccine even if you have already had COVID-19."
Right, and my father that has lupus absolutely got the vaccine. I, however, don't - and don't want to get lupus. It's a small risk, probably the same as getting sick normally, but it's still a risk with basically no benefit to me.
Let's be clear: the primary reason the messaging has been "previously infected people should still get the vaccine" is primarily because there are a lot of people out there that think they had COVID when they didn't. I had a friend who thought he had it twice, and then finally did get it on the third time. I had another friend think he got it back in February of last year and then actually got it late last year. They're both relatively intelligent (if not ignorant about certain things), and that's just in my little friend group.
I understand why they went down that road, but there's no reason for me to take it.
really? which strain/mutant of COVID did you get? There are quite some people get COVID twice, I hope you won't. One way to reduce such chance is to get the vaccine.
I said “extremely safe” for that reason - there are always people who have problems with just about anything, but from a population perspective the numbers look quite good. People like you, young children, etc. are also why it’s important for the rest of us to do our part – as long as there’s so much community spread, they don’t have a safe alternative.
Oh, don’t worry - I appreciate the difference between humorous and serious usage. The Seinfeld writers were not arguing that more people should become seriously ill because the alternative was a rather minor inconvenience.
I had all these concerns prior to this announcement. I wouldn't say all of those are now gone. However I must point out that the vaccine, at least in the US, is not being hoarded by the elite and wealthy. It is in most urban areas being made as readily available as possible. NYC even started providing a pre-paid $100 debit card which offsets time lost from work for those who could not afford that. Perhaps I am missing it - what sort of divide is being drawn?
> I understand, I just disagree that this is a disproportionate threat to our society that requires disproportionate response.
That has absolutely nothing to do with what was just being discussed. There is hard data which says COVID has a huge range of long term side effects, that’s simply a fact you can personally feel it’s an acceptable risk but nothing about your personal beliefs change the reality of long term impacts of severe viral infections.
I personally feel that the US has given people long enough to get vaccinated it’s time to open the floodgates of infection and open things up. Yes, the unvaccinated and many vaccinated will simply get very sick and die in large large numbers based on their personal choices, but such is life.
I expect most people will disagree with my personal options and that’s fine, but don’t argue about objective facts.
OPs point is that many of these long term symptoms can be observed after other infections too. Influenza is also known to have longer term side effects especially in children (sound similar?)
Unrelated but important: I think a lot of people miss that this pandemic has infected millions of people, so all of the one in a million events happen with enough frequency to where you will find significant proportions of the population displaying ever symptom you could imagine "due to COVID".
We had a woman who started hemorrhaging a week into her infection. Do you think that was caused by COVID? Probably not, but I'd bet you could find a thousand people where that happened just because of the sheer size of infections.
Many long term systems are common with viral infections, however it’s important to realize their normally a function of infection severity. As such the reality that COVID causes a disproportionate number of hospitalizations means it also disproportionately increases the risk of these side effects.
> There is hard data which says COVID has a huge range of long term side effects
If you can cite this "hard data", it'll be amongst the first I've ever seen.
So far, all I've seen are anecdotes and poorly controlled surveys of self-reported symptoms, the vast majority of which are mild. Reports of "cough" and "fatigue", three weeks after a respiratory illness are not exceptional, they're the expected case.
Just today, this paper was published in a Lancet journal, looking at symptom duration in a large cohort (259k) of children under 17. The most enduring symptoms? Loss of smell, headache, sore throat and fatigue. Virtually everything else fell to background in a week.
If you’re happy with literally any longer term impacts here’s one documented though very rare one: “Most patients were treated with a single course of intravenous immunoglobulin, and improvement was noted within 8 weeks in most cases. GBS-associated COVID-19 appears to be an uncommon condition with similar clinical and EDx patterns to GBS before the pandemic.” https://pubmed.ncbi.nlm.nih.gov/32678460/
I bring it up not because it’s a significant risk, but as a demonstration that immune responses themselves are one of the risk factors associated with viral infections. Critically though there are a lot of rare conditions that individually may not be a factor but collectively are.
Hospital-acquired infections for example aren’t directly caused by covid, but start talking about 100’s of thousands of people being hospitalized and it’s a common risk.
As to that study, people under 17 aren’t even close to representative of the larger population when it comes to viral infections. It’s an important consideration but people 35-44 while generally considered low risk are literally at 100 times the risk of death as 4-14 year olds. Youthful immune systems are simply vastly better.
If we're down to talking about Guillain-Barré, then I'm definitely not concerned.
37 cases of "covid-associated" GBS falls in the category of "lighting strike risks" in life. Yeah, it can happen, but it's pretty damned rare. I'm not changing my life for it.
Also, of course...GBS is associated with at least one of the covid vaccines, itself:
Great, you just made the first step and admitted yes there is at least one long term risk from covid infections. I picked a tiny one specifically because it was so easy.
Next, what about hospital born infections? Clearly people who aren’t in hospitals are at lower risk and clearly people are hospitalized in large numbers from Covid-19. So is that another slightly larger step you’re willing to take?
> Great, you just made the first step and admitted yes there is at least one long term risk from covid infections. I picked a tiny one specifically because it was so easy.
I've never said anything different. I'm not sure what victory you think you've won.
Some people will have long-term symptoms of Covid. Just like pretty much every other virus.
Until I see some serious, well-controlled, high-quality data that shows me that there's an unprecedented risk for a lot of people, I'm not on board with taking unprecedented actions that affect everyone.
> I've never said anything different. I'm not sure what victory you think you've won.
You just said so in this thread:
“ > A virus doesn't just enter your body, and quietly go away.
Some do not. This one does.”
No qualifications just absolute dismissal of all long term symptoms.
> Until I see some serious, well-controlled, high-quality data that shows me there’s an unprecedented risk for a lot of people
Sure, because the only evidence you can infer is that which you already agree with. Raising the bar arbitrarily isn’t science it’s a logical fallacy.
However, the exact data you’re asking for is quite simply hospitalization rates. Severe cases of covid include the normal risks of severe viral infections, but it causes severe infections at significantly higher rates thus it also causes those normal complications at much higher rates. Along with it’s own unusual risks from blood clots causing all the things blood clots cause.
> Until I see some serious, well-controlled, high-quality data that shows me that there's an unprecedented risk for a lot of people, I'm not on board with taking unprecedented actions that affect everyone.
What kind of evidence would convince you?
Bear in mind (as I'm sure you know), it's gonna be very difficult to get accurate before and afters while in the midst of a pandemic, and it's likely that this evidence will only exist if enough people don't get one of the vaccines.
I haven’t read a definitive answer to how much that blood vessel damage sticks around. Of course secondary effects of that damage such as strokes have their own long term progression.
How many of those children do you think had healthy immune systems?
Kids with compromised immune systems are at risk, and there at increased risk the longer this goes on. Are you willing to talk at the funerals of all those kids?
Also, your link is: At least 172 children had died as of Dec. not 2,000.
Enforcing restrictions that are excessive in order to just keep cases down is in most case even more detrimental to the long-term quality of life of the majority of the population.
What so many of the restrictions enthusiasts don’t seem to understand, is the long term mental health impact this upending of society has had on all of us, and especially on the younger generations.
I say this as a fully vaccinated individual.
Regarding the specific case, to make my position even more nuanced, I don’t have a specific problem with having to prove vaccination or positive test for indoor dining. Here in Berlin that’s the rule they used when reopening last May, and it never went away. This way, nobody has ever really debated it.
> You're somehow OK with being required to wear clothes, which provide almost no protection from anything, but not OK with being asked to show that you're an unlikely COVID carrier/spreader?
So natural immunity should be included then? I hear all these arguments but then people pretend like natural immunity is not a thing. Sure maybe it isn’t as effective as a vaccine (though some argue it is better), but it definitely makes you at least unlikely to spread.
I might believe this isn’t just a huge power grab and people are actually concerned with the health of individuals, if folks would acknowledge “the science” of natural immunity.
Saying it isn’t as good as vaccine means nothing, because we are only trying to eliminate more likely spreaders, not any statistical chance of spreading.
I used to think natural immunity was a thing. Most people in India thought so too. Based on surveys, a majority of people in cities had been infected in the first wave of Covid in 2020. So confident in herd immunity was the Indian government that they were happily organising programs to give away vaccines to countries around the world, thinking it wasn’t necessary in India.
As the events of April-July 2021 proved, the new variant ripped through a population that was supposed to have reached herd immunity. As it stands, 80%+ of people in major Indian cities have had an infection. Does that mean that covid will never bother India again? I’m guessing no.
I think that speaks to the rapid evolution of the virus, more than to the lack of a natural immunity process. It's terrifying how quickly COVID has evolved, and given more time in the human species, it will evolve further. That's why the push for vaccination is so important. There's even people pushing for prophylactic use of other medications to completely stamp out COVID for the simple reason of - you do NOT want this virus evolving any more than it has.
Sure: if they can prove it. But since that's hard and expensive and there is no effective risk to a vaccine (particularly if you definitely are naturally immune, as it would be an antigen response your body is already mostly familiar with and not trigger any primary immune responses), we do the other thing.
I am literally working with vaccination registry APIs right now which have an explicit system for registering and tracking natural immunity.
I’m glad to hear that natural immunity is considered. I might get one dose as a booster for my natural immunity, but not two.
Regardless even if I got two, I will behave as if I had none, and will not go dining if they require proof of vaccination and whatever other things.
I will never report someone for violating a vaccine mandate, or a mask mandate. Or if they forge their vaccine card.
If they are knowingly sick, going out with a fever, and a cough in public places and essentially trying to get people sick, I will report them. Even if they’ve been vaccinated but “just” had the Flu.
And that person exists by the way. People who essentially knew they had covid, were feeling symptoms, yet went to a party anyways. But I’m sure there is the person who proudly goes out with their vaccination card showing both doses sick with something else like the flu, judging those who have no symptoms of sickness but aren’t vaccinated also being out.
No that would be getting two doses when I’m already effectively immune. One dose as a booster if you have antibodies. It would essentially be like getting a 2nd dose for those who haven’t had it.
This was actually recommended by the Irish vaccination committee, as long as your infection was within the last 180 days and you actually had a seropositive Covid test.
Absolutely. I firmly understand that natural immunity is as good, if not better, than the vaccine.
The trouble is, how do you prove it? There are antibody tests that maybe are positive even months later? I'm not sure, honestly. The tricky part is just the recording of the matter, not the science behind it.
How does someone know if my fake vaccine card is a fake?
How does someone know that even though I’m vaccinated I’m one of the very very small few who will have a breakthrough infection?
We could probably do things to ensure these as well, but at what point do we just say “yep there is a risk”, and accept that risk as part of living life?
I think there is a part
where the principalities and powers that rule, actually want us to get so angry and divided.
That is why things are forced, and mandated, rather than appealed to. One side gets mad that they ask, the other side doesn’t give a chance for the good natured to help voluntarily.
There is no conspiracy of people plotting in a room coming up with how they can gain more power to take over the world (unless they’re two mice trying to do same thing night after night), but nonetheless there is a spirit of division and hatred that is very much present in our country that is tearing us apart.
> I think there is a part where the principalities and powers that rule, actually want us to get so angry and divided.
Totally agree.
> There is no conspiracy of people plotting in a room coming up with how they can gain more power to take over the world (unless they’re two mice trying to do same thing night after night), but nonetheless there is a spirit of division and hatred that is very much present in our country that is tearing us apart.
Yup, there sure is and it's really disheartening to watch it unfold day after day. The country seems more divided than I've ever seen it in my 30ish years, and certainly more divided than rose colored glasses of past decades.
It's a shame but, maybe it's also a sign of healthy country? Maybe united countries are also the ones that go to war and invade others?
It depends what they’re united on. If they’re united on something evil, it is good they lose power, if united on something good then they will use that power for good.
Our wars for example in the Middle East, our unity was on security and safety as the highest good, so we were willing to do something awful to pursue that thing.
The letters next to their names have changed, but we’ve still made a god of security and safety, and have allowed it to blind us to the evil we’re doing.
We obviously don't know much about PASC/long COVID, but the initial data is worth paying attention to. This Swedish study says ~10% of healthcare workers who got COVID had lingering symptoms.
Self reported data on things like this is absolutely useless, even though I’ve had lingering taste issues myself. If the media is constantly talking about long COVID it’s no surprise that people will think “gee, I have been kind of tired since I got infected.”
Even my own taste issues might be something else - the only reason I’m confident they’re there is that it’s intermittent and takes me by surprise. I have two friends that think their sense of taste isn’t quite the same as it was and it’s steadily that way, which to me sounds like it could just be all in their heads (or not).
What other measures do you think we have? We have reported symptoms (suffers from what you mention) and physical evidence [1] - what other forms of evidence are even possible?
[1] Imaging data has also physically confirmed lasting damage from COVID which could definitely be affiliated with some of the symptoms we lump under PASC.
I wasn't saying it doesn't exist, I was just saying that "blah blah percentage of people think they have long COVID" is a useless statistic.
In an alternate universe where the media took and ran with the 5G conspiracy theory for over a year, you could survey the population and find the same amount had symptoms from that.
I'm not saying that there will not be people who do not have lingering symptoms. We already know this happens with other viruses.
I'm arguing that most of the science here is bad, and even if these things hold up, the risk of ~10% of the population having anosmia for a few months is not worth the permanent restructuring of our society to fixate on the prevention of a single illness.
Well on the one hand it sounds like what you're saying is that there's a high degree of uncertainty, but on the other we can be certain that there's not a severe long-term problem.
I don't think the fear is about 10% ending up with anosmia. The fear is that the 10% of detectable problems might be indicative of much more severe and/or much more prevalent problems going undetected. You're right that the problem is lack of very good data, but the folks who live and breathe this domain appear to be very concerned by the data we do have.
For what it's worth, I don't think many (any?) people are arguing for a permanent restructuring of our society. They're merely asking that we don't consider death to be the only endpoint that's relevant to the conversation.
If you don’t mind, could you share data on the UK, a place where nearly all adults aged 30+ have received two doses of the vaccine? It simplifies the discussion because there’s no question about self selection bias. If there’s any negative effects, it should surely have manifested in a large subset of this group of tens of millions of people, across ages and ethnicities.
Not just a handful of cases here or there. I’m talking about 0.01% or more of this population suffering some persistent harm. Not something that disappeared after a day or two.
VAERS records around 10k deaths post-vaccination in the US. Around 150 million Americans have been vaccinated. If all those deaths were caused by the vaccine, that would be 0.006% suffering the extremely persistent harm of death. In fact it's not known however whether those deaths following the vaccination were necessarily caused by covid, but unfortunately very little follow up (autopsies) is being conducted, so there's no way to know. Counter-balancing that is the fact that previous research has found "Adverse events from vaccines are common but underreported, with less than one percent reported": https://digital.ahrq.gov/ahrq-funded-projects/electronic-sup...
And thus no substantial change was made today on HN, besides to people who get fatigues seeing 4+ level deep comment debates: only reading a few comments before going back to reading tech articles.
So you bring up the "I have the DATA!" Trump card and then when asked to provide it your response is, "well, no, where is YOUR DATA?"
That long Covid is a pernicious result for many people with debilitating effects is well established in the literature, it's not controversial.
That refusing to get the virus under control will lead to further variants potentially worse than Delta that perhaps the vaccines are less able to guard against. Not some crazy conspiracy!
What this is ultimately about is many of our fellow citizens believe "my choice" and "freedom" means the "freedom" to infect other people with a potentially debilitating virus rather than they be mildly inconvenienced.
Most being the operative word too: 1 in 1000 get encephalitis and brain damage, 1-3 in 1000 die!
Measles R0 is also something absurd like 15, with spread characteristics of "a person with measles goes in an elevator - the next day a person gets in the same elevator and catches it".
Fine, but if it's just a matter of degree, why would anyone want to keep spinning the evolution roulette wheel that might lead to a variant with significant vaccine breakthrough? This is a global pandemic that we have effective tools to fight not being fully utilized.
One more example: itch in one's throat and nasty suffocating cough that does not stop for an hour. Surprisingly, this might be caused by reflux (without the accompanying stomachache).
I imagine it would be pretty easy for someone not used to dealing with gastritis on a regular basis to attribute such a symptom to "COVID".
Yeah, all of these "long covid" symptoms overlap substantially with other, common things, or have otherwise been defined so liberally by these terrible, self-reported "studies" that anyone with a normal human immune system and a head cold would qualify. Just consider the three most common complaints (by far):
Cough & Shortness of breath: allergies, asthma, typical recovery process from any cold or flu
Fatigue: depression, anxiety, insomnia, recovery from most illness
Brain fog (whatever that is): depression, anxiety, insomnia, recovery from illness...
It's not that "long covid" isn't real...it's just that the scientific data for it at present are so vague that you can "have" it by being a normal person.
The author of that comment obviously has quite some expertise in the matter (see their profile and some of their other comments linked to in this thread).
They didn't say that "Long COVID" symptoms aren't real. They just stated that this particular virus disappears after some time, that is once your immune system manages to cope with it and the infection clears out.
This statement is emphatically true. Otherwise, antigen and PCR tests would still yield positive results months after someone became infected.
An example of a virus not simply disappearing from your body anymore once you're infected with it would be HIV.
A potential mechanism for Covid to produce lingering symptoms would be some kind of mast cell activation syndrome. I believe that "long Covid" is probably a mix of that, actual lung or vascular damage that takes time to recover (we have a friend who suffered lung damage and referred to the recovery period as "long Covid"), and some (possibly quite large) amount of psychosomatic subjective experience and amplification of lingering symptoms caused by the relentless hype on this issue.
I take “quietly” to mean “without causing havoc and long term symptoms” which appears to be the undefined term here. This is why I refer explicitly to long term symptoms as being what remains.
I stand by my comment, it does not “quietly” go away.
Censorship in the name of 'misinformation' isn't the answer. I know I've been wrong many times for things that I took as granted and as factual. I was so passionate about these facts, blindingly so - I just never saw the contrary evidence. Ever considered that you could be wrong and misled yourself? This is why we need to have a debate to get to the bottom of the truth.
If the ultimate goal is saving lives, how much of your daily life are you willing to sacrifice for public health? Willing to forego car ownership? End two day shipping speeds for non essential purchases?
I don't think the ultimate goal should be saving lives. It should be avoiding the spread of COVID. Saving lives would just be a side effect of lower COVID cases (and vaccination).
I'm all for re-opening businesses and promoting vaccinations. We have to get back to living our lives. I'm just tired of the idea people seem to have that it's entirely about lives.
Since SARS-CoV-2 is now endemic in the worldwide human population plus some animal species it's impossible to avoid the spread. We can slow the spread to a limited extent but eventually all of us will be exposed.
Maybe it is - if so, not fighting it consequently in many regions of the world certainly helped with that. But slowing the spread is still of essential importance. We do have vaccinations, which greatly reduce the risk of getting infected and especially the risk of severe consequences. Still, the very vulnerable groups of our society are carrying a considerable risk even when vaccinated. That alone should mandate to keep infection count low. And the more we vaccinate and have other limiting means in place - like wearing masks in indoor public places where it is possible - the lower the infection count is. That directly saves quite a few lives and a lot of health, but most of it, it buys us time.
Yes, probably everyone gets exposed to the virus in the future, but we can decide how quickly. Every month later means we might get vaccines which protect close to perfection, that we find better medication or at least better understand what Covid-19 is all causing and can treat better. Also, with any additional infection the risk of another significant mutation increases. Even with current vaccines, with a high enough vaccination rate any outbreaks should be much smaller and more localized. This does make a difference.
Hmm, this is a very serious hypothesis. While not disputing it as a viable hypothesis, do we have good models that support this conclusion? Also, how do these (SEIR?) models distinguish E=100 from E being an aggregate of different variants, delta etc? Finally, what is the relationship between E=100 and R0? I wouldn't expect it to be fixed (model independent) but rather a given model will assert some relationship between E and R0.
Sorry if this is a lot of questions, I do think it's valuable to address this with actual models and supporting data.
Yes, totally — we are only as healthy and as happy as the least of our neighbors. If I had to forgo two day shipping or driving in order to bring down traffic crashes, improve air quality, etc. that seems like a totally fair trade-off. The alternative doesn't look all that good.
"About three-fourths of people infected in a Massachusetts Covid-19 outbreak were fully vaccinated, according to new data published Friday by the CDC.
The new data, published in the U.S. agency’s Morbidity and Mortality Weekly Report, also found that fully vaccinated people who get infected carry as much of the virus in their nose as unvaccinated people. "
Potentially related - "How major media outlets screwed up the vaccine ‘breakthrough’ story" [1]. Outlines media mis-interpretation of an unfinished, internal CDC presentation last week (roughly lines up with your July 30 story).
Your link is multipage propaganda spin full of media distrust FUD without data, and deja vu - White House tweets blaming the media for wrong coverage of hard CDC data.
Whereis if you compare the CNBC link i posted with the official CDC report linked below you'll find no screwed up nor mis-interpretation on the part of CNBC (though CNBC didn't mention the 69% vaccination coverage and obvious correlation with the observed 74% share of infections). And the CDC report is crystal clear:
"During July 2021, 469 cases of COVID-19 associated with multiple summer events and large public gatherings in a town in Barnstable County, Massachusetts, were identified among Massachusetts residents; vaccination coverage among eligible Massachusetts residents was 69%. Approximately three quarters (346; 74%) of cases occurred in fully vaccinated persons"
There's actually a really robust-looking study just out in the UK sampling the population to find how much less likely vaccinated people are to be positive for Covid than non-vaccinated people: https://www.ipsos.com/ipsos-mori/en-uk/latest-react-1-study-...
Apparently the answer is that they're a third as likely to have it as the unvaccinated. Which certainly isn't nothing, and it's definitely better than the flu vaccine managed, but it does suggest that there's probably no way we're going to stop the spread of the Delta variant through any level of vaccination no matter what the US media claims. It also means that any hope of avoiding selective pressure for vaccine escape by just vaccinating people quickly enough is likely to prove futile. We also don't really have any special exemptions or privileges for vaccinated people yet outside of laxer requirements for international travel, so that wouldn't explain why the gap is so small.
(Incidentally, the "quick peak and decline in countries with high levels of vaccination" like the UK almost certainly isn't simply a result of vaccines working, despite the CJR article's attempt to spin it that way. All our experts over here seem to be in agreement that not only are the vaccines not effective enough to explain that, it just doesn't make sense to have such a sudden peak and decline as a result of our vaccination program - which has actually been slowing down as it runs out of willing recipients - or from natural immunity in combination with it. They reckon it must be caused in part by people's behaviour, and if we return to normal or autumn hits cases will go up again.)
>they're a third as likely to have it as the unvaccinated
In the week ending 07/31 MA was getting about 600/day, 200 of them are vaccinated. The number of vaccinated are 4.2M out of 7.1M. Thus according to that data the probability for a vaccinated is just under 40% of unvaccinated.
Giving that Delta is several times more virulent the current situation can be thought that way - the vaccinated facing Delta today is like unvaccinated facing original year ago (year ago totally unvaccinated MA had 400-500/day, and if MA was totally vaccinated today, 7.1M instead of 4.2M, it would as result be 350cases/day instead of the 200). I.e. these numbers also suggest that there is no good way to stop the spread until Delta capable vaccine comes.
That also highlights the propaganda spin of "just 125K breakthroughs out of 160M vaccinated since January", the widely tweeted 0.08% (especially giving that CDC hasn't been counting non-hospitalizations breakthroughs since May, and that number seems definitely incorrect as MA having 2.5% of vaccinated has 7K total breakthroughs - almost 6% of 125K) - the Delta is pretty recent and the total number isn't the point, the point is the current infection rate of vaccinated vs. unvaccinated.
Just chiming in to add some data I ran across earlier today. The spreadsheet showcases data from Israel which was updated yesterday, 8/3/21. I found it very valuable as it broke down demographics by age and vaccination status.
This clearly shows a significant portion of the new cases are among the vaccinated.
Anecdotally, those I know who have "breakthrough" cases are having fairly moderate flu-like symptoms. I am quite confident those who are symptomatic are capable of spreading illness even if the vaccinated as a population are less likely to transmit disease.
Your response is extremely typical mix of mis-information (see below), generally stated principles bordering in their generality on banality and absence of any data.
>nothing anywhere close to this has been shown in any other country.
"This echoes data seen from studies in other countries, including highly vaccinated Singapore, where 75 percent of new infections reportedly occur in people who are partially and fully vaccinated."
>Your response is extremely typical - just generally stated principles bordering in their generality on banality and without any ounce of data.
Y'see in SCIENCE we have this generally stated principle that we don't draw empirical conclusions from a dataset of a few hundred observations.
How banal!
"This echoes data seen from studies in other countries, including highly vaccinated Singapore, where 75 percent of new infections reportedly occur in people who are partially and fully vaccinated."
This does absolutely nothing to back up your claim that vaccinated people are just as likely to spread the Delta variant.
But please ask for help next time you move those goalposts, I wouldn't want you hurting yourself.
>Y'see in SCIENCE we have this generally stated principle that we don't draw empirical conclusions from a dataset of a few hundred observations.
the statistics would disagree with you on how representative a random draw of several hundred would be in this situation. Anyway, just an example related to the situation - Moderna stage 2 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871769/):
"Between 29 May and 8 July 2020, 600 participants were randomized, 300 per age cohort. [...]
Conclusions
Vaccination with mRNA-1273 resulted in significant immune responses to SARS-CoV-2 in participants 18 years and older, with an acceptable safety profile, confirming the safety and immunogenicity of 50 and 100 µg mRNA-1273 given as a 2 dose-regimen.
"
>This does absolutely nothing to back up your claim that vaccinated people are just as likely to spread the Delta variant.
beside obvious statistical arithmetic clearly showing it (whihc i guess is pointless to discuss giving your statistics statements above), you probably missed the part about nasal viral content in vaccinated people being similar to that of unvaccinated and hint - this infection is airborne. This is why CDC introduced mask mandate for everybody.
"The higher the amount of coronavirus in the nose and throat, the more likely the patient will infect others. In one Wisconsin county, after Delta became predominant, researchers analyzed viral loads on nose-and-throat swab samples obtained when patients were first diagnosed. They found similar viral loads in vaccinated and unvaccinated patients, with levels often high enough to allow shedding of infectious virus. "
To my knowledge (which can be wrong), vaccinated people do have a much less chance to get infected, and if infected on average have a much less viral load (thats whey they don't get as sick). As a consequence, they are less contributing to spreading the virus than unvaccinated people. And as they get less often seriously sick, they also reduce the load onto the health sytem.
This kind of attitude turns people away from wanting to engage with you, even if your idea has merit.
> There's absolutely no reason to say things like "hysterical fixation on cases". Bringing cases down means LESS LIVES LOST and less HEALTH lost.
It's naive to think that some people want more lives lost. That's the goal of everyone. In the same way, you're asking people to understand your perspective, try to keep an open mind, and understand the perspective of others. Even if you're correct, the only way to help is to understand the root of why some people are hesitant.
I'm obviously pro vaccines (in general) and are vaccinated for covid, but I'm also pro informed decision making, which from my perspective is very lacking (in some contexts) and very simplistic (summarized into TikTok-style videos and "cute" guitar songs) in others. There is of course valuable information out there but it's very difficult to find and is mostly lost in the ocean of influencer-driven media, turning science into MTV style top 10 countdowns. I happen to very rarely watch TV or news related to Covid from any source other than Sweden's official organizations, and I'm very happy with their information. I also noticed that it's very different in cadence from what I usually read people trying to say anywhere [1] (contrary to generic Swedish media for example, which follows the American example mostly). I believe this is one of the main reasons we have 40% fully vaccinated and ~60% with at least one shot). And there's no noticeable animosity or friction between vaccinated or unvaccinated people. There are also very few masks going around (mostly older people and 1 out of 100 young people I see).
From what I understand, scientists doing the research are working very hard on this, and they are still not 100% clear on all the details. It's naive to dismiss side-effects no matter how rare they are, and even more dangerous to dismiss fears of people. When you say "everyone must get vaccinated whether they understand or not" you're not aiding those people who are hesitant (regardless of why). Just the other day I watched a supercut of different "officials" some saying people can "top-off" with a second jab from another kind of vaccine while others saying that it's extremely wrong to do so. Similar to how the whole mask thing changed over time (and even now again with the new variants). This is all to say that difference of opinion and understanding is not only expected, but it's inevitable. You can't eliminate it, you can only face it and discuss it openly.
> One of them still doesn't have their sense of taste and smell back, after nearly 3 weeks post symptoms. They describe being brain fog, and tiredness that they didn't have before, as well as an "itch" in their lungs when exercising that they didn't have before.
They'd might want to look into the I-RECOVER Protocol for treating Long COVID:
> And literally anyone who wants a vaccine can get one.
Literally not true. Kids under 12 are not able to be vaccinated, which puts a limit on the activities they and their families can do. If they're able to know that everyone inside a restaurant is vaccinated they'll be more likely to visit.
> It might well lead to anger and violence (as similar moves have across Europe).
Not really. There were some minor protests and then an untick in vaccination rate. As someone living in NYC right now I really can't see this being met with violence.
> Literally not true. Kids under 12 are not able to be vaccinated, which puts a limit on the activities they and their families can do. If they're able to know that everyone inside a restaurant is vaccinated they'll be more likely to visit.
This policy is also hysterical, and not based in science. Kids should not be under any restrictions due to SARS-CoV2.
Please see my comment from yesterday as to why I believe this is true:
(Aside: I generally feel that the FDA is on the right side of history by being exceptionally careful with approval of the vaccine for children, but arguments like the parent's -- I hear this a lot in different contexts -- do sometimes make me wish that they'd just make an extremely limited approval so that the most fearful 5% of people can force it upon their children and stop holding the rest of the world hostage.)
> the most fearful 5% of people can force it upon their children and stop holding the rest of the world hostage
To be clear, as a parent, it's not because I'm fearful, it's because a positive COVID test from any child in my kid's school means that it shuts down for two weeks, completely messing up our lives, jobs etc. I'm not going to defend that policy for a second as I don't think it's a good idea either, but it's what we're dealing with day in, day out. We're not hysterical fearmongers.
> To be clear, as a parent, it's not because I'm fearful, it's because a positive COVID test from any child in my kid's school means that it shuts down for two weeks, completely messing up our lives, jobs etc.
Completely agreed. This is a stupid, hysterical policy, and we should all be against it. I include it with my previous comment that children should face no restrictions from SARS-CoV2. What we've done to kids in the last year is so unethical that it makes me furious.
I don't mean to imply that you specifically, are hysterical, but this stuff is coming from a group of people who are operating based on fear and lack knowledge. And unfortunately, a great many of them are in positions of power.
All the young people have given away a year of their lives to "save grandma"... and now, the government wants them to give up another year, because few grandmas don't want to get vaccinated.
Since the vaccines are available to everyone, and enough time has passed, that everyone has had the chance to get vaccinated, then i have no moral issues if a few people die, because they took the risk, and lost the statistics game.
we're seeing an increase in hospitalizations, which is straining capacity and putting doctors under pressure. if capacity is exceeded due to unvaccinated covid patients, what do you do? bar new covid admissions from the hospital and let them die on the street? keep existing triage order, where someone sick with heart failure or accident trauma might not be admitted because the ward's full of sicker, admitted, covid patients?
and before you say "kick the covid patients to the curb," morals aside do you really think that's politically feasible?
What if the triage criteria is to prioritize vaccinated people? Then the segment that suffers from lack of hospital capacity is the same as the segment responsible for unnecessarily burdening the hospital.
This comes full circle on the "show your papers" issue, but at least in this scenario showing papers is directly aligning cause and effect regarding death.
I'm kind of curious how that would be received. If you show up to the hospital for covid and you don't have a vaccine and aren't exempt you don't get treated.
I really think there's a good chance it would be received OK. I think vaccinated people are sick of the shit from the other half or 40% and I think the unvaccaniated think they're immune to everything. I think they're happy taking their chances or w/e
There is no easy policy win re kids. Sure, we can be like fuck it all, children are mostly safe from covid, but then its almost guaranteed parents and everybody else in household will get it. I know for 100% we both did get it from our son who brought it from kindergarden. We were super careful for almost a year and it worked well. We got covid while my wife was pregnant. Not a nice situation to say at least.
How do you set that restrictions to adults are OK because we want to protect them, but for kids aren't? Those restrictions then kind of become pointless, don't they? Older people also want to see their grandkids desperately, I think that's a simple fact of life.
So unless I am reading it wrong, folks are annoyed because suddenly they have to take care of their kids for 2 weeks. I know I had a rough week+something when I was WFH and caring for our son whose kindergarden got closed due to covid (and he brought it home as we found almost a week later). But fuck, I've managed and it brought me closer to my son, juggling tons of conf calls and so can almost everybody else for few weeks. Its just a work, on all calls in past year there have been kids yelling in the background, sometimes mine too. It is actually properly cool to hear how those voices have their lives running in the background.
Its true that those who physically have to be present at work (like my wife, doctor) had tougher times if kindergardens locked down and no solution in sight. But the amount of couples where both parents were in same situation is properly miniscule, mostly folks that complain don't fall there. Its folks who had their convenient busy lives suddenly messed up a bit and had to fully focus on their closest ones and found out proper parenting 24/7 is hard.
Society doesn't have an easy coping mechanism for this since we don't have robot nannies immune to viruses. That sucks, and will suck. Minor obstacle that builds character and family bonds I'd say.
> Sure, we can be like fuck it all, children are mostly safe from covid
No, children are almost entirely safe from Covid. Don't exaggerate the risk.
> but then its almost guaranteed parents and everybody else in household will get it.
...and they can get vaccinated, and they will face the approximate risk profile of a cold or flu.
Look, it's like I said: there are people who are going to be at continued risk from this. That's unfortunate, but it's no different than any other virus we've lived with throughout human civilization. At this point, we're proposing extraordinary interventions to head off an ordinary level of risk.
Children spread COVID first of all. Second of all, COVID attacks blood vessels. The fact that healthy children seem safe now, does not mean that as they age, we won't see a rising burden of disease due to the long term effects of having their blood vessels attacked when they were young.
The science behind COVID-19 is evolving, I see new information in the news every day that changes how I see this disease (usually for the worse, though not always). To simply assume children are safe and propose a policy of mass infection is extremely short sighted in my opinion.
I'm still undecided re: mandates as this is correctly viewed as a massive authoritarian extension of government power domestically on top of the 9/11 restrictions that never went away (it is already completely tyrannical abroad). However, for a reasonable society (not ours) I believe COVID-19, especially the Delta strain, presents a level of population risk that the consideration of such measures is warranted.
I’m vaccinated and generally quite pro-vaccine but this is just the anxious adults not coping well with reality thing timr is talking about. The whole “it attacks blood vessels” thing. Kids are largely asymptomatic and incur little damage of this sort. Their bodies heal up and it’s done. There is no real “long term” boogeyman with this virus. You can’t find evidence for this with kids because it doesn’t exist. The virus is gone and done within a couple weeks and it isn’t coming back unless you get reinfected. There is just no mechanism for this long term damage theory I have seen. Some kids have severe cases but it’s exceptionally rare. Yes it’s a virus and it does virus things but it’s really not that exceptional. Too many people are misapplying and misreporting the actual science and risk. To prove otherwise I think the burden is on you to prove such an extraordinary claim for such a relatively mundane virus in the scheme of things.
I don't agree. We thought this about adults about a year ago then started to notice brain damage, clotting problems, heart problems, and other organ damage. I'm willing to entertain that children are less vulnerable but I'm not willing to simply assume it and say whoopsie after the fact. Ask me again in a year when we know more.
It's incredibly sad but not at all surprising that so many people so quickly write off everyone that has to come in contact with unvaccinated children.
This society has little respect for the lives of teachers and staff that have to do the job of caring for kids so that parents can have time to work. I hoped that people would come away from the experience with a little bit of growth knowing how difficult it is to do childcare 24/7, but of course the entitlement knows no bounds.
These policies more often than not come from the state level, and are set by the governor or unelected bureaucrats in state departments of health. Washington and Oregon are threatening local school boards which try to set their own non-hysterical policies with fines, loss of teaching licenses, and loss of state & federal funding.
This is absolutely correct. These policies are being driven by unelected bureaucrats in Oregon Health Authority working with the Oregon Department of Education. And there are fines for failure to comply. https://www.oregon.gov/ode/students-and-family/healthsafety/...
Then organize and lobby the governor to overrule them. Unelected beaurocrats should not have broad power like this.
My point is to put pressure on the people in power, not to blindly follow and then just mutter under your breath that you’re mad. They do not give a single crap if people are mad unless their power is threatened. Stand up for yourselves for crying out loud.
Many, including my family, are doing what you suggest. Unfortunately, Oregon has a lame duck Governor who does not seem to feel terribly accountable to the electorate. There are more fireworks to come. We’ll see.
Good luck, don't give up - that's what they expect. You have much more on the line (your children's future) than they do (their job) - though they don't feel that way about their power being threatened...can't give up.
The usual argument for mandatory vaccination is for the protection of others rather than the protection of oneself, so the effectiveness of the vaccine in preventing death in children should not matter.
> If they're able to know that everyone inside a restaurant is vaccinated they'll be more likely to visit.
This is why I argue with some fellow libertarians on the idea of private company vaccine mandates. There's a place for it, such as this. Restaurants could differentiate this way. Different people have different needs. A government level mandate like this is insane.
Considering that vaccinated people can still carry the virus, and very few of those services are mandatory to survive, the minority can still stay safe at home, and the others can decide by themselves if they're willing to risk it.
Not sure if this is in opposition to your point, but if there can be businesses that cater to them by lowering their risk profile I think that's great.
How could a family under 12 possibly know that everyone inside a restaurant is vaccinated unless the restaurant only allows a single party to have a member under 12?
Sure, other kids are a risk, as they always are. Everything is a risk evaluation, even with a vaccine mandate if the restaurant has two kids at every table with little space between them then it might not be a good idea to go in. Doesn't invalidate the fact that it would be better if all the adults are vaccinated.
Sure, but it seems at least a little unreasonable (at least disingenuous) to me to argue that “I want to be able to take unvaccinated members in my party into a restaurant confident that the other people in the establishment are proven to be vaccinated because it's dangerous if unvaccinated people gather in a public, indoor establishment.”
If unvax’d people represent such a risk to others in your judgment, you should not be part of putting unvax’d people in your own party into that situation.
(For context, I’m pro-vax, got vax’d literally the first day I was eligible, and have a kid under 12 that I can hardly wait until they’re eligible. I’m against any vax passport scheme that even theoretically allows tracking/correlation of my identity/location if shown to a party intent on tracking me.)
We have never required anything like this to go to a restaurant. Or the gym. Or the beach. This is a huge new step.
Pointing out that children must be vaccinated against viruses that disproportionately harm children in order to participate in public education is true, but irrelevant to the question. Pointing out that we require certain vaccinations of immigrants is true, but irrelevant to the question.
(Not for nothing: we require immigrants to pass a citizenship test and a background check, too. If the standard is "anything that is OK for US immigration is OK for going to Chick-Fil-A", then we're going to have to disagree...)
> We have never required anything like this to go to a restaurant. Or the gym. Or the beach. This is a huge new step.
Indeed, instead there used to be mandatory, involuntary quarantine enforcement, sometimes (typhus, polio) on a per-household basis with the enforcement notice posted prominently on the front door. That restricted not only restaurants and beach visits but all visits of any kind.
I'm not exactly sure which side of the argument you're on here, but ignoring the utility and/or practicality of quarantine on a mass scale, I wouldn't compare it to a policy requiring everyone to show their papers to go to McDonalds.
It's almost like people are arguing "we did {restrictive policy} once, so any form of restriction is of the same form!"
I mean...hell: we had slavery once. So maybe let's set aside the idea that prior infringements of individual liberty justify future infringements of individual liberty?
I’d argue you not getting vaccinated and adding to the potential of a mutation that makes the vaccine ineffective is a violation of MY individual liberties, and the Supreme Court agrees. Which is why just about every state in the US actually can force you to get vaccinated, they just haven’t.
Could you provide the source for the supreme court agreement? It seems to me that forcing someone to get a vaccine would just as much violate their individual liberties so I'm rather curious what issue the supreme court was specifically addressing
I personally know several people who have told me that they would stab or shoot anyone who tried to force them get a vaccine. The logistics of that may be a bit tricky, of course.
How would the logistics of forced vaccination go down, anyway? Do you think people wouldn't forge their vaccine papers, bribe doctors or otherwise get them to be sympathetic, or otherwise circumvent/ignore the system/rules in order to avoid the vaccine?
As stated elsewhere in this thread, it is not going to be possible to stop the virus at this point. We will all eventually be exposed and the best we can do is be as safe as we believe we need to be and can.
Notably, the quarantine enforcement you describe were much more stringent requirements, levied against specific people who were believed to be infected or at elevated risk of infection (such as arrivals from overseas), never as a standing order issued against the population of the state's residents. Moreover, the quarantine laws which authorize this sort of thing in New York City demand due-process protections, such that those who are quarantined must receive notice that they are entitled to judicial review of the quarantine order.
I think it's a practical thing. We don't require vaccination for restaurants, but because vaccination is required at schools, practically you can assume that most people are vaccinated. And for many of these illnesses, we have attained herd immunity (although antivaxers are chipping away at that.)
We should want to be in the same world for COVID. I'm sorry, but I don't see why I should have to risk getting COVID when there is a perfectly safe, free vaccine, that if delivered to enough of the population, will allow us to achieve herd immunity. The risks of long COVID are real. You're either imposing a very safe vaccine on people, or a somewhat dangerous illness on them, it seems very obvious the best option is to impose the vaccine.
>You're either imposing a very safe vaccine on people
It's not very safe; there have been more adverse events reported in VAERS following the covid vaccines than in the past 20 years for all other vaccines. And unlike all those other vaccines, there's absolutely zero long-term safety data, because it's impossible to know the effects 3-5 years in future of a novel treatment that's only existed for one year.
This is true. Or, I think it is, I just checked the last 10 years; the three COVID vaccines have 60% of the reports from that time.
However...
Death 5,191 1.25%
Life Threatening 7,110 1.72%
Permanent Disability 6,103 1.47%
Congenital Anomaly / Birth Defect 232 0.06%
Hospitalized 23,990 5.79%
Existing Hospitalization Prolonged 228 0.06%
Emergency Room 58,335 14.08%
Office Visit 84,704 20.44%
None of the above 274,035 66.14%
Death, life threatening events, permanent disability, birth defects, and hospitalization events accounted for about 10% of the reports. 66% of them were "None of the above". (Multiple events can be reported, i.e. hospitalization and permanent disability, resulting in >100%.)
Further, there are limitations to the conclusions that you can draw from VAERS:
"VAERS accepts reports of adverse events and reactions that occur following vaccination. Healthcare providers, vaccine manufacturers, and the public can submit reports to VAERS. While very important in monitoring vaccine safety, VAERS reports alone cannot be used to determine if a vaccine caused or contributed to an adverse event or illness. The reports may contain information that is incomplete, inaccurate, coincidental, or unverifiable. Most reports to VAERS are voluntary, which means they are subject to biases. This creates specific limitations on how the data can be used scientifically. Data from VAERS reports should always be interpreted with these limitations in mind."
If someone gets a vaccination and is then run over by a bus, that can be reported as a "Death". Additionally, given the politicization of COVID vaccines, I think we can expect that there is a strong bias towards reporting events. The COVID vaccines have a number of common side effects (mine were almost as bad as those of my shingles vaccination), which may explain some of the excess.
But fundamentally, the VAERS data simply cannot be used to determine whether or not a vaccine is unsafe.
On the other hand, consider: There have been 349,000,000 doses administered, with about 428,000 events reported, meaning that 0.12% of doses result in an event and 0.04% result in an event involving health care. I ride a motorcycle. I would be overjoyed at those kinds of safety odds.
this just isn't remotely true. There is a long history in the US of cities and sub national governments requiring vaccination, limiting the things the unvaccinated can participate in, and fining people who refuse to be vaccinated. https://www.history.com/news/smallpox-vaccine-supreme-court There is a long history of case law establishing the rights of subnational US governments to act in the interests of their citizens in protecting public health.
This is not true. When the smallpox vaccine was being rolled out many restaurants, social clubs, and other places of congregation required proof of vaccination.
Suggesting that Adults must be vaccinated against viruses that disproportionately harm Adults in order to participate in public life is not irrelevant to the question
I was thinking about these categories with the opposite approach: we need a safe way [to educate people without the burden of home schooling] way more than we need a safe way [to eat/exercise without the burden of doing so at home].
At this point in time, children have experienced an infection rate, and complications that are near zero, statistically. To date, no child has received a vaccination.
Why would we punish the vaccinated, and children, for a minority unvaccinated population? A population that largely (entirely?) puts their own self at risk and no other individual that has taken steps to protect themselves from the virus.
Vaccines (in the US at least) are free to anyone that wants one at this point. It's been that way for months. If someone doesn't have a vaccine, it's because they chose to not get one - and therefore take on the risk of becoming ill or death. That's their problem... not children's problem or vaccinated people's problem.
We're doing all this to protect a population that's actively resisting your protection.
With all that said, let's get back to normal here. People who don't want vaccines aren't going to get them even if you made it the law... be realistic.
If I'm interpreting this page (https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/COV...) correctly, children less than 5 provide 2.4% of cases of COVID in California; they are 5.8% of the population so they seem to have a lower infection rate (although those 75-79 provide 1.6% of cases from 2.7% of the population). Children between 5 and 17 provide 10.7% of cases from 16.7% of the population.
Children have a very non-zero infection rate while they do have effectively a zero death rate (no actual information on "complications").
The data is listed weird, because someone over the age of 12 can get the vaccine. A 17 year old has a lot more social opportunity to catch the virus, etc.
Regardless, the people who do get sick, typically get only midly-so, and rarely (statistically 0) experience serious complications or death.
Therefore, my initial conclusion that the risk for children is near zero stands.
I'm not saying we punish children. I'm saying it's more important to allow public education to proceed in whatever way works than to allow restaurant- and gym-going to proceed willy-nilly.
I don't like restrictions in general, but I do prioritize these two things in a certain way.
"Normal" is being vaccinated. This isn't the world's first pandemic, nor is it the world's first widespread vaccination campaign.
The fear, paranoia and mistrust around vaccinations against COVID is not normal. "Just let nature take its course" isn't normal, at least not in the modern history of civil societies.
Regardless of your personal definition of normal, you will not convince the unvaccinated people to get vaccinated. You've tried, and failed.
Short of going door-to-door with guys with guns and body armor, forcefully pinning down people and jabbing them with vaccine - nothing you (or anyone) does will convince people to get a vaccine if they've decided at this point they do not want it for whatever their reasons may be.
So... go about your business as usual. Stop trying to protect people that refuse your protection. It's wasted effort, and hurts everyone else that is already vaccinated.
You can do a lot of things to compel people to get vaccinated, short of going door to door with guns.
You can deny people entry to various places contingent on vaccination, which is what a lot of places are doing now. You may not be able to convince people to get vaccinated for their own sake or the sake of the health of their neighbors, but way more people will choose being able to go to work, school or the bar over staying unvaccinated.
I chose "getting a student loan" over "not registering for the draft" and I was both terrified of getting drafted and morally opposed to killing, as much as any 18 year old can be.
No guns, no goonsquads, just pile on the headaches and most people will find themselves to get vaccinated regardless of their own doubts, beliefs or prior declarations.
Bars already check licenses before serving alcohol.
Schools already check vaccination status for other diseases during enrollment.
Workplaces already check immigration status for all employees.
There will always be non-compliance; there are always a few bars that don't check IDs or accept obvious fakes. But most won't risk losing their liquor licenses.
There are a lot of "what if"s in the world, and in public policy in particular. What if no one pays their taxes? What if a state legislature overrides the popular vote of their electorate in a Presidential election? What if the President orders a nuclear first strike and the military doesn't follow the order?
While all of these questions are interesting, for the most part we can get by without having any answers to them. Why borrow trouble worrying about something that may never happen?
What if workplaces mandate vaccines, what if schools, if bars and ballparks and theaters, and we still don't reach the 90-95% thresholds needed to contain the more virulent viruses?
Well, something else will happen. Maybe we give up. Maybe we try other coercions. Maybe the combination of vaccination rates and post-infection immunity will be high enough that the entire question is moot.
Or we don't do any of these extreme, totalitarian measures because it doesn't matter anyway?
Because doing so is a one way road to more extreme, totalitarian measures next time there's a disagreement about public policy (and next time, perhaps you find yourself on the "wrong side").
Because covid won't be a thing forever, and sacrificing core values of your nation for temporary gain is foolhardy.
Because, again, the people you're trying to protect with these extreme, totalitarian measures don't want your protection and statistically will turn out just fine anyway.
>Short of going door-to-door with guys with guns and body armor, forcefully pinning down people and jabbing them with vaccine
Even this would not work (at least in America), because there's a heavy overlap between the unvaccinated and gun owners, and they vastly outnumber whatever police force would be attempting to enforce the vaccination.
>So... go about your business as usual. Stop trying to protect people that refuse your protection. It's wasted effort, and hurts everyone else that is already vaccinated.
Umm... no. They spread fear, uncertainty and doubt (and COVID) at every opportunity, they consider themselves on a crusade against vaccination and the vaccinated. Society is under no obligation to let dangerous fools remain comfortable in their foolishness.
> They spread fear, uncertainty and doubt (and COVID) at every opportunity
Except they don't. The people who are vaccinated aren't afraid, uncertain or in any doubt. Nor can they contract COVID from unvaccinated people - otherwise what would be the point of the vaccine anyway?
> they consider themselves on a crusade
Who cares? Why do you care what some other people think? If you're vaccinated, their choices literally have zero impact on you.
> Society is under no obligation to let dangerous fools remain comfortable in their foolishness
Last I checked, we were talking about the US... so ya, they are allowed to be foolish, particularly since the only people they are potentially harming is themselves.
So... what is your plan? Are we storming people's houses with armed men to forcefully vaccinate people that don't want it? Or are we just sitting on some high horse?
I'll tell you who's spreading fear, uncertainty and doubt - it's the very same people making these arguments. Get a vaccine - or else! But you'll still need to wear a mask - or two - and quarantine at home and be careful who you're around because the COVID will get you regardless.
It's complete poppycock. Given those choices, why would someone want to vaccinate if literally nothing about their life improves afterwards?
I think what we have here is an intolerance for other people's choices... and a desire to compel people into submission of what some other people believe is the "right way". Both sides are guilty of willfully ignoring facts when convenient... so who's right? Good thing we're in the US and don't have to care - both can be wrong and go about their business without bothering each other.
Sorry but their choices do affect others, from the nurses who have to treat them to the hospitals turning away patients if they are overwhelmed or delaying surgeries.
It's not now, but it was as i know people who suffered from delayed treatment. As well my aunts a nurse and covid was hell for her, i'd rather she not go through that again because people think they are too good to get the vaccine and turn it into a political issue.
> Your children don't need to go to a public school
You’ve got this part backwards, if I’m reading this correctly. You must adhere to public health mandates to send a child to public school. If you choose not to abide, then you can opt to send your kid to a private school.
The country I’m in right now, Hungary, seems to be doing as you suggest.
They have about 75% vaccinated I think (a mix of just about all the vaccines available anywhere) and there is no mask mandate nor proof-of-vaccine mandate as of a few weeks ago. (Airport might be an exception, I haven’t been.). Interestingly it is also against the law to require anyone to NOT wear a mask — and I see about one person in 10 with a mask on the tram, usually none in the shops.
Border controls to neighbor countries are very light so there isn’t really anything preventing the unvaccinated or for that matter infected from entering the country.
I have no idea how this will turn out, I personally expect a big new wave among the unvaxxed in Europe after the summer, but if you’re curious what happens with an implicit policy of leaving the unvaccinated to their fate, keep an eye on Hungary, especially when the cold drives everyone indoors around October.
(And there were a LOT of restrictions before the vaccination rate went up, but unlike Germany nobody was out protesting against them.)
I think immune compromised people can generally get the vaccine, but there are questions about how effective it is. Some have proposed they may need a 3rd dose.
Practically there's next to no data on mRNA vaccines given to immuno compromised indviduals, and almost certainly isn't the case that they're fine to get the non mRNA vaccines. So they end up not taking it for valid safety concerns.
> So they end up not taking it for valid safety concerns.
Are you referring to the mRNA vaccine? If so, source for this? I see lots of articles that question whether the vaccines are as effective for immuno compromised people, but none that say they shouldn't take the mRNA vaccine. In fact, I see many studies testing the efficacy of mRNA vaccines for immuno-compromised people, which would seem to indicate we think it's safe. I only know one immuno-compromised person, and she got the vaccine.
I was referring to both types of vaccines for different reasons.
Like I said, there's practically no data on the mRNA side, particularly with how "immunocompromised" is a very broad term meaning many different underlying issues. Most of the data I've seen is focused on the efficacy rates, rather than safety from complications. IMO it's fair that immunocompromised individuals want to wait a bit when it comes to an entirely new form of vaccine.
The non mRNA vaccines obviously have potential issues for the kinds of people that could die from even a normal flu.
You need a citation to understand which part? That poor people most often have service jobs such as retail or food service? That service jobs are higher risk for Covid transmission than white collar jobs? Or that poor people have few resources to address health issues if they get Covid?
I'm not a dev, I just like tech stuff. I say this because I actually work with lower middle class Black and Brown people, though I'm White and lower middle class.
Let me explain something to you guys, we worked through each "wave" and didn't really care. We were not "forced" to work. It was never a big deal.
The whole "woe is the working class during Covid" was just an excuse for neurotic professional class workers to WFH.
"We study the spread of COVID-19 infections and deaths by county poverty level in the US. In the beginning of the pandemic, counties with either very low poverty levels or very high poverty levels reported the highest numbers of cases. A U-shaped relationship prevails for counties with high population density while among counties with low population density, only poorer counties report high incidence rates of COVID-19. Second, we discuss the pattern of infections spreading from higher to lower income counties. Third, we show that stay-at-home mandates caused significantly higher reductions in mobility in high income counties that experienced adverse weather shocks than counties that did not. These effects are not present in counties with high poverty rates. Using weather shocks in combination with stay-at-home mandates as an instrument for social distancing, we find that measures taken to promote social distancing helped curb infections in high income counties but not in low income counties. These results have important policy implications for containing the spread of infectious diseases in the future." (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756168/)
> High vaccination rates will only exert selection pressure on the virus causing new mutation strains to become dominant.
> How is this not understood?
The same way vaccines create selection pressure, so does natural immunity. Letting people get infected instead of vaccinating them actually makes the dice roll much more, as in orders of magnitude more.
Just look how most of the variants of concern, and mainly delta, appeared before any significant vaccine rollout, and further, delta shows high rates of reinfection vs. infection of vaccinated people.
Only vaccinating those at-risk will keep this going and going for God knows how long, and regularly overcrowding hospitals with very corageous freedom fighters.
Just get your shot instead of playing armchair epidemiologist.
> Only vaccinating those at-risk will keep this going and going for God knows how long, and regularly overcrowding hospitals with very corageous freedom fighters.
The vaccine doesn’t keep people from spreading delta because it’s not a sterilizing vaccine[1][2]. It’s strange there was that big concern over asymptotic spread and the response was to administer an intervention that greatly increases asymptotic cases.
You don't need a sterilizing vaccine. You only need to get R0 below 1. However, Delta is so infectious that mass vaccination will still need to be accompanied by social distancing and masking....
You can calculate different (average case) scenarios yourself with % needed to be vaccinated = (1 - 1/R0) for a sterilizing vaccine and add an adjustment factor for the vaccine efficacy. It's not pretty...
How do you assuredly get R0 below one with a leaky vaccine[1]? R0 can stay >1 with 100% vaccination if the pathogen is contagious enough and the vaccine is leaky enough. Note that the reference I provided is from 2015, so we can rest assured it's not particularly politicized. There is a very real chance that we're going to look back on delta fondly if a Marek's disease type scenario unfolds. Then again that's pretty much optimal for big pharma if they have a vaccine that's effective against a hypothetical omega strain that will reliably kill or maim the unvaccinated.
> How do you assuredly get R0 below one with a leaky vaccine[1]?
Nobody was assuring anything. It won't get it below R0 by itself, parent comment already told you. It's the combination of seatbelt, airbag, while not speeding, drinking, smoking or talking on the phone what keeps people relatively safe on the road, not any single of those elements.
> R0 can stay >1 with 100% vaccination if the pathogen is contagious enough and the vaccine is leaky enough.
Yes. That's why the epidemiological consensus is for vaccinated people to keep wearing masks, particularly indoors.
> There is a very real chance that we're going to look back on delta fondly if a Marek's disease type scenario unfolds
Excuse me from what I'm going to say, but the Marek comparison is an antivax favourite from the gross misunderstanding that you seem to share with them.
The Marek scenario is the result of imperfect vaccination, plus the massification of the poultry industry, plus the fact that infected chickens can carry and transmit the disease for life, including those vaccinated, which is absolutely not the case with COVID-19.
The disease existed before, but outbreaks were relatively local and self contained.
Now, from the second half of the 20th century it started being a major concern with the industrialization of farming. With a vaccine that keeps chickens from having complications or dying, but not from shedding virions for life, all while living on top of each other 100% of their lives, sure, you reach enough selection pressure to make the disease evolve for the worse.
COVID-19 vaccines may let you be contagious for a few days, then the infection eventually clears, and the density of our dwellings is orders of magnitude lower.
> Then again that's pretty much optimal for big pharma if they have a vaccine that's effective against a hypothetical omega strain that will reliably kill or maim the unvaccinated.
Yeah, this goes deeper into tinfoil hat territory. I'd just like to say that interestingly most of big pharma failed to produce vaccines and have been there largely to give the manufacturing power to the small research groups and small/new biotech companies that actually created them.
Luckily there are dozens of vaccines from all around the world by now, I think competition will do the rest.
> Yes. That's why the epidemiological consensus is for vaccinated people to keep wearing masks, particularly indoors.
There's still no reason to believe that adding mask wearing to a leaky vaccine will reduce R0 below one. We'll probably find out though since we're running a huge, albeit uncontrolled, phase 3 clinical trial right now.
We do know on the other hand that a sterilizing vaccine can guarantee herd immunity on its own with vaccination levels well below 100%.
> Excuse me from what I'm going to say, but the Marek comparison is an antivax favourite from the gross misunderstanding that you seem to share with them.
If I were an anti-vaxxer why would I be advocating a (sterilizing) vaccine? And that kind of passive aggressive insult is a common habit of the kind of midwit who vastly overestimates his own intelligence, but let's not waste time on ad hominems shall we? I simply gave the Marek scenario as conclusive proof that imperfect vaccines can select for increasingly lethal variants. It serves as a kind of limit case where everything is maximally unfavorable. Now the question of concern is can similar viral selection occur when some of the variables, such as infection duration of vaccinated individuals, are different. We cannot conclusively answer in the negative with the data we have, so a tail risk exists.
> Yeah, this goes deeper into tinfoil hat territory.
No, it goes further into considering tail risk scenarios, which is something that most people are reliably bad at.
> Luckily there are dozens of vaccines from all around the world by now, I think competition will do the rest.
I will be greatly reassured when competition creates a sterilizing vaccine that eradicates SARS-CoV-2.
Antibodies are useless if they don't have the ability to bind to mutated proteins.
> Some monoclonal antibodies, including bamlanivimab, lost their ability to bind to the spike protein and no longer neutralized the Delta variant. We also showed that the Delta variant is less sensitive to sera from naturally immunized individuals.
> In individuals who had not previously been infected with SARS-CoV-2, a single dose of either the Pfizer or the AstraZeneca vaccine induced a barely detectable level of neutralizing antibodies against the Delta variant. About 10% of the sera neutralized this variant. However, a two-dose regimen generated high sero-neutralization levels against the Alpha, Beta and Delta variants in individuals sampled at week 8 to week 16 after vaccination. [0]
Not exactly. Natural immunity is more durable and more complete. Vaccines are often "leaky", offering only partial protection against very specific markers. Whereas NI is more comprehensive and long-lasting.
"Leaky vaccines" result in catastrophic situations like Marek's disease.
No, the current boosters are the same vaccine as the original vaccinations. The booster shots are given as the antibody count in your blood drops over time and the booster shot keeps them at the maximum for another half year or so.
We don't have precise data about the required level of antibodies to stay healthy yet and in quite a few countries the infection rates are currently high enough to pose a real risk for vaccinated patients in the vulnerable group. The safe play is to give booster shots to keep the immune response at its best.
Excuse me, the correct number seems to be 88%[1] effective against symptomatic COVID from the delta variant after 2 doses vs 95% for the alpha variant.
A high vaccination rate prevents the spread of the disease. Yes, if you have a consistent rate of spread, then the more people with the vaccine, the more likely mutation is to survive. However, if the virus can't spread in the first place, it's chance to mutate is near zero.
> I believe it will disproportionately negatively impact poor and minority populations
Those populations are perfectly capable of speaking for themselves, and don't need you to do it for them. You have an opinion, don't dress it up in someone else's situation.
The current leading population for vaccination rate in Alabama is the band of majority black districts (and subsequently case numbers have gone down and down and down) there.
You know what those populations are at risk from? Crippling hospital debt from contracting preventable diseases being spread by people pushing antivax nonsense and who do not take preventative measures. And being shot at their jobs when asking those people to wear masks on private property, for some reason.
The vaccine is free, and widely made available. The communities who aren't getting it, provided they aren't politically conservative, are assumed to be doing this due to lack of trust based on past racism, as you stated.
This is a good faith explanation with no data to support it. These are the same populations most likely to ignore all sorts of laws, rules, etc. I grew up in a trailer park, and the culture was one of die hard defiance to all forms of authority, no matter the cost, or how trivial the guidance/rules. I saw this same cultural trait at play in the inner city when I lived in DC as well.
The reality is that there are several dysfunctional cultures in the US, across multiple ethnic groups including my moron family, that are pathologically opposed to obeying any form of authority. They tend to also be highly fatalistic, have high teen pregnancy rates, high crime rates, etc. And although they are almost always poor, many other cultural groups in the US that are equally poor don't have these issues. Again, my family, and my relatives fall into this category. And so do the urban unvaccinated. Trailer parks and ghettos have more in common than you think.
I say this because you're hitting on a point that is going to really undermine NYC government:
A group of politicians who assume that unequal outcomes are driven by systemic racism are going to run headlong into a law that is going to disproportionately prevent Black and Latino New Yorkers from accessing businesses and restaurants. They are desperately going to continue with a narrative that absolves them of personal responsibility, and continue making the vaccine easier to access.
It's not going to work, and they will get rid of this as soon as they can, rather than go against their own systemic racism narrative.
> don't believe this will have much of a net effect on vaccination rate
People who are still opposed to getting vaccinated, versus simply apathetic, are probably never going to be convinced. These measures should encourage the apathetic. For the others, it's cutting losses and hoping it encourages quarantine--whether that be staying home or moving. (Being unvaccinated upstate or in Tennessee is less problematic than being unvaccinated in Manhattan.)
If we take the promise of mRNA platforms at face value, we are heading into an increasingly disease-free future with a strong minority self selecting affliction. I imagine we'll see more debates of this form if e.g. there is a population that is inoculated against Covid, most STDs, the flu, et cetera; and one that is not.
> if you are fully vaccinated, you are at essentially no risk of serious illness from SARS-CoV2. And literally anyone who wants a vaccine can get one. Those who choose not to get vaccinated are making a risk calculation; they are making a choice.
There are immuno-compromised people who can't get the vaccine for health reasons. By accepting a lack of herd immunity you are throwing those people under the bus. If you are worried about impacts on minority populations then this is something you surely must be considering.
That's the reality. This is endemic and is grouped with the collection of other infections that are going to be around a lot longer than HN (eg latent Tuberculosis infections in around 20% of the global pop).
The vulnerable populations aren't vaccinated. The vaccination rate in Brooklyn for people 65+ is just a bit over 50% (51% white/54% African American).
If cases keep rising I don't see any reason why hospitalizations and deaths won't follow. Unless the delta variant is less dangerous or treatments have improved tremendously.
So, the options are 1)Stop indoor dining 2)Accept the public health implications or 3) Require vaccinations for high risk activities. I feel like option 3 imposes the least harm.
> The vulnerable populations aren't vaccinated. The vaccination rate in Brooklyn for people 65+ is just a bit over 50% (51% white/54% African American).
Yes, they are. In NYC, 73% of adults over 65 are fully vaccinated, and 77% have had at least one dose:
It's the local demographics that matter. I live in Brooklyn. I don't care what the vaccination rate is in the entire US, or NY state, and I'm hardly ever in Manhattan. I don't dine indoors because the vaccination rate in my neighborhood is 39%. And, while I'm probably not going to the hospital knowing that I might put one of my unvaccinated neighbors in there matters to me.
The local demographics don't matter unless there's a serious impact on the hospitals. That's why we started down this road, remember? It wasn't to eliminate death.
> I don't dine indoors because the vaccination rate in my neighborhood is 39%.
Are you vaccinated? If you are, you're worrying about something that is irrelevant to you. Avoiding restaurants because other people made a different choice is silly.
> And, while I'm probably not going to the hospital knowing that I might put one of my unvaccinated neighbors in there matters to me.
Ever had a head cold or the flu? You've put an elderly person at risk. Sorry, but it's true.
You can never eliminate this kind of risk. If your standard is "I must never present a risk to anyone else, ever" then you're going to have a really difficult life. You can live that way if you like, but don't force it on me.
> If cases keep rising I don't see any reason why hospitalizations and deaths won't follow.
They already have. Hospitalization rates have multiplied by a factor of nearly 4x from the 12,000 COVID hospitalizations in early July to the 40,000 COVID hospitalizations today in early August.
Or you know, let people decide if they want to take a risk. What do I care if someone doesnt want to get vaccinated and put themselves at risk? Thats on them. Just like they can go bungee jump or drive a race car.
Primarily because of the threat to our healthcare system, but also because of those with high risk of breakthrough infection and those who cannot be vaccinated. I find it a little hard to believe that anyone who has lived through this pandemic does not understand this.
Vaccinated people do not spread the virus nearly as effectively as unvaccinated people.
And you did not address the threat to our hospital system, which has been the number one concern for a year and a half. Surgeries are already being halted in multiple states... again. You might view it differently if it was your hospital that postponed your surgery because unvaccinated people had filled all their beds because of a preventable illness.
There was a study upthread (from the Lancet?) that literally pointed out that there are the same level of virus load on nasal pathways for vaxxed and unvaxxed. I believe the study was linked by user timr
This was the underlying logic for the cdc to require masks once again
Yeah, we need a lot more data points than one tiny study. Almost all data to date shows vaccinated people do not spread the virus as effectively as unvaccinated people, and that vaccinated people are far more likely to have asymptomatic (not pre-symptomatic) infections, and most data points to those types of infections having a very low rate of transmission. One chunk of leaked data does not negate all previous research.
It's an infectious disease. This isn't an issue of "you can risk your own life and health" - unvaccinated people are risking the lives of many others in their communities.
You can't kill your neighbor's grandmother by bungee jumping.
> if you are fully vaccinated, you are at essentially no risk of serious illness from SARS-CoV2.
… maybe for currently known variants. New ones will appear, and no one can predict if current vaccines will protect us from them. It makes sense to me that a mixed population of vaccinated and unvaccinated people interacting frequently could lead to vaccine-resistant strains. Keep wearing your masks!
>I believe it will disproportionately negatively impact poor and minority populations in NYC who already have a bad/mistrustful relationship with health care and government...
In my day job, I interact with many prisons and jails both across the US and in other countries. Minority inmates reject vaccination at a rate well above White inmates, largely due to trust issues. It's a huge problem, one that's not talked about enough due to the moronic social media meme that everyone who doesn't want to get vaccinated must be a MAGA-hat-owner. This is provably incorrect.
Note that the C.O.s also largely distrust big .gov. I was just out at a facility where half of my escorts spontaneously brought up buying guns before Biden bans them (as he has indicated he wants to do — it's not a crazy notion). I've always been a skeptic, but the degree of distrust in authority has never been greater in my lifetime. It is unfortunate that this trend is costing lives.
I think there is also ample precedent for policy that prevents or discourages people from putting themselves at unnecessary risk of death or injury. If it's illegal to attempt suicide, then it stands to reason that we can pass rules against exposing yourself to Covid even if you are foregoing opportunities to protect yourself.
The core assumptions to your argument are that secondary infections of children are not of concern at all, and that future variants will have similar propagation and impact.
Limited evidence suggests that the delta variant may highly contagious among vaccinated populations and that lambda may be resistant to some vaccines.
your "poor and minority populations" argument strikes me as disingenuous bad faith; if there are poor and minority populations who dont want to be vaccinated, they will be safer by not going into crowded spaces as well.
but above all, some of us have children under 12. we'd like them to be safe. we have relatives who have weakened immune systems, who are in great danger even though they are fully vaccinated. These are the people who have literally no choice between a. hide in fear for years or b. expose themselves to great danger. vaccine mandates allow these people who otherwise have no choice to be more free in the world, by asking those people who totally have a choice to please make that choice by either not entering our public spaces, or getting vaccinated.
Coercing poor & minority populations into bending to the will of the powerful, and saying it's for their own good has a long and tragic history. I am not sure whether your argument is in bad faith, but it does seem willfully ignorant of history.
Try again, the vaccine saves lives, and in that sense is not comparable to past injustices. It is of course comparable in that it's completely understandable that there is mistrust, but prohibiting people who don't want to be vaxxed from going into public spaces and endangering themselves and others is still a life saving policy. It's not "for their own good" , it's for the good of everyone.
I don't think you know many anti-vax people if you think education is the answer. Every one I've met is completely unwilling to look at data coming out, and instead relies solely on headlines they've read that are usually incomplete or outright wrong.
> We have never before justified such intrusive government policies based on the risks faced by these individuals.
This is factually untrue isn’t it? Children are forced to get vaccinated if they want to access the public school system in at least some parts of the US.
> We should be reacting rationally to rates of hospitalization and deaths -- and right now, those are barely changed in NYC, thanks to the very high vaccination rate amongst the vulnerable population
The COVID hospitalization rate in NYC has doubled since the beginning of July, and it has a steep positive rate of change. On its current trajectory, COVID hospitalizations will continue to increase, and sharply.
The first thing is to get the number of infections down. If the number of infections is low, then any bad event becomes accordingly less likely. Less mutations, less breakthrough infections.
what about immunocompromised people who don't really have a choice. Some of them get the vaccine but it gives them no anti-bodies, as if they were not vaccinated. What about them?
If you get a breakthrough case of Delta, you have a 19% chance of getting long covid. That’s not to say there should be mandatory vaccinations, but case counts definitely matter.
I have been in Manhattan for the last week with my family. I have seen 10+ free vaccinations locations. If you want to get vaccinated you can, no matter what your means.
Not being vaccinated put the risk on the kids, which is unconscionable.
So I was down voted in this. Let me make this clear...if you are the irrational anti-science anti-vaccine person and have the right to down vote please do so, but have the stones to post a reply saying it so the rest of us can add you to the ignore file.
Get vaccinated. If you do not for other then a real medical reason you are a terrible person that might just cause the death of a young child. Fuck you.
"the Pfizer-BioNTech vaccine is 96% effective against hospitalisation after 2 doses; the Oxford-AstraZeneca vaccine is 92% effective against hospitalisation after 2 doses"
That's relative risk, not absolute risk. It's not saying 8% of people will be hospitalized, it's saying vaccinated people are hospitalized 92% less than unvaccinated people. Your absolute risk is much much smaller than 8%.
I'm not meaning to take sides here, but there are very real assertions being made that at the very least vaccination lowers the statistical probability of death to <1%, which is obviously seems like something we can verify with admission and fatality data.
I haven't heard anything to the contrary, so I'll assume that's true. But as far as "serious illness" goes, I'd say it's pretty serious once you're admitted to a hospital.
>Those who choose not to get vaccinated are making a risk calculation; they are making a choice.
Yes, but that choice does not only impact them. Being disallowed the luxury of going to restaurants and bars could be seen as a form of payment for creating that externality.
We shouldn’t applaud the normalization of health status checks outside a border crossing. The world has a nasty trend of using crises to erode privacy and we collectively never recover - what was sold as temporary becomes permanent, endlessly extended and expanded.
I’m not an antivaxer. The vaccine works and I believe it’s really safe. I’m vaccinated. Nearly anyone who is capable to go to a bar can easily go get vaccinated. If they don’t, I’m not interested in saving them from themselves, honestly.
If the spread or variant breakthrough or some other aspect is so critical that we need to resort to novel privacy violations we should just shut down again instead.
The supreme court ruled that it's legal to mandate vaccinations in 1905. Boston fined people for not getting a smallpox vaccine. This seems like a better option to me.
Don't want to get vaccinated? Fine. Have a valid medical reason, pay a $2500 fee, or leave the city.
The result of this would be that many black and latino residents in, for example, the Bronx, would be fined more than they can afford or literally expelled from NYC.
I think there should be federally mandated sick leave for getting the vaccine cuz yeah if you're hourly and get this shot you are paying for it in lost revenue.
So let's make the policy be "you get $500 to get the vaccine or get a doctor's note saying why not. If not you pay a fine". Yeah Bezos gets it (that's why you tax rich people more than poor people, to get the money back later).
> We shouldn’t applaud the normalization of health status checks outside a border crossing.
We shouldn’t applaud the normalization of health status checks outside of a global pandemic.
People see this as a way to go back to the movies again without having to feel guilty about potentially killing someone's grandma. This is an alternative to going back into lockdown.
I'm genuinely curious: what are your privacy concerns here?
I like to think I'm a privacy-minded person, and I can't imagine how the benefits of this policy (keeping things open, preventing hospitalizations, saving lives) wouldn't possibly outweigh the cons (having to bring a vaccine card to a concert).
The first paragraph is how I feel. I'm vaccinated, but fat luck asking to see the card. I almost laughed when it was suggested to me at the vaccination site, by the administrating nurse, that I should get it laminated and put it on a lanyard.
What sort of things will health checks be used for in the future? Once Covid is gone, I don't think people will really care about your health information beyond entities that already care (health insurance providers denying coverage because of preexisting conditions, etc.) Certainly, The Mets won't care if you got your flu shot this year, and your local bar probably won't care that you didn't get your annual physical. If unrelated companies start caring about your health information after the pandemic, we should tell them to fuck off.
Covid is a public health crisis -- the single most dangerous existential threat we as a society are currently facing -- and we have great tools to kill it dead. Letting it spread right now is just stupid, because we can end this plague once and for all. While we're working on it, I think it's totally fair to let someone check your vaccination status before you pack yourself into close quarters with them. It's not a matter of the government or the corporate overlords wanting your health information. As the person standing next to you in a crowded bar, I don't want you there if you're not vaccinated. If indoor businesses won't check customers, then I won't go to those indoor businesses, and if enough people think like me, those businesses are gone forever.
Get vaccinated or stay home. You have a choice!
(The real threat during crises like these is things like "we shouldn't have a free press, because nutjobs are spreading misinformation". That is an exceedingly dangerous line of thinking and we should push back against that hard, because the cure is worse than the disease. That's not the case with Covid -- the cure is much better than the disease.)
> What sort of things will health checks be used for in the future? Once Covid is gone (…)
Will it be gone? As far as I understand, the Delta variant remains contagious even among vaccinated people, so it will likely stay around. Now that there’s vaccines, it’s just less dangerous (to the vaccinated). But any system of health checks you set up now could stay in place for a long time.
> The Mets won't care if you got your flu shot this year
The flu shot is a pretty interesting example. People die all the time because others didn’t get their flu shot. Where I live only half of the healthcare workers get it. The Mets could save lives by requiring that their patrons get it. And yet we don’t get very worked up about these jabs. Maybe covid showed us that we should? I don’t know, but it shows that covid isn’t some unique phenomenon, and that the way we deal with will have repercussions how we deal with other health issues going forward.
You're exaggerating. COVID-19 is a serious public health problem that we need to address, but in no way an existential crisis. CDC data shows an overall 99.6% survival rate, with the vast majority of deaths being elderly people with serious co-morbid conditions.
Once a system is in place, it'll be repurposed and never go away. Also, "Once Covid is gone". By what metric will it be "gone"? Are you talking zero COVID? That's never ever happening.
Macron in France set the goal at 90% vaccination. At that level across a continent, Covid could be gone.
Rule #1 in politics: Always set the bar to success at idealistic level, so you can fail and blame it on the scapegoats who didn’t trust the government. “BECAUSE some people didn’t vaccinate, we must lock down everyone again and ruin your economy. Blame it on them!” (Mao revolution failed because there were still some naysayers; Saving women fails because there are still some men opposed to true equality defined by unreachable levels of compliance, etc).
But politicians are talented: When you can’t actually solve a crisis (and Covid can’t be solved because it’s out there, now), you’d better quickly find a scapegoat to concentrate everyone’s blame on.
We could honestly probably save billions in healthcare costs if we mandated a yearly physical and cancer screening. It would lift our economy catching these costly diseases and health issues while they are still easily and cheaply treatable.
You'd also save billions, if you forced diets on people, forbid cigarettes, stopped selling sugar water with colorings, forbid driving, forbid skiing, hiking, climbing, and all other dangerous sports, keep social isolation every flu season, forbid casual sex (stds, unwanted children),... you'd just somehow have to stop suicides in the end.
The solution here is for healthcare coverage to offer you a discount if you submit to any testing that the parent comment said was mandatory. That gives you the freedom to take on more risk at personal financial cost to yourself
If this were an existential threat to society maybe that would justify mandatory vaccination, but it’s not even close to that. Even the most badly battered countries have not only managed to survive, but found a way to cope with the pandemic.
Do they scan it with a call to the cloud to verify it? That's the real threat here - continuous tracking, ability to turn it off or geo fence you to a certain area.
ID scans at bars have been normal for at least decade. Have you really never had your ID scanned? I find that hard to believe.
I hate it. There's no good reason to scan my ID when I'm very obviously of legal age. Some of the bars do this for tracking data and to sell your personal info. Some of the bars are lazy and it's a relatively straightforward way to validate your card.
There's a good reason to validate that I have a vaccine, though, because my presence there affects the life of the staff and other customers. I'm not giving up freedom here, because it's not my freedom to put others at risk, and they shouldn't have the freedom to put mine at risk.
Your slippery slope arguments are also really bad. You can already be (and already are) tracked by your cell phone at all times. We don't need vaccine checks to do it. If the scary government was going to come get you, they have more than enough at their disposal currently to do it.
All of those kinds of transactions are voluntary with anonymous alternatives except for flying. This will become a scanable thing because if it doesn't it won't be a workable system.
BTW I'm opposed to scanning for flying too. No fly lists are an example that came out of this practice. They'll do the same with this new system - no go lists for those with a low enough social credit score.
> Nearly anyone who is capable to go to a bar can easily go get vaccinated.
It’s too risky to themselves and others for unvaccinated people to drive to a bar to drink alcohol. Ha. Similar to swabbing the injection site for lethal injections to avoid infections.
Pointing out a slippery slope doesn’t mean it isn’t worth considering the consequences.
My position is indeed speculative, however it’s not without evidence. We very rarely regain rights or freedoms when they are taken so I think it’s valid to be concerned about the same thing happening here.
Six months ago, I was routinely told that my fears of vaccine passports were "conspiracy theory", and the same arguments about the slippery slope were invoked.
At some point, you just have to look down and notice that the slope of the ground is negative, and everything is greasy.
Other people have covered that in many comments throughout this thread. I personally don't want to live in a world where I am asked to show my papers -- whatever those papers may be -- to participate in daily life.
> Do you think unvaccinated people should be allowed to travel internationally?
I think so, but it's certainly within the rights of any nation to choose the rules by which foreigners may enter their country. I care less about this than I do about having to show a "passport" to get food.
> Isn’t that really dangerous?
In a highly vaccinated population? No. That's the point of vaccines. Once the threat of (involuntary) serious and illness and death has been abrogated, SARS-CoV2 takes its place amongst the pantheon of other respiratory viruses that we have lived with for centuries.
You have to show your ID to go to a bar. Similarly to go to a stadium, or to fly. The latter is security theatre specifically done for the protection of others. The security theatre is nearly completely useless, but it's commonplace.
I don't want to be around people who can make me sick. If I go to a restaurant and I'm vaccinated, and everyone else is as well, it's very unlikely I will make others sick or that they'll make me sick. If you go, you may make vaccinated or unvaccinated people sick, and they may make you sick.
You're the one that's intruding on other people's freedoms here.
> You have to show your ID to go to a bar. Similarly to go to a stadium, or to fly. The latter is security theatre specifically done for the protection of others. The security theatre is nearly completely useless, but it's commonplace.
Well, first...I'm not sure why you think I support those other things? If your argument is that I'm a hypocrite, you might be disappointed to find out that I'm not. If your argument is that because we do those other things, we should do this thing...well, my goodness. That is a slippery slope, isn't it?
But perhaps more importantly, there's an obvious, bright-line difference between drinking alcohol in a bar or flying on a plane, and having to show papers to do 99% of the things I do on a daily basis.
I also don't want to live in a world where I have to show my papers to participate in daily life. You know what I even want less? To live in a world where daily life is implicitly restricted because there is a constant danger for me and others to get severely sick.
And most western countries are still far to far from being highly vaccinated. If they were, we wouldn't need to ask for their vaccination status.
Yes, long term we either manage to actually erradicate SARS-Cov-2 or at least reduce it to the group of all the other dangerous viruses we can deal with. If the vaccination rate is high enough. Think measels. They didn't ever go away, but for many years, they were not a problem. They are back due to too many people who think they can skip the vaccinations.
And if you ever tried to go onto international, especially intercontinental travel, many countries require proof of vaccination against a variety of diseases.
> And most western countries are still far to far from being highly vaccinated. If they were, we wouldn't need to ask for their vaccination status.
We're not talking about "most western countries"...we're talking about New York City, where 72% of the adult population has had at least one dose, and about 0.2% get another dose, every day:
The relevant number unfortunately is the percentage of the total population which got two shots. One shot is unfortunately no longer good enough against the delta variant. And for transmission, the whole population has to be counted in. And then the numbers might be 60% or less, which isn't quite enought to be a robust blocker against the delta variant.
Without the variants, especially the delta one, the battle against SARS-Cov-2 might already be won, but the virus shifted the goalpost, so to say.
Which clearly says that just 55% of the population got two shots. That matches well with what I said in my previous post. 45% of the population did not get two shots yet and can spread the virus unblocked. As the quickly climbing incidence numbers show.
That is equally right as irrelevant. For the transmission of the disease the total population counts. The virus doesn't distinguish between humans who can get vaccinated as by FDA decision and who not.
> I personally don't want to live in a world where I am asked to show my papers -- whatever those papers may be -- to participate in daily life.
Has that participation ever involved travel to another country? Standard passports exist for very good reasons... otherwise, there wouldn't be 100% of nations who depend on them (are there even any nations that don't ask for one?)
In slovenia, you need a vaccine passport (or a <48h old test) to drink coffee outside, infront of the cafe, in fresh air... yes, we're sliding deep and fast.
This was actually why I got vaccinated. I would hope that other countries (including ours) doesn't require vaccinations as an entry requirement. But I don't have much of a say over what another countries laws are.
"Interpreting" the Interstate Commerce Clause to grant the Federal Government the power to regulate controlled substances?
At this point, there is no power conceivable that the Federal government could not claim under the umbrella of "it might affect commerce somewhere".
Most of the powers the Federal government has seized from the states have been rationalized under the ICC. Like making it illegal for a farmer to grow wheat on his own farm to feed his own animals. [1]
> The Court decided that Filburn's wheat-growing activities reduced the amount of wheat he would buy for animal feed on the open market, which is traded nationally, is thus interstate, and is therefore within the scope of the Commerce Clause. Although Filburn's relatively small amount of production of more wheat than he was allotted would not affect interstate commerce itself, the cumulative actions of thousands of other farmers like Filburn would become substantial. Therefore the Court decided that the federal government could regulate Filburn's production.
Letting the US Government, at the behest of the President, wage war nearly anytime it feels like it, without prior authorization of Congress. Slippery slope meet the forever war machine.
Trade & tariff conflicts of the 1930s, which spiraled from a smaller economic conflict into a larger economic conflict and into the great depression. All because the government was given too much leash to run with.
Letting the government (and Fed) bail out Wall Street repeatedly and institutionalize too big to fail as an economic policy.
The US Government specializes in lubricating slopes and speeding down them.
For #2, if you have a medical condition that prevents you from receiving the vaccine it would require either falsified vaccine cards to show you as complying with the mandate, or disclosure of a/the medical condition that prevents you from getting it. Effectively, this small minority is finding themselves in a position that pits their medical privacy of their underlying medical conditions against the requirement to prove vaccination status.
On a related note, I wonder why antibody levels aren't used. I mean, we should want to measure outcomes, not output. If you have comparable levels of antibodies from natural infection vs the vaccine, then you should be well protected. Conversely, if you recieved the vaccine but your immune system does not produce a sufficient level of antibodies, then they shouldn't be considered "safe", right? This question was mostly based on an article I saw about a nurse who was fired because she didn't get the vaccine eventhough she had antibodies. It made me think it was mostly a move by some corporate lawyer limit liability.
"you can "take your chances" with the vaccine which, statistically and biologically, is safer than getting coronavirus."
Can you elaborate on what you mean by biologically safer? Also, I'm looking forward to the data Pfizer will be releasing soon for their regular market approval, because I haven't been able to find good statistics about covid v vaccine serious side effects by risk factor(s).
In Israel antibody levels are a way to get the "green passport". My parents get vaccinated in the US, and since israel doesn't recognize foreign vaccinations, when they visited Israel they had to get an antibody test to be let out quarantine early. As it should them having antibodies, they were let out. As Israel doesn't have data that says they were vaccinated, they were let out as "recovered" (even though as far as we know, neither ever caught covid, and my father was in in and of the hospital over the past year so was regularly tested).
As my mother is an Israeli citizen, she was given the "green passport", as my father was only in Israel on a "tourist visa", he was not. this is just an artifact of the current Israeli system where they aren't giving "green passports" to tourists, but demonstrating that one can give them to people that show sufficient antibodies.
The US seems to have a weird ideological opposition to the idea that recovered people have immunity from Covid, even though all the science indicates that they do. There's even weird articles in the press from time to time boggling at the fact that people don't care about getting vaccinated despite having caught Covid before, as though that somehow gave them more reason to think they needed a vaccine rather than less.
Maybe we just like controlling each other's behavior? Maybe we can't handle more than one input dimension at a time, and even then that dimension needs to be binary?
> For #2, if you have a medical condition that prevents you from receiving the vaccine it would require either falsified vaccine cards to show you as complying with the mandate.
IMO, people with legitimate medical conditions should just be granted excelsior passes, the same as those who are vaccinated. There's few enough people with these conditions that it shouldn't be a health issue.
Religious exemptions are the tricky one, since NYC especially has e.g. orthodox jews clustered together in their own communities. IMO, they should not got passes. If they don't want a vaccine, fine—they just won't be able to go to the movies.
Yeah, issuing the pass that doesn't differentiate between vaccinated and excluded would prevent almost all of the concern. Some people do have concerns about disclosuring health info to the government. Although the government could just buy the "anonymous" medical records and figure them out if they really wanted to.
Yeah, religious exclusions get tricky. Really the whole thing can be tricky because it comes down to philosophical beliefs of what should be mandated and for whom.
The medical conditions folks should probably be staying locked down. The vaccines aren't a guarantee that people around you aren't contagious; just a low likelihood that you will be very contagious if you get it.
If they're around lots of people, even vaccinated folks, they'll still catch covid and die
If 99 out of 100 people are vaccinated, the remaining person should be fine. "Should be" is the key phrase here—there are no guarantees in life—but while vaccinated people can still spread the virus, they're still much less likely to do so.
It's all a probability game. Add to this that the sole unvaccinated person is the one most at risk in any given setting, and I'm really fine letting them make their own choices.
> This question was mostly based on an article I saw about a nurse who was fired because she didn't get the vaccine even though she had antibodies. It made me think it was mostly a move by some corporate lawyer limit liability.
That's ridiculous, but hey it's the blankfaces making/enforcing the rules! [0]
Requiring people to consume a medical product, especially one that has not been subject to the full FDA approval process, just to live their normal lives is morally wrong. They are making people into test subjects for a multinational corporation. It doesn't matter if we already do this to an extent with other vaccines; nothing in the past has ever come close to this.
It doesn't matter if you think the vaccine is more or less dangerous than the coronavirus. It goes back to basic human dignity and human rights. You wouldn't want strangers mandating injections into your body that you don't want. No one would be okay that, unless they are insane.
You might make the argument that anti-vaxxers are endangering others' health by being out in public without a vaccine, but that's only a claim. Lots of people make claims about others infringing their rights all the time, and a nontrivial number of those are baseless. A huge number of assumptions about medical science and constitutional law would need to be tested in court for it to hold any weight, unless you're willing to jettison the entire process of civil society.
We live in a society that operates under a set of laws, including entrusting public officials and experts to make decisions on our behalf.
Not all the laws are going to be popular. I'm sure not everybody is thrilled about schools requiring all children be vaccinated. People can object to it and express concerns about, and you can even try to change it through legislation. But the majority will prevail.
Regarding your statement: "You might make the argument that anti-vaxxers are endangering others' health by being out in public without a vaccine, but that's only a claim." It's a claim backed by stats. On an individual level, it may be discriminatory to accuse an anti-vaxxer of endangering others without specific proof. But in aggregate, unvaccinated people are more likely to be infected and also spreading disease unknowingly. At least until the Delta variant came along, and now the officials have revised guidelines to ensure everyone wears mask.
Do I think it was premature to let vaccinated people go without mask? Sure. It wasn't my call. But nobody has a crystal balls into the future. So we adapt.
In the long run, operating this fashion has served us well.
How many compulsory vaccines were necessary for you to attend school?
For me, it was three or four at least, and until some genuinely inimical people decided vaccines were a good way to get famous at the expense of the body politic, nobody cared.
Those vaccines have had years of use behind them. The coronavirus mRNA vaccines are a completely new technology and haven't even been given anything past emergency approval. This is an apples and oranges comparison.
"The coronavirus mRNA vaccines are a completely new technology"
There have been mRNA vaccines in human clinical trials for around 10 years and they have been studied for around 30 years. There are countless examples of other non-controversial medicines developed and studied for far shorter lengths of time.
And no approval. In other words, this is a dangerous class of drug that has failed to obtain a single human-use approval in 30 years. Thanks for the info!
And this is a completely new virus. If regular vaccines vs mRNA is apples to oranges, then vaccines vs. any other option to solve the problem is oranges to a truckload of durian.
And what is your point? So yes we have no idea what the long term (I'm talking 3+ year) effects of covid are. That doesn't make us understand the vaccines any better. You still have to make a choice between two somewhat unknowns. Yes so far the data does show the vaccine is the better option, but we can't know for sure. So you still should be as informed as possible before making a decision.
The decision has to be taken, and each tick of the clock pushes it to the one that, with the currently available information, is the worst by many orders of magnitude.
Are you drawing a comparison between requiring vaccinations (with 30+ year safety records) against measles and polio, for children to attend public school, with requiring vaccinations (with no long-term safety data whatsoever) against Covid for people to go to public establishments?
Did you ever need proof of a polio vaccine to get into Equinox?
Hi! Thanks for asking! I very much am drawing that comparison, because there is literally no--and I mean that, literally no--evidence from a credible source to suggest that the possibility exists in terms of actual pathways to a long-term problem. Should that evidence be forthcoming from sources with a credible tether to reality, I will re-evaluate my position, but unlike so many of the fearful types who insist one "should do their own research", I have, and this is the conclusion I've come to, and to such a degree of certainty that I am comfortable with the requirement.
Further, I am also asserting that the fearmongering to the contrary is foolish and worth immediate discount. And given that literal disinformation ops are trying to recruit YouTubers to take a ninety degree swerve from tech or whatever they normally do to talk very seriously about the just asking questions about vaccination, I am okay with being pretty damned hard on this.
Actually there already have been previously undocumented side effects with the new vaccines, heart inflammation with the mRNA vaccines and blood clotting with a couple of the others. These were the short term side effects that weren't caught during the safety trials. We have zero data about long term side effects.
While I can't give you an "actual pathway to a long-term problem" by which I assume you mean a mechanism of action I will note science is hard, scientists can't always predict what will happen, and serendipitous discoveries happen daily. The long term risk is unknown. I think if you're at risk for serious infection you should get vaccinated, if you're not really at risk it's more difficult to weigh the relative risks.
Your source is wrong. The Pandemrix swine flu vaccine caused narcolepsy in children which did not start showing up for a year after the first doses were administered, and it took authorities another year after that to acknowledge the link to the vaccine.
You say "caused", but it seems that the research points to a weak correlation at best. Given a potential incidence of 1 in 50,000 in a disease/condition which is hard to diagnose, I think this rather points out again how extraordinary sensitive the whole vaccination vigilance system is.
Given the increased focus on the Covid vaccines, correlations as these would have already been found.
The estimated rate in children and adolescents was 1 in 18,400, which is still a very relevant number because it's substantially higher than that group's risk of similarly life-altering complications from SARS-CoV-2 infection.
My latest information on the impact of long covid in children says that 1 in 25 are affected with serious health problems for more than 3 months after infection. This is from a Swiss study of school children.
It thought that narcolepsy much as fatigue is something that is easily missed when showing weakly. Tired kid?
“An increased risk of narcolepsy was found following vaccination with Pandemrix, a monovalent 2009 H1N1 influenza vaccine that was used in several European countries during the H1N1 influenza pandemic. This risk was initially found in Finland, and then other European countries also detected an association.”
>There has never been a vaccine with a side effect found after more than 2-3 months. Long term side-effects are not a thing for vaccines.
Bullshit and demonstrably false. The first gen rotavirus vaccine was pulled post-marketing because it destroyed the intestines of infants. Was on the market for a year.
But the adverse effects showed within a week [1] which confirms my point. Yes, it took long to act upon those adverse effect reports, but the effect itself occured quickly.
Well good thing there's not a huge surge of reports coming into VAERS or other reporting databases then, or we might have evidence a similar thing is occurring.
lol, no. You know that not a single vaccinated vs unvaccinated population study has ever been conducted, right?
VAERS is designed to detect acute, recent reactions and only acute, recent reactions. If it's not an accute, recent reaction, it probably never makes it into VAERS. That notion that long-term effects could even be reasonably detected today without a vaccinated vs. unvaccinated population study is highly questionable. The CDC refuses to do a vaccinated vs unvaccinated comparison study of overall mortality and disease prevalence. Don't believe me? Go on YouTube and you can find videos of Melinda Wharton making excuses to not do it. Sad, laughable excuses.
Also, you mentioned a German specialist: are you only considering vaccine rollouts in high HDI nations? Because DTP is absolutely associated with increase overall mortality in developing nations. https://pubmed.ncbi.nlm.nih.gov/15082643/
Worth noting that DTP was the reason why the 1986 Vaccine Injury Act was lobbied for and passed in the first place. Vaccines were so "safe", that they couldn't be brought to market for a profit because injuries and lawsuits were so frequent. So, the government indemnified the manufacturers, capped the max injury settlement at $250k, made a special court for vaccine injury where all documents are under seal, and had HHS (taxpayers) make all the payouts. Sounds safe to me!
They do effectively prevent transmissions, against the strains to which they were tailored. They still do a pretty good job against strains to which they were not specifically tailored. The problem is that not enough people have them.
The side effects that are able to be actually substantiated by credible sources have been generally quite mild and very, very rare.
It seems unfair to point out the lack of evidence of long-term side effects when there hasn't been enough time for them to appear. Did we have any evidence that thalidomide was harmful in pregnant women before babies started being born with birth defects?
Respectfully, this is one of those questions that sounds reasonable until you dig a little. No mRNA treatment has ever shown long-term negative effects. mRNA therapy isn't used because its effects aren't long-term enough. What these vaccines do is use the mRNA mechanism to cause proteins used in the coronavirus to be generated by somatic cells (i.e., not germ cells, which can reproduce), at which point they're indistinguishable in effect from a viral subunit vaccine (which directly injects those proteins into the body and are recognized from there).
mRNA isn't new and we do know how it works. There is no mRNA left after the process. It breaks down and is evicted. If what you describe was going to happen, it would have happened already.
If you can find anyone who has studied mRNA academically (let's draw a line of "has contributed to or reviewed a paper on the topic", I can't think of a better one?) willing to put their credentials on the line to buttress this concern I'd be honestly amazed, because I can't find one and I have looked.
No thalidomide is an entirely appropriate comparison. Thalidomide was fully approved and was used for years before the birth defects issue was identified.
The reason why thalidomide was never stopped before approval is because a fetus is only susceptible during a certain growth phase. And in rats (where the teratogenicity was tested) that period is hours, not weeks like humans.
I grow tired of this. Put up or shut up. Show me a mechanism for action anywhere in any application of mRNA, which has been studied and in use for decades, that even shows an indication of the possibility of this.
We know how mRNA works. We know what protein is being coded. We know that it codes that protein correctly. We know that the mRNA flushes when it's done. I'm not asking for a smoking gun. I'm asking you to substantiate even the possibility of it with actual peer-reviewed science and not hyperventilating, middlebrow fearmongering.
Bring something real to the table. For once. Any of you.
> Show me a mechanism for action anywhere in any application of mRNA
Again, would such a mechanism have been possible to show for thalidomide? Can you point to any peer-reviewed science that shows any danger of thalidomide, that's dated before the birth defects actually started happening? If your standard of unsafety couldn't be met for something that we now know for sure is unsafe, it's obviously a bad standard to use.
Please explain where mRNA therapies have been used for decades in humans? They haven't been, the mRNA vaccines are the first example and they aren't even fully approved.
And as a good example, please explain why COX-2 inhibitors increase the risk of heart attacks? Oh, you can't? That's because we don't know the mechanism, but have data to prove they are harmful.
No. It isn't. VAERS just dumps people who have any medical condition at the time of vaccination. Neither correlation nor causation can be inferred from the data. The data has no reporting standards, no verifiability. It is not a study on vaccine side-effects (of which there have been many).
Using VAERS as proof of anything is a literal demonstration that the person in question has no idea what he's talking about.
VAERS is basically a self-reporting facility for any adverse condition that occurred vaguely in the vicinity of being vaccinated, and its quality should be assessed as such.
In other words, VAERS data should be treated as at most a "this may be worth looking into," and certainly nowhere near a level of "this is a definitive proof something goes wrong." Especially in a time when tens of millions of people are getting vaccinated with the same vaccine at the same time, you're going to get lots of reports of people falling ill with something just by sheer coincidence.
I think it's weird when people take this hyper confident, hyper dismissive black and white "thanks for asking!" stance on an extremely complex topic.
My spicy hot take: this shit is fantastically complicated. At the very least, I think it has to be acknowledged that accurate medical reporting at scale is apparently a Hard Problem and not at all as solved as we would like to think. I don't know how you're defining sources with a "credible tether to reality," but I'd point to the problem with establishing such things _as itself a problem_. VAERS is a perfect example of such a problem. Despite all the hubris in this thread acting like they've blown the case wide open, VAERS folks are well aware that their data is trash.
It is absolutely a hard problem. It is a hard problem being hit with the full weight of a fantastic amount of money and intellect to get it right the first time.
When the contrary position is not generally the position of either genuine goddamned loons or the much more unfortunate case of people given historically very valid reasons for hesitancy that in this case no show sign of being true, there might be a reason to re-evaluate that stance.
literally no--evidence from a credible source to suggest that the possibility exists in terms of actual pathways to a long-term problem.
As someone who works in drug development, the FDA would laugh you out of the room if you said this. Nobody gives a shit what your theories are. Drugs are approved based on hard data, not theories and handwaving about what could or couldn't go wrong. Way too many drugs have been pulled off the market for reasons nobody could predict.
Bextra, a COX-2 inhibitor used for arthritis, was approved in 2001 and wasn't withdrawn until 2005 when it was found to increase the risk of heart attacks. It took 4 years and millions of people dosed before they found that long-term effect.
Now, I'm not saying people shouldn't get vaccinated against. I'm vaccinated. But playing it off like the risk of long-term complications is zero is just foolish.
No, I think like someone above said this thread was added to something called a "second chance pool" on HN, which means it gets reposted to the frontpage after X amount of time for a second time, and it rewrites the timestamps. So I think that's what you're seeing
Compulsory injection with compounds that are not medically approved because they haven’t been tested to accepted standards is a good thing?
For what it’s worth, I’m vaccinated and wear a mask in every public encounter until I’ve discussed the risks with whoever I am dealing with whether required to or not.
However I strongly disagree with mandatory medical treatment of any kind.
I could imagine a law for emergency vaccinations that I would find acceptable, but it would need to have a lot of safeguards.
> Compulsory injection with compounds that are not medically approved because they haven’t been tested to accepted standards is a good thing?
First, that's not what the GP said. It's also not what I'm saying.
Second, where I live the vaccine I got [1] went through a well-defined process designed explicitly to safely but swiftly approve medicine for emergency use, eg. during pandemics [2].
> ‘Well defined’ doesn’t mean anything. The vaccines have not been approved according to normal medical standards.
Except they have. They've literally been approved using medical standards developed to handle time-critical medicine approval, which is as much of an approval process as the standard non-fast-tracked system. The studies are there, they're just taken from much earlier in the development process of the medicine than usually, and the approval is granted for a shorter period with continuous close monitoring and repeated follow up reviews.
The reason this accelerated approval isn't used for all medicine is not because it's less safe, but because it's more expensive and more effort consuming for all parties involved. Things are less sequential and more parallel, but all the important steps are still there.
> If that were true then the FDA would have actually approved them rather than issuing an emergency use authorization.
No? Like, no, this is not a sound argument, and is fallacious to the point where I'm not even going to attempt to argument against it.
> How do you known it isn’t less safe? There are no studies comparing the safety of the methods. Only arguments to that effect.
How do you know the non-fast track process is safer? There are no studies comparing the safety of the methods. Only arguments to that effect.
Considering both processes are established by the same public health organization, and that I'm not a health specialist myself to be able to prove otherwise, I see no reason to trust one but not the other.
> How do you know the non-fast track process is safer?
We can’t be 100% sure it is.
> There are no studies comparing the safety of the methods. Only arguments to that effect.
Clever try. This is also true, but a fallacy nonetheless.
We have a long history of the safety of the non-fast track process and no history for the fast track process. We therefore have high confidence in then safety of the non-fast track process and low confidence in the fast track process.
> Considering both processes are established by the same public health organization, and that I'm not a health specialist myself to be able to prove otherwise, I see no reason to trust one but not the other.
Ok, so you have just declared that you don’t trust yourself to analyze this for yourself and are going to trust the authorities. That’s fine but it renders your analysis moot.
It also invalidates your argument so far since the authorities you trust have not given approval of the new vaccines only emergency use authorization. The authorities you trust agree with me that we can yet trust the vaccines the way we do those that have undergone full testing.
Hundreds of million of people is pretty good testing by now. Consider that they caught the blood clots with AstraZeneka which is less than 1 in 100,000. The vigilance systems works very well.
The ‘vigilance system’ has nothing to say about long term complications yet, hasn’t led to FDA approval, and is neither an accepted nor approved way to test vaccine safety.
Counterpoint: given that millions of people have died the amount of testing the vaccines received was disproportionate. Looking at the immense effect the vaccine had on reducing mortality and the miniscule side effects (including the brain hemmorage deaths from AstraZeneka), I really wished in retrospect we would have accelerated approval so that the vaccine could have been available in the fall/winter 2021. Production capacities not withstanding this could have saved a lot of lives (for instance more than 50.000 in Getmany) and potentially prevented/lessened some of the waves that caused Delta and other variants.
We were overcautious with the vaccines, it has cost us hundreds of billions in economic damages.
I wish I could offer you some more confidence in particular for the mRNA vaccines.
I almost consider your talk about side effects fear mongering when the overwhelming evidence is pointing to a safe and effective vaccine. The mRNA vaccines by now have more evidence on their record than most vaccines when the become available. That should count for something. Vaccine hesitancy will cost us dearly.
Like, after the million of administered doses I would offer you a bet that the side effects are less than 1,000th of the effects a corona infection.
> The mRNA vaccines by now have more evidence on their record than most vaccines when the become available.
Not longitudinal evidence.
I’m not advocating hesitancy. I personally have been vaccinated. The only point I’ve argued for is not mandating vaccination. I strongly oppose mandatory medical treatment of any kind, and that has to include vaccination.
However it is also still true that these vaccines have not received approval, and although widespread use certainly may be better even in terms of lives
lost than the economic damage, that is definitely a very bad reason to mandate medical treatment.
> I would offer you a bet that the side effects are less than 1,000th of the effects a corona infection.
For most people, you may be right. I’m happy for that case to he made, openly, with data. What I object to is forcing people on the basis of that data.
One last point: some countries have formally approved the vaccines already. So your focus on an US FDA approval is a little strange. The European union for instance did not use an emergency approval (which would put liability on the governments) but chose a regular approval with conditions, which put the liability on the manufacturer.
Recent reports indicate that the reason it's getting FDA approval so soon is not because of any specific scientific evidence or the standard FDA process, but instead it's being approved early as a deliberate political tactic to undermine this argument used by people who don't trust the vaccines: https://www.politico.com/news/2021/08/04/fda-approval-pfizer...
I don't think it's the "anti-vax camp" who's behind the major shifting of the goalposts here.
> Recent reports indicate that the reason it's getting FDA approval so soon is not because of any specific scientific evidence or the standard FDA process, but instead it's being approved early as a deliberate political tactic to undermine this argument used by people who don't trust the vaccines:
It’s not a strawman. We already require a variety of vaccinations so the “requiring people to consume a medical product is wrong” argument is bunk. The only differentiation is that this vaccine has yet to receive full approval. I’m simply focusing on the only relevant part of the argument that is being made here, and pointing out that in 6 weeks it won’t hold any water anymore.
Your rights end when exercising them endangers my life and the lives of my family. That’s also a basic tenet of civil society (see traffic laws for example).
Traffic permit and licensing laws meet a high standard for which there is significant legal precedent. Your statement does not have a legal basis in the US or under Common Law. While we have had health tests to ender the country, we have not had them to go to a public place. We have never required the flu shot to got to a bar or nightclub. I too am not antivax, but I don't think you have the right to require those around you in public places to take a new vaccine that has not even undergone the normal rigors of FDA approval.
>but I don't think you have the right to require those around you in public places to take a new vaccine that has not even undergone the normal rigors of FDA approval.
Under the NYC "mandate", No one is required to be vaccinated. I'll say that again: no one is being required to be vaccinated.
While I disagree with the DeBlasio administration's new policy (WRT bars, gyms, etc.), both because it will be almost impossible to enforce and because the benefits (via increased vaccinations) will likely be marginal at best, no one is forcing anyone to do anything.
I'd much prefer (as an increasing number of restaurants, theaters and other venues and businesses are doing) that requiring patrons and staff to be vaccinated be a decision taken by the specific business involved.
Those businesses that only allow vaccinated people in their establishments will gain some folks and lose others -- and vice versa.
Regardless, and I'll say it one more time: the "mandate" from the NYC government doesn't force anyone to get vaccinated, nor does it restrict anyone from public spaces.
NYers aren't stupid (or at least not in any greater amount than anywhere else) and most will (and have) take appropriate precautions.
That said, the new requirements won't be all that effective because they're essentially unenforceable unless the business' owners are fully on board -- if they are, then they'll (as many have already done) require their staff and patrons to be vaccinated.
If a business' owners aren't on board with this, they won't require it, whether it's mandated or not.
What about the immunocompromised? Those who can’t have the vaccine. To say nothing of breakthrough infections and the fact that the mutation rate is tied to the number of infections, and therefore a vaccinated person’s immunity could indeed be impacted by large contingents of unvaccinated persons being infected. And how about the financial cost of COVID? Perhaps we should make it so that if one gets severe COVID and has no proof of vaccination, all coverage of medical costs by insurance are voided. You can’t make a reasonable argument that society should be on the hook for paying for your life saving medical treatment when you intentionally deny free, effective preventative measures.
This focus on the immunocompromised is so strange to me. Bad flu season? Nobody really cared about them. Bad cold season? Again, nobody really cared about them. Yet covid comes around, the vaccines are produced, and suddenly everyone keeps talking about the immunocompromised. At some point, we have to just tell those who are immunocompromised that we're going to reopen society, and they have to be responsible for managing their own risk.
So is using spermicidal lube considered killing children?
A ball of cells and flesh that cannot survive outside of another human does not and should not have human rights. Otherwise we gotta start considering the human rights of cancerous growths.
A fetus is by definition a human. In fact it is the third stage of human development. This is why people argue against personhood. The claim is you can be a human fetus but not have personhood yet.
Do unborn children occasionally pop out of women's bodies, enter other people's bodies, and reproduce uncontrollably to a point where they stop those other people from breathing?
If so, we can apply the same logic to coronavirus and pregnancy. If not, you're just drawing a false parallel.
"The needs of society can override the individual's right to bodily self-determination". This is the thesis you need to tear down. Whence goes the vaccine, so goes abortion.
We've had mandatory vaccinations for over a century, certainly since Roe V. Wade, and yet abortion is still legal.
Half the US believes abortion is murder and a sin against God and yet as far as I know, never has anyone tried to use the existence of vaccination laws as a pretext for making abortion illegal. That wouldn't even make sense.
Well, it happened to all of us for months for the past several months: in many places, people were prevented from "living their normal lives": in San Francisco, you could no longer get your hair cut, go to a restaurant, or worse, have family or friends over etc. Now, we are saying instead of imposing such restrictions on everyone, we are giving the opportunity of those willing to vaccinate to get back to some of these things. Why is it a problem to keep some restrictions for the unvaccinated that we've had for all for months? Unless you think there should never have been restrictions, but then how would you propose to handle all the folks that would have come knock on the doors of hospitals and clamor for oxygen, like what apparently happened in India?
Requiring me to consume a novel virus in order to live my life is morally wrong. You're making me into a test subject for the bats.
The whole point of civil society is to solve coordination problems and deliver public goods like sanitation and health. If it can't accomplish something as basic as vaccination then it is blatantly unfit for purpose. Absolutely, jettison it! The truly crazy idea here is that we would retain and bear the costs of a civil society which is so incompetent at its bread and butter job.
We don't leave the water mains to gush into the street, we don't leave the sewers to back up into the toilets, and we don't leave the viruses to circulate in the bars.
You don't need an ebola vaccine because you're not going to encounter ebola at a bar. The few outbreaks which occurred in the US were contained through tracing and isolation.
Residents of the US have self-selected into two cohorts:
1) People that will get resistance via vaccines
2) People that will get resistance via infection
Some 30-40% of the US population decided on #2. Roughly 0.7% of them will die because of that decision, but this is exactly what they are asking for! If you are in cohort #1, you really don't have a lot to worry about from the virus. Why are you denying people the consequences of their decisions?
Yes, the medical system will be briefly overrun, and it would be a terrible time to need hospitalization. That's a good argument for getting it over as quickly as possible! The delta variant is estimated to have an R0 of 8-10. Let it rip and the surge will be over in weeks.
What about the children? Serious negative effects on kids seem to be extraordinarily rare. The kids will be fine.
I am only half joking here. "We live in a society" cuts both ways - we have to respect the general health of everyone, but we also have to respect the explicit wishes of a huge portion of the population - almost a third. The good news is that almost exclusively, they're going to be the ones dying. I can live with that.
You're ignoring that a significant portion of #2 have already got resistance via infection. There is no point whatsoever for those people to get vaccinated, apart from padding out the pockets of Big Pharma.
With the scale of vaccinations that we already have, COVID is firmly in the realm of influenza in terms of potential future deathtoll. In fact, for much of this year the UK had higher influenza deaths than COVID deaths:
>There is no point whatsoever for those people to get vaccinated
False, the vaccine is more effective than antibodies from a previous infection. It's not a huge difference, but it is absolutely statistically significant.
> the vaccine is more effective than antibodies from a previous infection
Unless you can cite at least one peer-reviewed primary source, then we must regard your claims as purely uninformed opinion.
And to further counter your claims, here is evidence that naturally acquired immunity is equally as effective as vaccination [1].
Quote from [1]:
- "The cumulative incidence of SARS-CoV-2 infection remained almost zero among previously infected unvaccinated subjects, previously infected subjects who were vaccinated, and previously uninfected subjects who were vaccinated"
Israel found that with delta it's the opposite: https://www.israelnationalnews.com/News/News.aspx/309762. " Israelis who were vaccinated were 6.72 times more likely to get infected after the shot than after natural infection"
EDIT: Your downvotes are delicious as you provide no source. The notion of vaccine immunity being stronger than natural immunity, especially with mRNA vaccines, is absurd. You are generating response to a single surface protein of the virus. The virus has many surface proteins and a natural infection will tune the immune system to respond to all of them. There is no evidence of vaccine immunity being stronger than natural.
Useless paper. Measuring arbitrary antibody levels. The antibody levels produced by natural exposure could be sufficient to protect against hospitalization, and the additional vaccine dose could be unnecessary. Also, 21-day follow up (laughable).
Show me some real-world data of previously infected individuals getting severe reinfections at significantly higher rates than the fully vaccinated. That's the metric needed to make your claim and those data have not been produced. Also, the staying power of the vaccine is already in question BY ITS OWN MANUFACTURER just via the prospect of boosters. They admit implicitly that the immunity their drug produces does not last.
Because before 2020, natural immunity to virtually any infectious disease was considered sufficient and superior to immunization. The entire concept of natural immunity being "not good enough' is brand new. It was never uttered before COVID, and it has never been proven even during COVID. It's an absurdity, that nobody in the realm of infectious disease even entertained before government started acting forcefully on behalf of pharmaceutical companies in the past 18 months.
Go look for yourself. "Do I need varicella vaccine if I had chickenpox?" The answer is NO.
>Oh, this is a different disease
Okay, then produce a single study indicating that those with prior COVID infection are hospitalized with a reinfection at higher rates than the fully vaccinated. That study doesn't exist. It's all just arbitrary anti-body level response studies, which are useless. If you can't produce a study to show why this infectious disease should be treated differently than all the others, then we'll go with the default position: natural immunity is enough.
"Don't take the unproven, unjustified drug" is the default position in medicine. You are trying to shift the burden of proof here and it's embarrassing.
YOU are making at least 3 positive claims when advocating vaccination for those with prior COVID infections:
1) COVID natural immunity breaks historical patterns of natural immunity in similar infectious disease
2) People with "only" natural immunity are at significant risk of severe reinfection
3) There is a risk-adjusted, significant benefit for those with "only" natural immunity to get vaccinated
I am in cohort #1. I don't want to continue to increase the chances of breakthrough mutations and I do not want others to do so.
I do not want a substantial number of people getting sick and having to use collective resources to heal them at the expense of others because of a collectively bad choice. I do not want to substitute, work overtime, or have reduced productivity due to this.
While vaccinated people are fairly safe, even with us all being vaccinated we are adding to the background risk of hospitalization the equivalent of several hard flu seasons. I've had a really bad flu where I felt I was dying, twice in my life. I do not look forward to having my body bearing that brunt every couple of years for the rest of my life.
That ship has sailed? Covid is not going away, ever. It's politically impossible to mandate 100% vaccination, and even if you could, there's still animal reserves. The best case scenario is that covid becomes like the common cold, and you can mostly avoid it with occasional booster shots.
I wish everyone would get vaccinated too, but let's be realistic. How many years do you think you can keep up rules like "must show vaccination card to enter"? At what point does everyone, including vaccinated people, start ignoring them? Personally I think it's going to fail out of the gate, and I'm on team vax.
> That ship has sailed? Covid is not going away, ever.
Why not? We managed to eradicate smallpox. There was political will all over the world to vaccinate almost everyone, and it worked. What's so different about Covid?
It's not nearly deadly enough, unlike smallpox. From Wikipedia:
The risk of death after contracting the disease was about 30%, with higher rates among babies.[6][12] Often those who survived had extensive scarring of their skin, and some were left blind.
> I am in cohort #1. I don't want to continue to increase the chances of breakthrough mutations and I do not want others to do so.
Mutations can happen anywhere in the world. To reduce the odds of mutations, we need to vaccinate as many people as we can globally. Our efforts would be much better spent getting vaccines in the hands of people in other countries that are very willing to take it.
> I am in cohort #1. I don't want to continue to increase the chances of breakthrough mutations and I do not want others to do so.
I'm very much with you, but I think that ship sailed between the lack of international coordination, the lack of vaccination mandates or other measures to improve rates even in the well-supplied-with-vaccine US, and the rush to remove other measures like closures and mask mandates way before it made any sense to.
Instead, we're running an active program to train COVID to overcome the "miracle" vaccine we're so proud of. Should be... interesting.
> I do not want a substantial number of people getting sick and having to use collective resources to heal them at the expense of others because of a collectively bad choice
Why are you ok with using this argument for covid, but not smoking / obesity / football / etc.? The principle is sound, but the selective application is not.
Who says they aren’t? I think there are some very good arguments to be made about how society could collectively benefit by not subsidizing activities like these through insured healthcare.
If the group of people in 2) were not a petri dish for viral mutations, and if my insurance didn't have to pay tens and hundreds of thousands of dollars to treat them when they get hospitalized, due to an unwillingness to get a free vaccination, I would have no issue with any of them.
After a year and a half of this nightmare, I'm not really interested in lifting a finger to help people who are both too stupid to help themselves, and who are putting the rest of us in danger by doing so. If you actively refuse to grab at a life preserver that we're tossing you, it's not on the rest of us to jump in the water to help you.
Full FDA approval is coming next month, but I'm sure by the time that happens, the goalposts will once again be moved, and there will be a new crop of excuses for why people aren't getting vaccinated. This has stopped being an argument about facts a very long time ago - it's now an argument about political identity.
> The good news is that almost exclusively, they're going to be the ones dying.
Oh, this is not even remotely true. Our medical infrastructure is a limited, contended resources. When the medical system got overrun for several month, the risk is not only passed to those anti-vaxxers but also to those who with serious other medical conditions.
The result will be 3) everyone will be infected with a vastly more contagious, possibly more deadly variant that is resistant to vaccine. Your scenario isn't an option. It's not "over" because it has run its course in a single wave.
Looking at the history of disease, that's pretty unlikely. Traditionally, the optimal virus is going to get more contagious, but far less deadly; a disease that kills its host rapidly generally burns itself out.
Now, the consequences of getting to that more optimal virus I'm a lot more hazy about.
> Traditionally, the optimal virus is going to get more contagious, but far less deadly; a disease that kills its host rapidly generally burns itself out
The Spanish flu mutated into a more deadly variant, half-way through that pandemic. It went on to kill more people than World War I.
Deadliness is only selected against once it impedes transmission. A virus that kills after transmitting (because you spread it while asymptomaticly) will only burn out once a ton of people die inhibiting transmission.
That's not the only reasons people wouldn't want to take the vaccine. For instance lots of people already had covid (particularly in NYC), and developed a natural immunity, which from the low reinfection rate, seems to be rock solid. It doesn't make a lot of sense to require that population to take a vaccine.
As for the vaccine being more or less dangerous than the virus, I think for any population over 40 or in poor health, the trade off is clearly in favour of the vaccine. But if you are 20 and in good health, I am not sure it is that obvious.
I am not overly concerned about the vaccine myself, and I got vaccinated even though I had covid (mostly to be able to travel), but I have some sympathy for people who decline to be vaccinated, particularly when all the population at risk had a chance to get vaccinated. At this point this is them managing their own risk. Their life, their decision.
I agree that you can make the case that proof of antibodies should be treated like proof of vaccination. I can't see the harm in that and think it's a point worth bringing up.
I am more open to this than getting a vaccine, as my wife and I were infected before the COVID mania had set in (doctors couldn't tell us what it was). If I get a vaccine with a variant, how well will I fare as I'm in stage 3 heart failure? Check me for antibodies. That seems fair.
> As for the vaccine being more or less dangerous than the virus, I think for any population over 40 or in poor health, the trade off is clearly in favour of the vaccine. But if you are 20 and in good health, I am not sure it is that obvious.
The risks of complications from the virus are many orders of magnitude higher than risks of complications from the vaccine, even for people in their 20s.
> The risks of complications from the virus are many orders of magnitude higher than risks of complications from the vaccine, even for people in their 20s.
For those who already had the virus and developed an immune response the risks are different.
Can you find a reliable number to share on what the complication rate actually is? The best I can find is that the death rate in CA for 18-34 year olds is quite low - something like 0.07% [1].
> For instance lots of people already had covid (particularly in NYC)
According to NYC.gov[1], there have been about 980k cases of COVID in a city with a population of over 8 million. About 12% of the population has had COVID.
Seroprevalence has been measured at 74% for Ultra-Orthodox Jewish populations in the UK.
Its not a surprise that ethnic and religious minorities are anti-vaxx - many of them already had COVID.
I'm anti-mandatory vaccinations for the same reason, as a COVID survivor. All the evidence is showing that this natural immunity is superior to vaccines, but I'm treated like a second-class citizen.
I concur, the available evidence indicates that naturally acquired immunity works at least as well as vaccination [1][2].
There are biological reasons & theories why naturally acquired immunity may be more robust to variants (immune system learns to target a variety of markers/proteins of the virus, compared to the highly targeted immune response to the spike protein based mRNA vaccines). However to my knowledge there is no conclusive evidence of this yet in the literature on SARS-CoV-2.
Yeah. Hardly any testing as in even with every single covid symptom you could not get a test depending on your age and prior conditions. Now, you can walk in to clinics with no wait and get a rapid test ASAP. It's very different.
Yes, it is probably higher. The 980k figure also counts over 200k probable cases and probable deaths, so some of the untested are baked into the total figure.
How is this any different than requiring people to wear shoes in specific locations? Some people prefer not to wear shoes, but for the legal liability and the risk of injury many locations require shoes. Don't go to those places if you feel strongly about not getting the vaccine or wearing shoes
You can't honestly see the difference between an easily visible piece of clothing versus medical data that many people consider private between them and their physician(s)? There is zero chance this is a good faith argument.
Obviously I can see shoes on people's feet easier than I can see antibodies inside someone. But the point isn't how I find out if you are wearing shoes or not. The point is that someone is telling you that you have to do something to your body. Putting on shoes and getting a vaccine are both actions that you may want to decide to do on your own and not have someone else tell you that you have to do.
True, And people are not calling businesses that require shoes socialist. Social media is making all these idiots act like the world is ending if someone requires a vaccine or refuses to get the vaccine.
There's also a difference when a business decides on it's own to mandate shoes, versus a government mandate for all businesses.
I would be just as against a government mandate that all private establishments must have a no shirt/no shoes policy.
I don't even think a vaccine mandate for private businesses would be constitutional under the first amendment, the courts have recognized multiple times that freedom of association is protected even if it is not explicit in the constitution.
OK so we are on the same page. If every private business requires a vaccine, the people who don't want to get vaccinated can just do something else other than go to businesses.
I don't think it's that simple for "every private business" to collectively all of a sudden decide that vaccines will be mandatory, "businesses" are not a hive mind and it will be inevitable that "no vaccine required" businesses will prop up to fill the void.
I Agree, I wish people would try to find a compromise. Unfortunately the people who choose to not vaccinate will die out and have no voice in the matter.
What is the damage? Telling people that the vaccine may help them not die is damage? Just look at the data, unvaccinated people are dying much more frequently than vaccinated people.
Opening the door to force citizens to carry medical history (and a potential scarlet letter) is not damage?
Do you recognize that SS - when it started - was on the pretext that is was just for retirement? Look as us today. People are even ending up in court...or in debt, because their SS is stolen.
This policy is not just about telling people to take the vaccine. This policy is forcing it and also creating a new system of peeking, stealing, hacking into PHI
I got sick like a dog for a day after my first dose, and had a pain in the arm for a week after my second dose. You can't compare injecting a pathogen in someone's body to wearing clothes.
> You can't compare injecting a pathogen in someone's body to wearing clothes.
A vaccine is not a pathogen, a pathogen is a disease-causing agent, vaccines are not causing disease, they cause an immune response to prevent future disease.
This measure can't be a way to create "zero covid spaces" because people who are vaccinated can still transmit the virus (even though less than unvaccinated people, but it doesnt seem to be a 90% reduction either). So the goal here is to increase the vaccination rate.
It seems pretty weird to ask the indoor business owners to be the ones who are in charge of controlling that the vaccination rate is increasing and to be the one who are punished because the vaccination rate is not high enough.
As a tangent, I wish we would get rid of this "zero covid spaces" mania, makes having a reasonable discussion between those who want to continue our lives as normal as possible given the circumstances (I am one of them) and those who want to get back to an illusory "pre-covid normal" basically impossible.
One of my grand-mothers died of tuberculosis about 10 years ago. Imo it's as nasty a death as death by covid is. A quick web search tells me 1.4 million people die of TB each year, I suppose an average of 1.4 million (give or take a few hundred-thousands) have died of TB each year for the last half-century at least. Nobody ever talked about us disrupting our daily lives in order to bring TB cases to zero.
Sorry that I wasn't clear, I'm not from the US, I know this is an US-article but I see that push to get to zero covid cases in many places, no matter the continent.
Probably covid deaths will trickle down to 500-600 per year in places like the US in a few years, a combination of higher access to vaccines and better health facilities, and the number will remain high in places like India/SE Asia, just like it now happens with TB.
The US numbers still show that TB can be mitigated without intrusive widespread restrictions.
The majority of deaths occur in sub-Saharan Africa and SE Asia. That leads me to believe that the differentiator is access to medical care, primarily access to life saving drugs.
> It seems pretty weird to ask the indoor business owners to be the ones who are in charge of controlling that the vaccination rate is increasing and to be the one who are punished because the vaccination rate is not high enough.
If their businesses are spreading the disease then it seems entirely reasonable.
Pretty much this. Businesses that are known to be problematic, like restaurants and bars, should expect that their choice to stay open and continue serving people comes with responsibilities. They don't operate free of consequences, and they shouldn't expect to externalize those consequences.
However, it really sucks that the people who mostly end up trying to enforce the mandate are the staff who already have, in most countries, jobs that most of us would not consider fun. The people most likely to insist on going out to eat and entertain are, generally, the sorts of unpleasant folk that already treat waitstaff poorly.
> It seems pretty weird to ask the indoor business owners to be the ones who are in charge of controlling that the vaccination rate is increasing and to be the one who are punished because the vaccination rate is not high enough.
So far the data coming out of the EU has indicated that when passports and certificates were introduced, there was an uptick in vaccination the day the measure was introduced. Estonia, for instance, has seen this happen.
The Netherlands has seen willingness to vaccinate rise from around 60% at the start of the crisis to 87% right now, and part of this success is attributed to the fact that the government always made it clear that vaccination was not going to be mandatory, and testing would be an alternative.
But a lot of them can still be positive (i think 30% with AZ vaccine), and somehow noone tests the vaccinated ones, so you'd never know, and most of them are asymptomatic, so they don't even know it.
I got my vaccine early on, and haven't been tested since.
Still a lot of unknowns, but seems pretty clear that vaccinated people are less likely to contract and spread. So I like my odds better among a vaccinated crowd.
These are the key words. But the odds of being infected in the first place are lower if you are vaccinated. So given a choice to spend time with a vaccinated stranger or an unvaccinated one, you should prefer the former if you want to avoid getting sick.
> the goal here is to increase the vaccination rate
The goal is to avoid overloading the hospital system. Vaccinated people spreading the Delta variant amongst each other is not going to do that. Unvaccinated people getting sick will.
Hospitalizations in the US have increased 400% since the beginning of July, and in NYC specifically[1], they have doubled with steep positive rate-of-change.
That's not answering though about capacity. UK's went up 8x, but they were nowhere close to hitting capacity.
NYC's hospitalizations dipped to ~18 admitted/day citywide in June and are up to ~50 now. But that's a long way from 350 over winter and far away from hitting 1700 in the initial surge.
The UK government realized that even with their high case spike (to winter level) that vaccination ensured that hospitalizations would not come close, so they ended restrictions at what in retrospect was their peak cases. Their admission rate hit maybe a quarter of their winter rate even though case rate peak was similar. (vaccine cut hospitalization rate per case by 75%).
To my point, unless we're substantially different from the UK, it doesn't look like hospitalization capacity should be a concern with this wave.
> Is there evidence NYC's hospital system could be overloaded?
My friend, a plastic surgeon, was drafted to tend to an entire floor of folks on ventilators. No other doctors. Occasionally, an exhausted nurse. He spent the last twenty years doing face lifts. I think some patients were in doctor’s offices.
We also halted surgeries and cancer patients’ visits and hosts of other stuff to keep the strained system from going New Delhi.
We have inconclusive data on the protection past infection affords with respect to the Delta variant. We have decent data showing the mRNA vaccines work. We also have inconclusive but pointed data about the Delta variant being more problematic for younger people [1].
At this point when I see "comprehensive data is lacking" in some NYT article hyping the Covid threat I just close the tab. About a week ago they were trying to say children were dying in droves from the Delta wave in Indonesia based entirely on the testimony of one doctor who was probably confusing TB for Covid. Two weeks ago they were saying the J&J vaccine was useless against Delta based on a dodgy study that contradicted all sorts of real-world observations, like J&J's effectiveness against the South African variant.
We have data from Israel that with respect to Delta, "Israelis who were vaccinated were 6.72 times more likely to get infected after the shot than after natural infection": https://www.israelnationalnews.com/News/News.aspx/309762
@dang I'd urge you not to ban/shadow-ban my account considering I openly represent a political minority here at HN during a very turbulent time politically in the world where people are often afraid to speak up. Banning people like me would just increase the echo-chamber that already exists at HN. If my opinions were as strong in the other political direction, I'd probably be getting praised left and right.
While I agree some of my comments as of late would be considered "breaking guidelines", most of my comments are conversation provoking, and often include sources.
And FYI in this particular situation, it's pretty frustrating to see people not only make numerical claims without providing sources, but then confidently respond to being called out with an anecdotal "well my 1 doctor friend told me...." response. Only for them to be provided further false-confidence by you swooping in with the ban-hammer based on some arbitrary "site guideline".
This is definitely not the case where I live. Existing units were shifted, capacity was reserved, some makeshift isolation units built on containers were purchased. At any rate, that is a substantial cost to build out and maintain.
> The goal is to avoid overloading the hospital system
If that's the goal we need to decide what things are ok to go to the hospital for and what aren't. A lot of hospital visits could be prevented if we took the obesity epidemic seriously - I imagine the CFR of covid would be way down if America was not so obese.
And if we're ok with mandating vaccines, we should definitely be ok with mandating a healthy bodyfat %. The health gains from the latter would dwarf that of the former.
"A lot of hospital visits could be prevented if we took the obesity epidemic seriously:"
That's a lovely multi-generational idea and we should work towards it in the coming decades. Meanwhile, as 400 Americans die of a preventable illness every single day, we should prioritize reducing the hospitalization rate. Florida became the most recent state to halt surgeries at some hospitals... again.
You're missing the key distinction which is that obesity is primarily self-destruction but the virus is largely a negative externality (passing it to others, giving evolution a chance to evolve another strain). If someone has the virus and coughs in my face, that's no better than punching me in the face, which is illegal for good reason. If they eat themselves to death instead, it's no skin off my back (aside from taxes)
It more or less made sense to require masks when people where unvaccinated. But now there is no reason to be OK to require masks either unless you are for mask wearing mandate for everything, everywhere, all the time
"It more or less made sense to require masks when people where unvaccinated. But now there is no reason to be OK to require masks either unless you are for mask wearing mandate for everything, everywhere, all the time"
Well, CDC is saying even vaccinated people should be masking. So it seems we are moving to a public-space mask everywhere all the time.
I think CDC is saying vaccinated people should be masking, because they may still transmit the virus to all the unvacinated out there that have a much higher likelihood of ending up at the hospital should they get infected. If all were vaccinated, transmission would be much less of a problem (since risk of acute symptoms would be way lowered) and I'm not sure the CDC would mandate masks.
If that's true though, then the argument frequently given about requiring vaccinations to prevent mutation is not very strong if vaccinated people are still infectious hosts. So it seems the need to masks even with vaccination exists.
The CDC doesn't care about cases, they care about hospitalizations, and 99% of hospitalizations are unvaccinated people. If everyone is vaccinated and the virus is passing freely, the CDC couldn't care less because very few people would be going to the hospital. Just like how we don't mandate masks for the common cold, since that doesn't overload our hospital system like COVID has.
What does the science tell you about the risks to vaccinated individuals when exposed to other vaccinated individuals or to non vaccinated individuals?
...that they’re really darn low either way! Not zero, and with very bad consequences if you win the lottery, but if you’re vaccinated (or younger than 12) you should be more concerned about the flu!
"...people who are vaccinated can still transmit the virus "
Well, yes, In the same way an infant may fight Muhammad Ali. Futurama references aside, the vast majority of data shows that vaccinated people are far less likely to spread the virus.
So you're saying there's no such thing as asymptomatic spread of COVID-19? Isn't asymptomatic spread a primary reason for the unprecedented restrictions and mass testing?
Edit: Down voters, I would appreciate an explanation for the down votes. Am I missing something simple or is OP mistaken?
You are (mostly) correct. It is pre-symptomatic transmission that has driven most of the spread. By comparison, asymptomatic carriers have been shown in studies to spread the virus much less effectively. People can still get infected after being vaccinated (or having recovered naturally), but they are far more likely to have a truly asymptomatic case and therefore less likely to spread the virus.
That's an interesting distinction I will look into more. Thank you for the reply.
If this is the case, I stand by my questioning of OP's statement: "a vaccinated person, like anyone else, can only transmit the virus if they have a symptomatic breakthrough case."
This one is great because it really brings to light the issue with deciphering the data...
"Since asymptomatic infections represent a large fraction of the infected population, they contribute substantially to community transmission in the aggregate together with presymptomatic cases, even when they individually transmit at a low per capita rate."
You know, I'd almost forgotten about asymptomatic spread, and I'm glad you asked. My assertion about vaccinated was based on a non-scientific interpretation of something I read. I'm afraid I lack the expertise to really answer in depth. So the best I can do is point to the sources that address it. "The viral load in these breakthrough cases was about three to four times lower than the viral load among infected people who were unvaccinated" https://www.scientificamerican.com/article/the-crucial-vacci...
So as best I understand it, the vaccinated are orders of a magnitude less likely to be asymptomatic spreaders, compared to the unvaccinated. As with pretty much everything relating to disease and epidemiology, there are very few absolutes.
Vaccinated people produce a much lower viral load. The lower the viral load that your body takes in, when you get infected, the less serious your symptoms/the lower your risk of hospitalization and death.
Can, or do? How frequently? How much lower is their viral load, on average, than an unvaccinated person's?
You are either making a truly extraordinary claim, or are supporting my point. If vaccination significantly reduces viral load in 95% of cases, it's true that it might not reduce it for everyone. But it makes a huge difference, in terms of public health. Both epidemics, and viral infections are a numbers game. Reduce the denominator in an exponent, or a constant multiplier, and you get the difference between life and death.
They sampled people who were getting tested for COVID, and divided the samples into vaccinated-with-breakthrough-cases-who-got-tested and unvaccinated-and-sick-who-got-tested.
This completely fails to account for people who are vaccinated, and don't have breakthrough cases, which is the overwhelming majority of vaccinated individuals.
Because of the incredible sampling bias in the study [1], the conclusions that it makes are significantly less extraordinary than your claims.
Just because someone somewhere runs a study that compares 50 dead-in-car-crash people who were wearing seat belts, and 50 dead people who weren't wearing seat belts, you can't conclude that wearing a seatbelt does not reduce your risk of death or injury.
2. Yes. I am not telling my name and birth day for random person in public but now this is required for many public venue. No more being anonymous in public.
3. I have lowered concern, most people with vaccine have lesser time of it even with breakthrough infection. Or maybe better to say I am past caring.
4. All prior vaccine requirement (school, other places) have exemption for religios reason, personal objection, or both (varies by state). Compelling medical procedures is not a good thing ever. Saying that we have no compulsion is disingenuous if vaccine are required for restaurant, job, etc.
I am having objections not to vaccine but to compulsion to show government document before any entry to certain places. Public school fine, government worker fine, but government forcing proof before entry to private restaurant very bad from perspective of civil liberties and privacy. Also I have worries over changing requirement: already there are discussion that maybe a booster shot is required. I am fine with taking this booster shot but do not like constant moving goalposts. Maybe later government adds some other requirements for what somebody must do before allowed entry somewhere, the infrastructure for lineing up for getting scanned already will be in place.
> I am fine with taking this booster shot but do not like constant moving goalposts.
The virus is changing (variants) and we have to adapt to the changes. Your options are rolling with the punches or standing firm on a stance that is no longer based in reality. I can understand the pushback/concern to having to identify yourself constantly but potentially needing a booster isn't moving the goalposts, it's reacting to new information.
I do not buy these things but do not like ideas of having to show ID. No person I know have had difficulty with their obtainment from these requirement.
It’s also worth pointing out that this isn’t exactly a new policy. Most forms of education from kindergarten through college requires proof of various vaccines. I remember having to get a whole slew of boosters at 18 because we couldn’t find the old records in order to go to college.
You’d think that after a pandemic has killed 600,000 of our fellow citizens we’d be able to come together and simply repeat as adults what we do for most children, but alas we live in a deeply unserious time.
It’s possible you didn’t provide this if you went to college before 2002, but if you went after 2002 then you just forgot. That or you signed a lot of waivers and forgot, but that’s a different claim.
I guess you can claim that fascism won in Florida back in 2002, but that’s not going to persuade a lot of people.
Well I went to college there in 2011-2014 and never, ever provided those docs. I don't have them now and never have had them. Honestly don't even know if I've had the Meningitis shot.
EDIT: Yes, you should read the text more carefully: "An individual enrolled in a postsecondary educational institution who will be residing in on-campus housing shall provide documentation of vaccinations against meningococcal meningitis and hepatitis B unless the individual, if the individual is 18 years of age or older, or the individual’s parent, if the individual is a minor, declines the vaccinations by signing a separate waiver for each of these vaccines, provided by the institution, acknowledging receipt and review of the information provided."
Sigh, the “gotcha” routine when you clearly didn’t read my entire comment is a tiring and sad thing. I called out the waiver thing, you didn’t read until the end before replying.
> That or you signed a lot of waivers and forgot, but that’s a different claim.
Oh the irony of you telling me to read the text more clearly.
Frankly, given that you’ve apparently forgotten all this, I do not believe that there’s no record of you getting vaccinated. Unless if you come from an anti-vaxx family, I think you probably got vaccinated and simply forgot about it.
The part that irks me about a vaccine mandate is it being imposed before FDA approval. The FDA isn't confident enough to approve the vaccine yet, yet other parts of the government are (effectively) saying they know better than the FDA? Is it really surprising that people hesitate when they see this? Isn't it kind of alarming to hear a government say, hey, our own scientists haven't approved this, but we want to inject it into your body anyway?
The problem is also that there is political pressure to approve it. That sucks. Whatever time it takes to go through the process is the time it takes. Pushing it through is only going to do two things: 1) show that the process is political and that FDA approval is fungible and 2) make us wonder what the purpose of it is and why we should ever do it at all after this, if it can just be bypassed when politically convenient. Is it just fat to be trimmed?
FDA approval does not confer safety and efficacy. It it there to report empirical safety and efficacy.
FDA regularly revokes approval. That should count for something.
Yeah, it's a tough situation for sure. I've been wondering if there's a more creative solution that could be implemented here. Like someone from the FDA coming and saying, hey, we obviously won't know long term effects with 100% certainty until a few years pass, but all the signs we're seeing indicate the vaccines are just as safe as any other vaccines up to this point, we've gotten it ourselves, and it's our belief that you should feel safe getting it too. Or the FDA inventing a new type of temporary approval for epidemics or something like that that basically means "we feel this is safe enough to mandate amid outbreaks, but not otherwise". (An EUA seems almost similar, but to me it means "this is safe enough to use in an emergency", not mandate.)
The FDa is keenly aware of the political load in arriving at a decision, but knows getting it wrong means the FDA itself could dissappear. They they have yet to blink on the matter.
Therefore they err on the side of logic and let time do its thing (uncover hidden risks) for which the populace should be grateful
I think it's more of the limitation of liability at this point. Whether or not any central authority endorsed it is moot when 100 million doses have been given.
The big problem for me is in making light of the process that, perfect or imperfect, is a extremely important in a for-profit pharma paradigm.
> I think it's more of the limitation of liability at this point.
Yeah that's definitely a big part of it. But that's for something for people to factor in on their own, if they so choose. It's not really a fact for the government to base mandates on, unless you only look at public health and ignore all other facets of the issue.
> Whether or not any central authority endorsed it is moot when 100 million doses have been given.
It might be moot from a public health standpoint, but it's not necessarily moot from a public policy or governmental standpoint. Like it or not, rightly or wrongly, it can have significant impact and repercussions if the government starts doing something half the population doesn't like, and then turns around and says, "Ok well, now we all agree the issue is moot, right? so let's force this thing onto everybody. Despite our own experts not having approved it yet."
>It might be moot from a public health standpoint, but it's not necessarily moot from a public policy or governmental standpoint.
100%.
We need to continue to be vigilant and to keep public trust. That's currently at stake.
Also agree on everything else you bring up. Especially:
> now we all agree the issue is moot, right?
This is exactly what I was trying to say initially. If the attitude is: what's done is done and therefore we don't do this going forward; then that's a major loss for society. That can't be the outcome.
I agree, but it's too late for the process to work to be protective of the population from a drug defect. If FDA finds that there is a critical issue, that's good to know, but what do we do now?
The FDA did approve the vaccines under an emergency use authorization. Hundreds of millions of people have been vaccinated without significant deviation from expected outcomes. What do you expect final FDA approval to accomplish?
>> Isn't it kind of alarming to hear a government say, hey, our own scientists haven't approved this, but we want to inject it into your body anyway?
> This isn’t what is happening - the scientists are encouraging you to get the vaccine too.
That is literally what is happening. Their own scientists at the FDA have not approved the vaccine and yet they're trying to mandate people to get vaccinated anyway.
> I think a lot of comments are missing that this is a public health crisis which has killed nearly 700,000 Americans. A crisis calls for rapid action.
I wasn't blaming anybody for rapid action. I'm just saying it's not hard to see why not everyone's interpretation is generous.
The FDA not approving the vaccine is literally that. They're scientists, and they're not approving the vaccine yet, despite being under a lot of pressure to. Do you need them to utter that exact sentence?
NPR yesterday was interviewing a guy who'd had an organ transplant and thus has to take immunosuppressant drugs. He'd been vaccinated, it was either pfizer or moderna.
His doctor tested him for antibodies, his were undetectable. He was getting a third shot in hopes it would finally give him antibodies.
By being against vaccines or against vaccine requirements, people risk the lives of those like that guy, who's already suffering and already has to be 10x as cautious.
I've seen it suggested that annual flu shots be required in some contexts. My main reason for not getting flu shots is laziness; my wife gets one annually.
The real question though is do policies like this affect change or do they only stoke animosity. This is a sincere question.
Do we know that the activities where vaccines are required are in fact hotspots? If you consider states that did full lockdowns compared to those that didn't but had mask mandates (California and New York vs texas Florida), there wasn't an appreciable difference in cases or deaths suggesting the mechanism of transition lied outside the reach of government. What's to say people still won't congregate elsewhere?
In turn, I'm not convinced this will incentivize people to vaccinate. My mother refuses to get the shot and digs in more against it as penalties show up. Sure this is and data, but I know that many, many people have left New York City due to what they considered draconian lockdowns and I suspect many more people might leave to "freer" pastures.
I'm not convinced this will achieve the intended objective, but instead far more animosity and pushback which is what you see in this thread which is far more tame than what the general population thinks.
As someone also on biologics, all I can say is the evidence is overwhelming: There is almost no risk in getting one of the MRNA covid vaccines if you are on a biologic. The efficacy is in doubt, but that is another issue. In short: there appears to be no downside to getting vaccinated, while there is serious possible upside. I don't understand your hesitancy here.
You could convey your personal experience and how it weighs against the other person's without being an ass about it.
You may not like being in a marginal group, but you should realize how very few people in this country are discussing your situation when they talk about the unvaccinated. There are tens of millions of people in the country who are willingly unvaccinated, and almost the entirety of them are people who do not have autoimmune disorders. In fact, the people pushing for mandates are often using your situation - that of someone for whom the vaccine is ineffective - as reason for a requirement.
Some day, you may learn that being rude, saying "fuck you" and calling people idiots before trying to make your case is not the way to get anyone to listen to you.
And if you don't want anyone to listen to you, why are you typing?
We've banned this account for repeatedly breaking the site guidelines. You can't do that here, regardless of how wrong someone is or you feel they are.
> You have fears about getting a vaccine, moreso than for coronavirus. If this is you, do you prefer a mask mandate?
As someone who is vaccinated, I'm frankly tired of wearing masks, and I don't feel I should have to wear one to protect someone else who is refusing a vaccine.
Totally agreed. And the silly thing is that it's not the unvaccinated people demanding mask mandates, it's only (some of) the vaccinated people, for whom it would produce at best a tiny decrease in risk.
Consider the people for whom the vaccine won't work for, or will be less effective for, like anyone on immune system suppressants because of transplants, or some cancer patients/survivors, or those taking immunosuppressants and biologics for things like Crohn's, UC, multiple sclerosis, arthritis, etc.
It's been a year of this, and you should know by now that masks are meant to prevent people from unknowingly spreading the virus to other people.
From the FDA[1]:
> Q: Do face masks provide protection from coronavirus?
> A: Masks may help prevent people who have COVID-19 from spreading the virus to others. The CDC has guidance for wearing masks. Wearing a face mask may limit exposure to respiratory droplets and large particles and may help prevent people who have COVID-19 from spreading the virus.
How do you feel about your tax dollars paying for the care of someone who just had their leg amputated because they refused to control their type II diabetes?
Or someone who has decided that a short life as an alcoholic was preferable to being sober and will need all sorts of medical intervention?
Or someone who participates in extreme sports and now need their back fused because of multiple injuries?
My problem is that the whole thing is based on old data and a false premise that life is safe when vaccinated people are only around vaccinated people. We know this is slightly more true than among the unvaccinated, but only by about 40%. This is real data.
Fears of privacy implications: Tracking data/metadata, How data is recorded, How long are records kept. What other data is linked to vaccination checks?
Fears of discrimination: How is vaccination proven? Are special IDs required? What is the cost of identification? What about people who are ineligible to get vaccinated due to age, health status, medical conditions. What percentage of minority groups are vaccinated in comparison to other groups?
Unintended consequences: Will this make unsafe behavior appear safer to vaccinated individuals? What about future variants? Are there future plans to extend the list of businesses/places this applies to like public transport, medical facilities, etc?
Lastly, If you are vaccinated and feel safe doing these activities, why should you care about those who chose not to get vaccinated
Vaccination in NY/NYC is easily proven. Picture of your vaccine card is sufficent and there's also the excelsior pass which is a QR code. Super easy to get from a city/state website after entering a few details (think name, when your last vaccine was, which vaccine etc).
This can be downloaded as an image, into apple wallet etc. For those who chose not to, they can stick to carrying around their vaccine card (just as anyone carries around an ID, cash, credit card, cell phone, mask, etc) or just keep a picture of it on their phone
The vaccine is free for everyone, so there's very little discrimination there. In NY there are plenty of sites to go to where you can walk in and be out today in under an hour. Likely half an hour.
As to the privacy, yes, that's a fair concern but its literally no different than having to get a vaccine to travel to certain countries. Data exposed is minimal and not that much more than what would be gathered showing your ID when buying alcohol which contains your name, dob, address, etc. Far more personal information then if I'm vaxxed.
Those who are ineligible for the vaccine (due to age mostly now) I don't think are subject to this. Most people with medical conditions are still able to get vaxxed. If not, they especially should not be going out. Those who are vaxxed and also immunocompromised have far less protection as well compared to their peers who aren't immunocompromised.
Anyone over the minimum age qualifies for the vaccine.
If people at this point are willfully choosing not to get vaccinated tough luck. Its absurd and they shouldn't be allowed to prevent those of us who care about each other and the community from enjoying life again.
In response to 'but its literally no different than having to get a vaccine to travel to certain countries', we literally (as in have a literal - written word - constitution) that explicitly prohibits the prevention of movement between the states in the same way that we do between countries.
There is a quite literal, and federally-mandated, difference.
You literally aren't even allowed to ask for someone's ID to cross internal US borders - but you think medical records, which contain just as much (if not more) personally-identifying information would be okay?
No one is suggesting preventing non New Yorkers from coming into New York. We only ask they respect our laws. People are always welcome to visit unhindered.
If they want the full NY experience which includes eating at a restaurant they must follow the laws in NY. One of these is paying the NY sales tax, not the sales tax of the state from which they're visiting. They also must comply with NY's vaccine requirements to eat at a restaurant.
If they don't want to, they're welcome to come and enjoy all the other activities that don't require proof of vaccination.
Think of it more like a drivers license. Proof that you have passed a written test, driving test and an eye exam. Includes your full name, home address, photo and DOB. The Excelsior Pass has less info than that. And will only be required for entering private property from which people can already be barred entry for arbitrary reasons.
Again - you cannot require a driver's license to cross state lines. Precisely because you cannot be required to present that information in order to move about freely. As long as you aren't the person driving ;)
I understand that this is not inter-state travel, but at the same time you cannot be required to provide your identification by law enforcement or others without cause within them. It is not illegal to walk about without documentation as to who you are.
You aren't even required to show identification to walk into a tobacco or liquor store - only to purchase.
Certain government buildings, bars, clubs, and smoking lounges are the only exceptions I know of to this rule. There is no compelling reason to expand that list, nor the information they are allowed to request.
You won't need to show a vaccine card to cross state lines, only to go out to eat.
Of course its okay to walk around without an ID, no one suggests otherwise. But if you go to a restaurant without an ID, and get carded you can't order your drink.
Is the restaurant obligated to serve you then? Absolutely not.
You can enter the state without a vaccine card, you just won't be able to enjoy eating out in all the incredible restaurants in the state.
No one is suggesting requiring medical records at internal US borders (which, incidentally, the Constitution does not prohibit, though it doesn't allow states to unilaterally adopt such controls), so your entire argument
>Vaccination in NY/NYC is easily proven. Picture of your vaccine card is sufficent
That’s easily faked. To prove vaccination, a picture of a card is not sufficient. If that’s all that’s required as proof then this won’t accomplish anything meaningful.
That's exactly the problem. This will be linked to a central authority that then will be able to record all you travel and activity. Able to turn it off and geo-fence you. Social Credit system for the west.
Perhaps, but so far this isn't a problem. Let's stay focused on the actual problems that we're facing. Maybe some businesses as you suggest will refuse a picture and only accept the physical card. So far this may be up to businesses to decide for themselves.
This is otherwise whataboutism about an issue that isn't an issue.
FWIW, the excelsior pass may be far harder to fake and end up being a solution to this currently non-problem
Getting a vaccine to cross an international border is not the same as getting a vaccine to walk to a bar on your own street in your own country. Besides, people who have not had the Covid vaccine are not directly preventing anyone from enjoying life. The people are either choosing to not enjoy life themselves, or their government is putting restrictions on them (and then they are obeying them) while blaming the restrictions on non-vaccinated people.
> Getting a vaccine to cross an international border is not the same as getting a vaccine to walk to a bar on your own street in your own country.
In NY it's trivial to get this vaccine. Getting it is certainly easier than getting any other government id (state id, permit, driver's license etc). Certainly ID is needed to purchase alcohol, drive a car, etc. Maybe not at a bar, but often for purchasing alcohol from a liquor or wine store.
> Besides, people who have not had the Covid vaccine are not directly preventing anyone from enjoying life.
Of course they are. They're taking up space in hospitals, endangering public health, and causing unnecessary harm by spreading covid and increasing the risk of a new variant.
As long as one is viewing humans solely as harmful disease vectors, obese people also take up substantial space in hospitals and cause further obesity through social contagion. However, we don't mandate that restaurants prohibit serving sugary drinks to those with BMI over 30. People with various STIs also do everything in your list, but that is addressed through awareness of safer practices, in some cases voluntary vaccination and PrEP, and research into better treatments, not through banning extramarital sex or shutting down locations where people meet for sexual activity. People who participate in injury-prone sports and activities also take up disproportionate hospital space, but the US passed the ACA in part to require medical coverage for people regardless of their lifestyle.
The reasoning for restricting behavior based on people's Covid risk (including vaccination status) is exactly the same as in the scenarios above.
People vaccinated against Covid can choose today to live a normal life, confident in the vaccine's protection against their serious illness or hospitalization, without scapegoating those not vaccinated for the entirely predictable seasonal and variant spread of Covid, or forcing struggling small businesses to hire bouncers to check the medical papers of every customer.
Anywhere where an ICU bed is taken by an unvaxxed COVID patient is a bed that was available for anyone else for any other reason.
Anwhere where unvaxxed people have to take time out because they're sick is time they could have spent working, contributing towards their families or communities, and someone is going to have to take up the work.
So not, at a collective level, unvaccinated people are _very much_ preventing others from enjoying themselves.
Is that actually a compelling argument? How is an individual's choice which led to them occupying an ICU as a COVID patient worse than any other of their (presumably very dumb) individual choices?
If we get to pick what we get to shame ICU bed occupancy for, I've got a LOT of other ideas that people probably won't like.
By definition, society is made of up lots of interactions which prevent others from enjoying themselves. I struggle to understand why the line gets drawn at COVID.
Don't put unvaxxed and these who were injured/became ill due to their own incompetence or recklessness in an ICU bed then? (as long as they are full that is)
> and someone is going to have to take up the work.
There is a lot of unemployment. This is also true for the paid and unpaid leaves btw, should we illegalise these?
> There is a lot of unemployment. This is also true for the paid and unpaid leaves btw, should we illegalise these?
If you are consistently taking leave because you puke your guts out every week from eating spoiled food, that wouldn't be much of an excuse for paid leave.
I find the same is true for those who choose not to vaccinate. I do not find that to be a reasonable risk profile to accommodate in a consequence-free manner.
> Super easy to get from a city/state website after entering a few details (think name, when your last vaccine was, which vaccine etc).
Only available to those who got vaccinated in New York. And given that the NYC border is all of a couple hundred yards from New Jersey and 10 miles from Connecticut, there are tons of people who either live in the city and got vaccinated elsewhere, or else who live elsewhere but are in the city on a daily basis.
This is about a restriction NY is imposing on New Yorkers. The city and state I'm sure would welcome cooperation with other nearby states in developing a tri state area valid digital vaccine card.
But this isn't about other cities and states so this isn't relevant. States, just like countries, are allowed to impose their own laws so long as they don't encroach on rights and laws from the federal government.
Comity is a legal standard that neighboring states can choose to embrace.
> This is about a restriction NY is imposing on New Yorkers.
So you're saying that since I live in Connecticut, I'm allowed to eat indoors in NYC without showing proof of vaccination? I realize that this is literally what the article says, but surely that must be a mistake, no?
No, if you want to come to NY and eat at a NY restaurant you're subject to NY laws just like you are when you pay the NY sales tax rate. You don't pay the CT sales tax at a NY restaurant.
Vaccine card or leave.
If CT wants to work with NY to create a comity law understanding or a common vaccine card (IE accept CT digital vaccine cards) the states can work together.
You must show proof of vaccination, but proof of vaccination is not required to be presented via the Excelsior Pass. It would be nice if we had tri-state cooperation there though.
Great reply, thank you. I don't want to get into a long argument, but a lot of what you say hinges on that 40% number. I'd like to know what that refers to. My reply to that 40% number:
I thought that vaccines made you something like 20x less likely to end up in the hospital from coronavirus (widely cited as 95% protective.) And that unvaccinated people spread at 5x the rate of the vaccinated ones. https://www.nature.com/articles/d41586-021-02054-z
Despite having done some research in virology for my MSc I definitely don't claim to be an expert. The field is really complex, and I'm always open to learning. So feel free to reply and educate me as long as we can keep it cordial.
To answer your last question (presumably non-rhetorical) I worry about unvaccinated people allowing for mutations via community spread, as well as getting sick when they didn't have to, hurting themselves while taking up healthcare resources in the process. Is that unreasonable?
There was some CDC data published recently on breakthrough infections in the US (I don't have a better site--saw it somewhere on Apple New+). It worked out to 4 COVID hospitalizations or deaths per 100k.
For comparison, that's about twice the US death rate due to flu in 2019, and about 1/40th the US death rate due to COVID before vaccinations were available (and before the delta variant was in the US). That's about 10x better than death rate pre-vaccination in the state that had the lowest death rate (Hawaii).
Aren't you comparing Delta numbers for vaccine and pre-Delta numbers for no-vaccine then? So really you'd expect the difference to be even greater than that.
Also data from the CDC on the latest outbreak they studies shows that 74% of the positives were vaccinated. At the time the vaccination rate was about 69% for the state. I can't find anything on the actual town. (https://arstechnica.com/science/2021/07/this-900-person-delt...)
Do you happen to have any actual studies showing unvaccinated people are causing mutations? I have seen it repeated but never seen the study behind it. I do know leaky vaccines cause outbreaks to spread faster. This can be seen in the past. (https://www.pbs.org/newshour/science/tthis-chicken-vaccine-m...)
As for your last part. Lets look at it another way. Heart disease is the leading killer in the US. One of the best way to prevent heart disease is being physically fit and active. By your logic we should be mandating exercise for everyone to prevent it right? Shouldn't we also be forcing people to quite drinking and smoking as well?
Overall its just a slippery slop when you give the government this right. What happens if conservatives get in power and decided abortion should be banned outright as they consider a fetus a person? By the same logic you are using, they would be perfectly reasonable to do that.
Whether it is proper for the government to mandate vaccines in certain situation is a complicated question but I think some of your priors are incorrect.
1. The data out of Israel on vaccine efficacy with Delta is out of line with other studies on the matter and is generally considered to suffer from some methodological flaws. See https://www.nejm.org/doi/full/10.1056/NEJMoa2108891 for a study out of Britain showing an efficacy of 88% against symptomatic infection. There is much more data that corroborates only slightly reduced efficacy and the Israel study is the outlier so anchoring to that number is probably a mistake.
2. The Pronvicetown study (where 74% of infected were vaccinated) doesn't tell you anything about vaccine efficacy. The vaccine rate for the town or state are irrelevant since the event in question included a large number of tourists. The town itself only has ~3000 people but there were 60k people there from all over the country at the week-long event.
3. Here is a study showing higher mutational variance in unvaccinated patients: https://www.medrxiv.org/content/10.1101/2021.07.01.21259833v.... This is exactly what we should expect. Vaccines drastically reduce the rate of transmission so we should have a strong prior that they would also reduce the rate of mutation.
1. The Israel study was the only one I have seen so far. Thank you for linking to the other one. It seem these two studies pretty much contradict each other. Do you happen to have links or can point me in the direction of the other data you referenced?
Edit: I did some more research on the UK study. It appears to be outdated and does not use the June and July stats when Delta actually took off. If you use the last two (18 and 19) UK governments technically briefings (https://www.gov.uk/government/publications/investigation-of-...) you can calculate the efficiency rating. From my understanding you do this by calculating the infection rates in the vaccinated and unvaccinated, then divide the infection rate in the vaccinated vs the infection rate by the unvaccinated. You then subtract this answer from 1 to get the efficiency. It varies with the age groups but for 50+ I got an effectiveness of about 17%. I could wrong in how I am going about this though. Please let me know if I am
2. I have to disagree here. The CDC report is dealing with Massachusetts residents infected (https://www.cdc.gov/mmwr/volumes/70/wr/mm7031e2.htm?s_cid=mm...). It did not include out of state infections. So I would say comparing the state vaccination rate to how many vaccinated state residents got covid is a valid comparison. In fact from what I have seen this study is being used to justify the CDC recommending masks for all again.
3. Thank you very much for this link. I keep seeing a study referenced but was not able to find it. However it has not been peer reviewed yet so we don't really know if its accurate. Any chance you have a study pre-COVID that show this?
Your excellent reply makes an outstanding argument for not legislating vaccination: The science is far from settled.
Until we have answers that are absolutely certain and the long-term risks are known, we are merely experimenting on the whole of the populace, which could lead to disastrous long-term outcomes.
As I said, actually legislating vaccination is a complicated question and it depends on the details of the legislation in question on whether I would personally support it.
However, I think your other points are incorrect. Policy making is always about making decisions under uncertainty so we have to make the best decisions we can given the data we have. And the data we have I believe is overwhelmingly clear that any risks associated with vaccination are dramatically smaller than the risks of COVID itself. To date I am unaware of any substantiated risks of vaccination which aren't also risks of COVID infection and where the risk is much higher from infection than from vaccination. It can be tricky at times because mass vaccination will generally affect more people than infection so you have to weigh the relative risks appropriately. However, in the current case where we have a highly infectious respiratory virus we seem destined to end up with an endemic disease which only happens when ~100% of the population has already been either vaccinated or infected. So to first approximation your only two choices are to get the vaccine or (eventually) get infected with COVID. Given that and the very clear data we have now about the relatively insignificant risks of the vaccine relative to infection, getting vaccinated should be the obvious best option. After all, getting infected with a novel virus that is (now) easily preventable is ALSO experimenting with your health.
> Overall its just a slippery slop when you give the government this right. What happens if conservatives get in power and decided abortion should be banned outright as they consider a fetus a person? By the same logic you are using, they would be perfectly reasonable to do that.
This is a ridiculous argument and I'd say mostly FUD. Abortion is pretty well litigated. Conservatives have been in power in state and national govts for years and they've barely managed to get anywhere close to this.
While it’s possible to be infected and vaccinated the possibility is lower right, even “only” 40% is a huge number! If only vaccinated people are in a space it dramatically decreases the likelihood I’ll become infected by more than 40% because every one of those people is also personally 40% less likely to be infected, so this is compounding. Please correct me if I’m wrong on that assessment.
As to the hear disease comment those comparisons are disingenuous because you can choose to exercise or not and your choice doesn’t impact others. My 7yo son cannot be vaccinated, he has no choose but to rely on others doing their part
I am not sure about the compounding 40%. I don't know enough about infectious disease transfer. The previous poster had asked about the 40% so I was giving him the source. Personally I agree with you 40% is still better than 0%.
As far as heart disease, in my opinion it does drastically impact other people. Heart disease patients take up hospital beds, they take up medical supplies, they take up doctors time. The CDC says ~1 in 4 deaths is due to heart disease. (https://www.cdc.gov/heartdisease/facts.htm) It is a massive drain on our medical system (perhaps the greatest).
This could be considered misinformation because it is misinformation. We can in fact measure these things and the mRNA vaccines have been demonstrated to generated a robust immune response including memory B cells:
> My problem is that the whole thing is based on old data and a false premise that life is safe when vaccinated people are only around vaccinated people.
No, its not; its based on transmission being reduced and infections less dangerous among the vaccinated, which mitigates (though does not fully eliminate) the dangers of being fully open, and the policy judgement that the burden of requiring the (freely available) vaccine for such activity is warranted by the public health benefit.
> My problem is that the whole thing is based on old data and a false premise that life is safe when vaccinated people are only around vaccinated people. We know this is slightly more true than among the unvaccinated, but only by about 40%. This is real data.
This is not "real data", it's not even clear what your number refers to. "Life is safe"?
Yes, I am concerned about the "security theater" aspect of this. I want evidence that this is a valid approach, not moralizing. Otherwise we might as well start tossing virgins into Mount Etna for all the good it'll do.
I have a family member who, despite acknowledging that seat belts work and save lives, refuses to wear his seat belt purely out of petty spite "because I'm not gonna let the tyrannical government tell me what to do!" This endless conversation about vaccines is feeling more and more like that. Orthodox Individualism has become a religion.
Except not wearing a seatbelt harms noone but yourself, and frankly it's up to the individual if they value surviving a car accident.
I've had police tell me the rationalization for seatbelt laws is by minimizing ambulance use in crashes, it saves the lives of others and reduces traffic congestion. This is the reasoning put forth for making not wearing a seatbelt a ticketable offense. Last I checked emergency services like ambulances aren't even considered an essential service provided by the government, yet we're being nickel and dimed by the government on their behalf as something so essential we mustn't unnecessarily affect their availability.
Seat belt laws seem mostly about fundraising for local governments from where I'm sitting. When they have a budget shortfall, suddenly traffic stops are tacking on seat belt tickets like gangbusters.
Over the last 40-some years, Conservatives and Republicans have been incredibly successful at destroying the idea of government which is effective and serves the public. The result is that oppositional defiance and grievance politics are all we have left.
Over the past 40 years elected officials have done a great job of passing legislation that shows they are incompetent, corrupt, and have no ones best interested except their own and will use any excuse to increase their control over people.
This is what I mean by "grievance politics". This is not true, but "feels" like it it is. If Congress has done "a great job of passing legislation", what were the legislative achievements of the Trump administration? How did that government reduce its role in our lives? How did the government "shrink" in any way, which is supposed to be the Republican promise?
Republicans/Conservatives don't think the government should provide for society in the same way that Democrats/Liberals do. It's why Republicans politicized wearing a mask and now vaccination, because it's the government doing things. More importantly, telling them to do things. It's why Republicans universally obstruct the progress of the Democrats (see Mitch McConnell not filling a Supreme Court seat) but the reverse isn't generally true. Republicans don't want to pass much of anything, and many Democrats vote for the things they do.
Ultimately, it doesn't matter who is blamed for corruption and incompetence, it still serves to further the idea that government shouldn't do anything. That's not an option when there's a disease ripping though society, which is why the reaction against vaccination and masking is so strong. It's directly challenging the idea that government and society can be effective at solving a problem if we work together. The Jeffersonian ideal of a weak government presiding over a agrarian society is outdated and not a meaningful model for modern society.
> the idea that government shouldn't do anything. That's not an option when there's a disease ripping though society
Yes it is an option, always. Government always has the option to do nothing and leave people to their own decisions. There is no objective truth that this should ever have been any kind of government issue at all.
If you use an emergency to justify expanding government power, what you get is a perpetual emergency.
> Government always has the option to do nothing and leave people to their own decisions.
Government doing nothing doesn't just leave us to our own decisions, it makes us more vulnerable to the decisions of others. You could even argue that the whole point of a government is to limit the impact that my decisions have on you, and vice versa.
How should this pandemic have been addressed, then? How would "leav[ing] people to their own decisions" address climate change, or any other national/global issue?
What's the harm in letting unvaccinated people spread covid amongst themselves? Vaccinated people aren't at risk. Unvaccinated people know the risks and they've had plenty of time to be vaccinated.
It's not illegal to decide to do $XYZ_DANGEROUS_ACTIVITY, why should it be illegal to be exposed to covid?
The only concern in theory is that a vaccine-immune covid variant could develop amongst unvaccinated populations. Is there any evidence for that though?
EDIT: see responses below, there is some good info, thanks folks.
The government or the insurance providers are paying for covid care, so it's coming out of your tax money or increasing health insurance premiums for everyone.
You're taking doctors and nurses for granted. Health care providers are burning out faster due to long shifts caused by an overload of covid patients and are quitting. This increases health care costs for everyone and reduces availability.
People having long term health issues decreases productivity, a lot more people might be disabled and file for disability benefits which come out of taxes.
People's quality of life is reduced when their friends and family die.
Lowering population reduces economic opportunity for everyone.
> What's the harm in letting unvaccinated people spread covid amongst themselves? Vaccinated people aren't at risk.
Plenty of risks.
1) You are giving a chance for spreading a vaccine resistant strain. Every time a vaccinated person is exposed to the virus, most likely the immune system would take care of it however there’s a risk that it would contain a vaccine resistant mutation and will spread among vaccinated, creating a vaccine resistant strain.
2) Vaccine protection is not %100, which means people are still at risk, therefore cannot ease measures
3) R0 would be lower in vaccinated groups, meaning a slower spread or complete end of the spread. In mixed groups R0 would be higher which means prolonged or never ending spread.
Re 1) and 2), is there evidence that there are less covid mutations amongst vaccinated populations? I'm no epidemiologist, but maybe covid would achieve vaccine resistance better in a vaccinated population right?
Regarding 3), Bill Gates wrote that ~70% immunity is all that's needed to eliminate covid. I'm curious for better info regarding that number too. It would imply that as many as 30% of people can remain unvaccinated and covid will still die out.
It’s not about more or less mutations but about how evolution works. Indeed, vaccinated people are creating a selection pressure, therefore vaccine resistant strain would most likely come from vaccinated people being exposed to a virus that has the right mutation to evade the vaccinated immune system.
The herd immunity percentage would depend on the characteristics of the strain. It can be higher or lower, the idea is that you need to have enough immune people so that the spread flames out. I read that for the delta variant the calculations show higher numbers because it’s more capable of spreading than the original one.
Ideally, we will reach that point before a strain undermines our vaccination efforts however that is not guaranteed. We can take measures to increase our chances.
> What's the harm in letting unvaccinated people spread covid amongst themselves? Vaccinated people aren't at risk.
Yet
> The only concern in theory is that a vaccine-immune covid variant could develop amongst unvaccinated populations. Is there any evidence for that though?
Every human with covid is a variant factory. Even the vaccinated are.
And every variant is a new fire which could burst out again - there was a comment that "Everytime we open up, there's a new variant", as if the variant spike was somehow unrelated to the opening up.
This isn't theory.
We should somewhat be thankful that vaccines work with Delta, because if the variant on the uptick was the Gamma variant, the acquired immunity wasn't as effective at preventing a severe disease [1].
If the virus isn't eradicated, then it will keep making comebacks as newly infected people provide more opportunities for more "successful" variants.
Also kids, don't forget kids. Some of them are babies.
If you are immunocompromised. Even though vaccinated. You could still catch the virus and be seriously impacted by it for example. The vaccine is not a guaranteed 100% protection for a healthy young person. And the weaker you are, the worse are the odds.
And then you have the possiblity of mutations. The longueur the virus is on circulation. The more likely it is to mutate with worse outcome.
> And then you have the possiblity of mutations. The longueur the virus is on circulation. The more likely it is to mutate with worse outcome.
Yeah, but mutations are most likely gonna come from the billions that are unvaccinated outside the US. If this is the main concern, we should be doing all we can to make sure people in other countries (many of whom are very willing to take the vaccine) are getting the vaccine.
But if you're immunocompromised, you're fscked anyways, and should stay at home, because a lot of vaccinated people (~30+% with astrazeneca) can still get it, and even stay asymptomatic (so they spread it, but don't even know it, and noone tests them, because they're vaccinated).
> The only concern in theory is that a vaccine-immune covid variant could develop amongst unvaccinated populations. Is there any evidence for that though?
Considering that also vacinated people get covid, this doesn't help at all, and since they're mostly asymptomatic, they can even spread it more.
Otherwise, I agree... vaccines are available for everyone, if you want to risk it, it's your risk to take.
Yeah, and mutations are most likely going to continue coming from the billions outside the US that are unvaccinated. We'd be much better off spending time getting people outside the US that want to be vaccinated vaccinated then worrying about the holdouts here.
I see this opinion a lot and I think we can title LTFD or Let Them F** Die. Aside from the practical concerns about hospital crowding and the spread of potential breakthrough cases, I think it's also shamefully sadistic and punitive. I strongly disagree with anyone who is hesitant about getting vaccinated, but I still feel obligated to protect them as human beings and not just abandon their safety even if they don't want to protect themselves.
> you might be opposed to this policy if: { 1...2...3 }
You listed three reasons that people might be opposed to the vaccine itself, not merely the policy. None of these are applicable to my particular group, of which there are many:
4. You are pro-vaccine and anti-covid, but strictly opposed to insane and tyrannical government overreach by the very same people who literally murdered tens of thousands of elderly nursing home patients in 2020 by intentionally exposing them to COVID patients.
It's strange you didn't even consider this option, as if meek, bootlicking obedience to authority - specifically, authority that has already demonstrated that they don't care at all about preventing COVID deaths - is to you as water is to a fish.
> take your chances with coronavirus, which you will get sooner or later, and spread it.
This is patently ridiculous. I am fully vaccinated, but the research is clear - I can carry an infection just as effectively in my nasal cavity as my antivax cousin. Showing my card at the door does PRECISELY NOTHING to prevent spread. The Times, no friend to the antivax crew, grudgingly admitted this a few days ago:
It's quite obvious at this point, that vaccination protects ME, and ME alone. Pretending that vaccination status confers magical sainthood and capital-P Purity amongst its devotees is old hat.
And enacting actual unconstitutional policy predicated on old science is even worse.
I'm still waiting, after a year and a half, for any governments, anywhere, to mandate the ONLY thing that the science is VERY CLEAR will ACTUALLY dramatically reduce COVID fatalities among everyone under 70: mandatory weight loss for the obese.
But something tells me you won't advocate for THAT particular policy position, will you?
This emotionally charged language isn't helpful to a rational discussion. I think your comment would be stronger without it.
> I am fully vaccinated, but the research is clear - I can carry an infection just as effectively in my nasal cavity as my antivax cousin. Showing my card at the door does PRECISELY NOTHING to prevent spread.
I'm pretty sure this is untrue, but not positive. The communication has been very confusing. As I understand it, you can get a high viral load, but it declines much more rapidly in vaccinated people.
> mandatory weight loss for the obese.
This would obviously be far far more invasive than getting two shots. Why support this form of government tyranny, in your words, rather than another?
> This would obviously be far far more invasive than getting two shots.
This is not prima facie evident, at all. For many people, being rationed to 1500kcal per day would be much less invasive than a foreign substance being forcibly injected into your body. Annoying and restrictive, yes, but definitely not invasive.
Further, if we accept the premise (I don't) that governments can mandate any and all measures to ensure public health, why not measures that we know for a fact WILL result in improvements? The effects of COVID on the obese are absolutely DEVASTATING compared to normal weight people. Calorie rationing would have definitely saved lives, just assuredly as if the silly mask mandates around the country specified actually effective masking with N95-P100 filtration instead of accepting virtually useless cloth as good enough.
But that's not what we do, is it? We have the worst of both worlds: we have (1) governments violating our rights in the name of public health with mandates that (2) are pure, useless, ineffective theater.
We shouldn't be mandating anything at the cost of freedom, but if we DO, we should at least make it count with mandates that WORK.
> For many people, being rationed to 1500kcal per day would be much less invasive than a foreign substance being forcibly injected into your body. Annoying and restrictive, yes, but definitely not invasive.
I'm sorry, but the government telling you how much food you're allowed to eat, 3 times a day, essentially for your entire life is so obviously more restrictive than a vaccine mandate. Have you ever actually counted calories, or eaten 1500 a day for months or more on end? I've done both, and it's incredibly disruptive. In studies, people are not very successful at complying with calorie restrictions. How does the government enforce this?
I could understand an argument that both are too invasive (though I'd disagree), but not that controlling what people eat is less invasive. The vaccine is safe, has been studied, costs you nothing financially and very little in time. It does not cause you to upend your entire lifestyle for something you do every single day for as long as you're alive.
> We have the worst of both worlds: we have (1) governments violating our rights in the name of public health with mandates that (2) are pure, useless, ineffective theater.
Is this referring to mask mandates? It looks like masks are reasonably well supported by evidence:
Vaxed and pro-vax, but I'm pretty opposed to this policy out of NYC. (And I suspect other cities soon). I'm personally a bit of a privacy nut so take that as you will, but open to changing my mind.
To have a different take than other people, I just don't know if this precedent is really one that we want to start, particularly if you are liberal/leftist.
For e.g. let's say we're at the beginning of the HIV epidemic, and the govt mandates a policy requiring you to have a negative HIV test in order to go-to any bar/restaurant etc or there are a bunch of private businesses that say they don't want to risk their patrons from getting HIV, so require a negative HIV test in order to enter, or even that their patrons are just uncomfortable being around people with HIV so they mandate it.
HIV patients aren't a protected class so it could happen and there's nothing anyone can do about it, yet I bet most of the people wanting these vaccine card mandates now would disagree with that policy.
Businesses being able to reject/accept customers can already run into some weird civil rights issues already, and it's strange that so many people who are ostensibly left wing are advocating for libertarian positions on what a business should be able to discriminate on, because it benefits their team this time.
How many people out there argued that a business should have to bake a gay wedding cake, b/c businesses shouldn't discriminate on your sexual preference, but think they should on your personal health decisions? (Which, since vaccines work means that patrons in that business who are vaccinated shouldn't be in any particular extra danger.)*
More frustrating is that if we want more people to be vaxxed there's many more things that we that aren't punitive, but probably don't feel as fair. (aka why did I get nothing for getting vaxed but XYZ got 100-1000$/lottery/free tickets whatever.) Since a large portion of the unvaxed aren't the Trumpian sterotype, but concerned with things like having to take days off of work to deal with side effects. [0]
* This discounts the generation of new variants outside the business, since this policy is ostensibly targeted at keeping patrons safe, not at being a pseudo-mandate for getting the vaccine.
You are not going to contract HIV from someone by standing in the same room as them. That is a very key difference.
There is plenty of discrimination among gay men when it comes to the possibility of contracting HIV, i.e. sexually. Many will require their partners to be on PrEP.
> 2. You have fears about the privacy implications. If so, what are those fears? Perhaps your vaccination status can lead people to make inferences about your health?
That it won’t stop at this. That I’m going to have to entrust my medical information to a shitty app that requires access to my location and contacts to show a QR code that links to a poorly secured database that will get hacked, all because the government doesn’t trust me when I say I got the vaccine.
Anecdotal case: I got covid this January, quite symptomatic, full anosmia, high fever and about 20% of lungs damaged. Since then I contacted freshly infected people at least twice. Both of them became sick 1-2 days after contact, one with proved Delta variant. In both cases I self-quarantined and get mild symptoms for 2-3 days: light fever, partial anosmia. Both time I got significant increase of IgG antibodies. So I consider my immunity is first class. At the same time, both persons I contracted virus from were fully vaccinated with two doses couple of months ago, one of them had a pretty bad case, missed hospital just one day away.
The point is: if someone is ready to take a risk and contract covid - society should allow it because those people will either die on they own knowledge, or get a better immunity than any vaccine can offer. We know now that vaccination status and even natural immunity is not stopping people from virus transmission, so this argument is off the table.
> or get a better immunity than any vaccine can offer.
Better immunity? Almost no one who is fully vaccinated has ever died from COVID-19. It's hard to imagine better immunity than that.
> society should allow it because those people will either die on they own knowledge, or get a better immunity than any vaccine can offer.
Or they will serve as a mutation vector for the next, more transmissible, deadlier variant.
I guess it comes down to whether you favor a rational society based on the rule of law and some degree of fairness, or a free-for-all anarchy where the only rule is natural selection.
The latter is what we had before society was invented some thousands of years ago.
Yes, almost no one who is fully vaccinated ever died from COVID. But those who underwent a real COVID rarely ever reinfected again, set aside suffering even mild symptoms. There are literally lower thousands reinfection cases in the world (0.5% by PCR research in Denmark), while infection cases among fully vaccinated are ordinary, especially with Delta variant.
> Or they will serve as a mutation vector for the next, more transmissible, deadlier variant.
Unfortunately, hosts with partial immunity (natural asymptomatic cases or half-vaccinated) are more suitable environment for virus mutation. In tabula rasa host virus just takes over the system by storm, all mutations are in equal conditions. Weak immunity means new mutations are having an advantage and natural selection completes the case.
And now we know that even fully vaccinated people are relatively easily contracting Delta variant. You may draw the conclusion.
We know now that vaccination status and even natural immunity is not stopping people from virus transmission, so this argument is off the table.
We've always known that some percent of those vaccinated will transmit the virus. The vaccine's effectiveness is not 100%. The point, among other reasons, is it reduces transmission.
The point is not in vaccine efficacy. Even healthy individual may have virus in airways an be contagious, no matter being vaccinated or naturally immune.
A selection of other arguments, roughly ordered by strength:
1. This is mandating that vaccine companies make more money, the incentives are suspect. We might reasonably expect people who already had COVID should have better immunity than the vaccinated since the vaccination is basically just a simulation of having COVID. Why not then be suspicious of reasoning motivated by unscrupulous profiteers? People will be getting vaccinated who don't want or need it, which raises an eyebrow. This policy is probably a fig leaf for government handouts to big pharma.
2. The evidence changes. We don't know what the 2 year effects of COVID are yet since the disease hasn't existed for 2 years. Even now week-to-week what everyone knows can change. I do not trust that the scientific basis for this decision will still be sound in 12 months - the data here is raw.
3. What about the argument that people have a right to control their own bodies? There has been a concerted push by reasonable people for that, eg, in the area of abortions. If the NYC government can demand vaccination for the greater good then it is basically the same logic as demanding carriage of babies to term for the greater good. We know a lot of people disagree with that logic.
4. You also haven't distinguished between (1) thinking that the vaccine is a bad idea and (2) thinking that governments feeling empowered to mandate the most experimental vaccines in a generation is unwise. It already appears they don't work as advertised given that having taken the vaccine doesn't acceptably improve their risk profile vs. COVID (in the NY government's opinion). Which I think it does.
5. The far more effective measure would be tight border controls to prevent even worse variants - the biggest risk here as far as I can tell has always been something like a delta variant appearing and breaking through the first generation of vaccines. But defending against that would inconvenience the people making the decisions, so it is unlikely they'll think of that. The decision makers aren't serious about stopping the virus, so their decisions made to allegedly stop the virus are suspect.
> You have fears about getting a vaccine, moreso than for coronavirus. If this is you, do you prefer a mask mandate? And if so, how do you enforce this in a restaurant, where anyone eating takes off their mask right away?
I'd rather have a mask mandate, like we did earlier. Lacking one is ridiculous because it's trivial to lie and forge a vaccine card. First they said masks wouldn't help, then they said the vaccine was enough. Both steps have been wrong. Societies are being petulant and refusing to just skip to the effective option because they want to party and avoid cooking.
> Or 2) you can take your chances with coronavirus, which you will get sooner or later, and spread it. Or 3) you can "take your chances" with the vaccine which, statistically and biologically, is safer than getting coronavirus and reduces spread.
Given recent data which appear to demonstrate even the vaccinated can and will still catch C19, although with milder symptoms and [much] lower risk of needing hospital treatment, isn't the evidence still pointing to us all getting it sooner or later?
"Covid-19 will now join other coronaviruses in being something we contract multiple times throughout our lives "[0]
In many countries so many of the vulnerable and elderly are already vaccinated that maybe encouraging populations to reach some [ever-rising] "herd immunity" vaccination rate has become a political endeavour, not a scientific one.
"Medical Research Council Biostatistics Unit at the University of Cambridge estimates that well over 60 per cent of 15-24 year olds [in the UK] have already had Covid anyway"[0]
If so many young people have apparently already had it, is it right to spend so much time, money and political capital worrying about the vaccination rates in healthy young people?
> Unless, of course, you think that the vaccine is more dangerous than coronavirus. And then I don't really know what to say.
I'd still encourage everyone to vaccinate for pro-social reasons, but for the young and the healthy I don't think this is such a ridiculous assertion. I'm virtually 100% confident that vaccines are completely safe and effective. However for a large fraction of people they will make you feel like shit for 2-5 days.
Let's just do a quick QALY based tradeoff for a healthy 25-year old. To make it interesting let's also say that she was already previously infected with Covid. The baseline CFR for this age group is approximately 0.004%. For someone with antibodies this number's at least 50% for subsequent infections.
Assuming 70 years of remaining life expectancy, Covid infection would lead to the loss of 12 hours of life expectancy. In contrast, I'd definitely prefer to be dead than live with the post-vaccine symptoms I experienced. And for me the suffering lasted about 96 hours. And I'm not atypical here. In that sense, vaccines are nearly ten times worse from a QALY perspective than the risk of being unvaccinated.
Again, all that being said, I was vaccinated and would encourage everyone else to do the same. But for the typical healthy 20-something, skipping the vaccine isn't necessarily irrational-- just selfish.
I’m a healthy 25 year old. I think simple QALY metrics for me getting the vaccine or risking getting COVID naturally are roughly even (the COVID side fluctuates as the chance of getting the virus changes) at around a 1e-6 chance of serious complications. The AstraZeneca vaccine seems to have a slightly higher chance of complications.
These simple, individualised analyses are about the extent of what public health authorities may do when deciding on the safety or benefits of a treatment. However they exclude other advantages to being a person with a vaccine:
- maybe some of your friends are being very cautious about the virus (for rational or irrational reasons) and being your vaccinated means more meaningful interactions with them
- maybe your employer lets vaccinated people return to the office (and you want to return). Or maybe there are other things that require vaccines (when I went up to university I had to confirm that I’d had a bunch of vaccines, for example)
- maybe you want to be altruistic and reduce the risk you cause to other people
- better ability to travel internationally
- if everyone does it then there is less of an ability for further mutations to develop
I mostly understand why health authorities are limited, and perhaps those simple statistics are the right thing to communicate to the public. But I think in our society as it is, getting the vaccine is still +ve EV for young people.
> However for a large fraction of people they will make you feel like shit for 2-5 days.
I'm healthy and 23 years old. I've had Covid. The feeling of being out of breath for 2 weeks straight is horrible. You'd think you would get used to it but you don't. It was a constant struggle that kept me from falling asleep. Feeling like shit for a couple of days, but only the "known" headache and soreness, is strictly preferable. I've been vaccinated with Moderna (the mRNA vaccine with the worse side-effects as far as I can tell) and had a mild case of symptomatic Covid. Getting the vaccine is vastly preferable to the chance of getting symptomatic Covid.
You could do worse than to read the wikipedia page about vaccines, which has this passage:
"Vaccines can be prophylactic (to prevent or ameliorate the effects of a future infection by a natural or "wild" pathogen), or therapeutic (to fight a disease that has already occurred, such as cancer)."
4) You recognize this as yet another crisis that the government is using to unconstitutionally increase its powers. 9/11 and the Patriot Act and Iraq/Afghanistan being a recent example.
This stuff happens again and again and yet somehow the default position is “convince me why this is a bad thing.”
This is one that I think you missed that I have heard a lot:
4. You view this as the state being paternalistic to protect the unvaccinated when, in fact, if in August of 2021 you have not yet been vaccinated, you are almost certainly making a personal risk management decision and, as such, should be prepared for the consequences to not only yourself, but others like you (unvaccinated).
This view also seems to be predicated on the idea that the vaccinated are largely unaffected by the spread amongst the unvaccinated. To what degree this is true, I don't know. It's hard to keep up with the evolving data and narratives.
I am very worried about setting a precedent for mandating a medical procedure like this. Times like these are when it's both the hardest and the most important to stand by principles like that.
It's very easy to give up power to government and very hard to claw it back, and I'm of the opinion that it's not worth giving up norms like this in the long term, even if I agree that in the short term this would be good. I feel similar about e.g. free speech and privacy.
I think I basically worry that the policy is not very effective. It doesn’t really allay anyone’s fears about the safety of the jab (I’ve seen people claim that the FDA giving it full approval rather than emergency approval would help but I don’t really believe them.)
But then France recently announced a similar policy and saw a few protests and a lot of people getting the vaccine. They like to protest more in France than America but I think Americans (even in NY) are perhaps more vaccine-hesitant.
I think I would like to see:
- more effort to make vaccines more accessible (wider range of times of day; working with community groups to have pop up vaccination events that include non-vaccine things so people aren’t scared off; maybe trying to let people know where they can get vaccinated and that it’s free; requiring employers to give people paid time off work to get vaccinated; etc)
- other incentives for vaccination (I see examples like being entered into a lottery or getting free donuts, but I mostly prefer just giving people cash to get vaccinated. Say $100 or maybe even $1000)
Another thing would maybe making it easier for businesses to only admit people who are vaccinated or have some suitable exemption but I think the latter is hard for privacy reasons and I think the former is just inviting businesses to decrease their custom which they are not normally wont to do.
I don't have much problem with a mandate, but I think you are missing a reason someone might be against one. A vaccine will protect the vast majority of people from bad outcomes if they themselves get it. There is strengthening evidence that vaccinated people can still be very infectious and a big danger to the unvaccinated. Therefore if you believe that governments should be parsimonious in their regulation of people's activities, mandating a vaccine that doesn't particularly protect anyone but the person who gets it might be an example of government overreach. We let people smoke after all. If you believe that the vaccine will protect others (and I hope it does, despite some recent concerning studies) then it is more defensible to mandate it.
Basically, I would hope mandates like this are done on the science instead of on the hope that if we're all very good citizens and get our shots we will somehow be rewarded with protection from the big bad virus and an end to the pandemic.
> Unless, of course, you think that the vaccine is more dangerous than coronavirus. And then I don't really know what to say.
There are vast demographics for which this is actually the case. Children under 18, for example.
If you think these passports will only ever be used to check for Covid vaccination status, or that they'll be rolled back once Covid is no longer killing appreciable numbers of people, you're as gullible as they come and I can only assume have been paying no attention to how these sorts of "temporary," "for the duration of the 'emergency' " measures have progressed over the past 20 years. This is the tip of the spear for implementing permanent a social credit system in the West.
Yeah, let's let the state mandate that you buy an injection every year from private pharmaceutical companies, with extremely dodgy records and motivated entirely by profit, just to participate in normal life. What could go wrong?
Right, you might trust Biden or Cuomo to use all this social credit type data from a passport flashed to go anywhere but would you trust the next Trump? There is no reason to give the state this much power. No reason at all.
Here is my take: anyone who wants the vaccine can get it. If there are adults who can't, perhaps we need a law to grant paid time off for anyone who doesn't have it, specifically to allow them time to get the vaccine. There doesn't seem to be evidence that children are at a high risk of health issues due to the virus.
So in America after 8 months, most people who want the vaccine have it. Those who have it are incredibly safe, though not completely.
My question is this: when do we admit that in the US, we can go back to normal? At this point, i do see it like the flu or any other moderate respiratory illness. There is a risk, and we mitigated it.
If someone wants to wear a mask, okay. If a business or hospital wants to mandate masks, fine. But at this point, the unvaccinated in this country have chosen to ride without a helmet. So long as the health system doesn't collapse, that is on them, as it has always been.
Compared to the Reddit discussions in the COVID subreddit, these comments are publishable in Lancet.
I look forward to the full CDC approval that will validate your presumption about any given vaccine’s efficacy and safety. Right now, the manufacturers have no “skin in the game”…no legal liability. I assume that liability will return with full CDC approval, instead of emergency approval that they have now. (My personal peripheral understanding)
You see, there is a fourth choice, wait on vaccination until those making a vaccine are willing to accept the normal legal responsibility for the products injected into your body. Depending on your personal risk and risk exposure profile and your level of skepticism in an emergency drug, it may be the prudent personal choice. There are even other choices as well. There is more in Heaven and Earth than dreamt in your decision tree.
Ivermectin has shown great promise not only treating symptons of covid (5000% reduction in viral load in one paper) but also as a prophylactic. The small studies released recently suggest up to 83% effectiveness as a prophylactic. Of course larger RCT will need done, but fat chance of that with the economic incentive for big pharma and their politcal cronies and the weird political push to get EVERYONE vaccinated.
Getting downvoted by the hive mind so here's some links to a paper and offical news sources-
It saved my ass. My regular gp's advice was just to live with long covid for the next 12 months or so until it went away. He couldn't prescribe it so I found the horse paste and got better.
Giving a small list and saying everyone must fit into these boxes is incomplete logic.
You could be anti-needle. You could have health issues. You could be in an isolated community. You could have got the vaccine and are not worried about their kid.
I think the fear is another recession and businesses having to shut down for another time. The US can't exactly UBI death out of it's way. People are gonna die and plagues happen. I don't get why people assume that it's not supposed to happen in their lives? Guess what? Life is a constant gamble. The fact that we've hedged the odds in our favor doesn't mean that every now and then the House that is mother nature wins.
Given that the Delta variant is so contagious that it would require 90% vaxxed to achieve herd immunity, I see the situation as largely hopeless for those who fail to see the wisdom of getting vaccinated
The crazy thing is that the knee-jerk backlash against this vaccine has carried over into ALL vaccines for many people... So expect to see measles, polio, etc. etc. all over again thanks to the polarization involved at this point
> Pretty dismal discussion in here at the time of writing. Largely complaints about tyranny. Makes me sad that we can't have a calm discussion about the merits of the policy.
Ill bite and present a good faith argument.
Let's start with the fact COVID-19 is not a very scary disease. The media makes it seem FAR worse than the reality.
Yes, there are risks. It appears to be 2-4x more deadly than influenza, but primarily impacts people with pre-existing conditions. As such, those individuals should protect themselves. If society needs to make some minor accommodations that may make sense. Example, perhaps we allow elderly to shop 6-9am at stores. They're given n95's, etc.
To put it in perspective, in 2020 people in their 80's have a 20% higher chance of death than 2019, so if you have a 5% chance of dying per year, we're talking 6%. That's not dramatic.
> 1. You have fears about getting a vaccine, moreso than for coronavirus. If this is you, do you prefer a mask mandate? And if so, how do you enforce this in a restaurant, where anyone eating takes off their mask right away?
The evidence cloth masks are effective doesn't exist. As such, the policy doesn't make sense. Surgical and N95 masks do have evidence they help, but aren't primarily what people are using.
If you're talking about "fears about getting the vaccine", the vaccine isn't approved and there are treatments for covid-19. Meaning we shouldn't have emergency use authorization at this point AND it's not an FDA approved drug. Even if it becomes approved, I would not expect anyone to take it without discussing with their doctors.
Trials today are not completed. All we have are preliminary reports (phase 1, 2, 3):
Long term impacts wont be known for 5-10 years. Further, many people can't have the vaccines.
I dont' see an issue with the vaccines, but people should be informed and not coerced.
> 2. You have fears about the privacy implications. If so, what are those fears? Perhaps your vaccination status can lead people to make inferences about your health?
In terms of privacy, the 4th amendment protects against government search and seizures. When government mandates papers being reviewed, they are effectively acting as agents of the state and doing searches.
Further, doctors should be the ones managing care, not bureaucrats. Historically, CDC and FDA issue suggestions and provide evidence. It's dangerous to try and enforce vaccines when we aren't taking into account pre-existing conditions. For instance, there are drugs, ages, pre-existing conditions, all of which impact vaccine effectiveness and risk profile(s).
Coercing people to take a take part in a human experimentation is something we consider a crime against humanity.
> 3. You are not particularly concerned about the community spread of coronavirus (and the implications of that)
The disease is already wide spread and approximately everyone has been exposed. Arguably the vast majority have a partial immunity (had the disease or vaccine). If it's still spreading, there's nothing we can do. Further, the delta variant spreads more easily, but is less deadly. So we shouldn't really worry here.
> 2. You have fears about the privacy implications. If so, what are those fears? Perhaps your vaccination status can lead people to make inferences about your health?
Could you explain why you are NOT afraid? Can you please explain what Apple and the City of New York have done to earn the kind of trust you want me to place in them?
Is your starry-eyed trust also extended to police departments as well?
They are building infrastructure to track people everywhere and punish us for non-compliance.
Do you believe that systematic racism exists, and if so, do you think that it is possible that it could creep into the new health surveillance and enforcement infrastructure that they are building? Are there any mechanisms to challenge the abuses that will happen?
I would be more ok with these policies if they pledged to dismantle (or mothball) contact tracing as soon as it is no longer needed, instead of just leaving it up and expanding it forever "just in case", as they certainly will do.
This discriminates against the same parts of the population that are unable to get an ID to be able to vote. I would think a vaccine passport would need some other form of ID first so it can be tied to a particular person.
...if they have sufficient time and money. Many less well off people have neither, especially in states that have purposefully limited the hours of their offices that issue ID and put such offices far from poorer neighborhoods and far from public transit routes.
Here is an exercise for you. Go find somebody that you think might not have sufficient time or money to get an ID and ask them if they have one. Then ask them if they think there were any barriers to them getting an ID.
I bet dollars to donuts you will be surprised by the answer.
Sorry, I don't trust any media when power or money are on the line. Talk to real people.
I'm curious, what solution do you propose to exclude the 23.4 million non-citizen residents, 10.3 million illegal residents and 5.2 million felons from voting? How do you verify that somebody is legally permitted to vote?
You have to show eligibility to get on the register of electors in the first place. Green card holders have the same driving licenses as citizens so if one of them were to vote illegally (eg casting a provisional ballot) you'd have no way to tell.
4) You oppose tyranny. People should be free to make their own choices. By going out unvaccinated, I'm not putting anyone in danger, except those who choose to be endangered (not isolating / sheltering at home, unmasked, unvaccinated).
5) You oppose discrimination. I'm immune but not vaccinated. Where's my immunity certificate?
I see that you’re suffering from the common affliction of having a strong opinion about something you have no clue about: vaccines have not been approved for those younger than 12.
Now that your knowledge level has increased, will you please stop endangering others and take the vaccine?
I love how people repeat propaganda without thinking, claiming both “vaccines are 100% safe” and “we need to wait to make sure vaccines are safe for children” without even noticing the logical contradiction...
I love how people like you think that building a strawman is effective at making an argument: nobody claims vaccines are 100% safe. They are not.
But when the risk of adverse effects of a vaccine is lower than 0.001% and the risk of adverse effects of not having a vaccine is many orders of magnitude higher, the choice is obvious.
It makes total sense to stagger the testing and deployment based on age groups, especially for COVID-19: due to the insane mortality rate a high age, the benefits of vaccine far outweighed the risk of not doing it.
The fact that these elderly automatically functioned as a huge test group for further deployment for others was a very convenient additional benefit.
Likewise, it also makes total sense to be more cautious for kids. The younger they are, the higher the consequences.
It’s not that it’s “fine” for children to not be vaccinated, it’s that it is literally not possible to vaccinate anyone under 12 in the US right now legally.
They are putting disproportionately and unjustifiably lot of effort in trying to verify the safety of the vaccine for children compared to teens or older. It should have been available for them along with the rest of the population.
The argument that "there haven't been enough clinical trials in order to allow children to take the vaccine" is similar to the whole "there hasn't been FDA approval!!".
Also, just came to my attention that you ignored the "You oppose discrimination. I'm immune but not vaccinated. Where's my immunity certificate?" part of tomp's argument. Why do you want him to take the vaccine despite the fact that he is not endangering others?
Not sure what your point is. The general scientific consensus so far seems to be that there is no evidence to justify the need for people who already had COVID to get vaccinated. If anything it is worse, as only around 15% of the world population is vaccinated. By getting vaccinated while you already have COVID antibodies you take the vaccine from someone who does not.
The CDC recommends getting vaccinated if you’ve had COVID unless there are medical reasons not.
As for there not being enough vaccines around the world: I’m taking the US centric view, sorry, because the whole context of this topic is about NYC etc.
We’re drowning in vaccines here, they are expiring while sitting in a fridge, and the logistics are currently just not there to rapidly move cold-store vaccines to another country.
I want to drive a car without the tyranny of speed limits, I’m not putting anyone in danger except those who choose to be endangered (driving a car, walking a street). I oppose discrimination. I know how to drive a car, where is my driver’s license?
I think if you build your own roads, then you are free do drive a car at what ever speed you wish. Since the state has laid down roads, it makes some sense for the state to put speed limits in place for what ever reason.
But state didn't own anyone's body, so the state really have no right to force vaccinations.
Not anymore… California repealed its law, and Illinois is in the process of doing the same. You can knowingly transmit HIV to someone in California without telling them anything, and its not a crime.
No it doesn't; you are not having fundamental rights such as free movement abolished. Now have another go at comprehending the analogy now that its basic mechanics have been explained to you in simple terms and consider that your inability to grasp the analogy demonstrates a moral or intellectual (or both) failing on your part that you seriously need to address. You are demanding the abolition of the right to free movement, god only knows what you'll want next.
People are still free to make their own choices. The government isn’t holding you down and jabbing your in the arm. What’s happening here is that you are not being allowed to engage in particular aspects of society based on your choices, the same way you are prohibited from smoking in certain areas, from entering a bar if you are under 18, or driving your car on the wrong side of the road. Human societies are a trade off in which you forfeit certain individual rights in exchange for collectivist benefits you wouldn’t have otherwise. You aren’t “opposing tyranny”, you are simply angry you aren’t being allowed to leech off of society.
The fact that your movements will be stored centrally and a profile developed has far more reaching implications and concerns that bad actors (future elected officials and their minions) will use this power to the detriment of society.
I agree that limits to freedoms are necessary but this is too extreme.
>This ignores that willingly spreading the virus hurts the efficacy of the vaccine.
I don't think that is how "efficacy" works, because to measure "efficacy" both the treatment and population is supposed to have similar exposure to the virus.
This is one of the strangest comments here, but you're trying to be rational while breaking down the vast majority of the worldwide population into one of 3 positions? You know most places don't have these mandates and never will? And things will be fine.
Of course, the fourth position is so dumb (that it is possible that someone can have low trust in authorities/scientists) that they don't know what to say..
> I hope that one day you'll experience an actual tyranny for comparison. Something like Belarus or North Korea.
Cool. We should submit to any and all amounts of government overreach and abuse of power until our rulers decide to go full Pol-Pot. Then we can say "Hey, wait a minute."
> Unless, of course, you think that the vaccine is more dangerous than coronavirus.
Do you have the answer to the following questions?
Why did the mRNA technology remain unapproved for a long time since its inception?
What exactly was relaxed in the approval process that lead to its EUA?
Since the vaccine has been used population wide, will the missed studies or what ever due process eventually be done? Or will they be skipped, citing the real world usage (which was not controlled or followed up in a systematic manner)?
Edit: Can't reply to the child since it's dead, but for the record, I got my covid vaccinations at an AME church (i.e., black) back in April.
Edit 2:
>Anecdotal evidence is always useful for bigotry. I went to an AME church (i.e., black) back in April and the church was denied vaccines.
No you didn't.
> The statistical facts are clear: POCs are much less likely to have access to vaccines, to be vaccinated, and to have IDs. Requiring ID is inherently racist.
What facts? You're just making up stuff.
This has nothing to do with voter ID or voter suppression. You're just trolling, poorly.
Meta: What do you think about the timestamps on the children comments here? So many/much responses in <1min from the parent comment? GPT-3 manipulation?
That's because it was not submitted when you think it was. The submission came here via the second-chance pool. That means that it was submitted recently, in this case yesterday. It might have gotten a few points and comments at best but did not really catch on. It was deemed interesting enough and moved to the second-chance pool to be automatically put on the frontpage a few hours later again. The process rewrites timestamps as far as I know. You can see it in the list at time of writing this:
I see a number of subthreads that were all posted 40-41 minutes ago, some with longer comments in them which might be the ones you have noticed. I would bet that these comments were posted before the submission was lifted to the frontpage for a second time. Consequently their timestamps were fudged so that they do not appear to have been posted before the submission time.
If you really care, you might want to ask dang (email hn@ycombinator.com) but I am confident that my explanation is not that far off.
Thank you for bringing this up. There are multiple _long_ child comments that were sent under a minute after the post was published. Wild. I would guess it is someone with some sort of an agenda. Although I’m not sure about GPT-3.
EDIT: please see @_Microft's comment above for an explanation of how HN will "pool" threads before coming to a conclusion :)
I care more about the health of small business than I do about the health of people who contract covid and will continue to view all sociopolitical activity through that unchanging lens.
I agree to some extent, but if the virus mutates among the unvaccinated and breaks through all current vaccines, small businesses profitability will be a small part of a much larger catastrophe.
Vaccine use is accelerating the evolution of the virus because these vaccines don’t stop you from catching COVID, they just provide a different kind of host to adapt to.
Add that variable into your calculation and reimagine the future with a more accurate understanding of what’s to come and what you think about these new variants.
Thought-terminating cliches are a very effective tool for shutting down discussion. Sadly they've become very common HN in recent years as the site has grown.
Why would you be opposed to a policy requiring everyone to jog three miles every day? Jogging is good for your health, its side effects are minor and benefits to the society in whole will be tremendous.
Vaccine requirements have been in place for decades.
For pre-K in NYC kids need shots for PCV and Hib.
For kindergarten they need more shots: Hep B, Polio, Chickenpox, and Measles, Mumps and Rubella.
Going to middle school? Then you'll need more shots, the TDAP and meningococcal conjugate.
These are all vaccine requirements. Is it an invasion or privacy to demand children's records? Is it the nanny state? We could go down that road, but who wants to live in a world where we lose herd immunity to all of those diseases because 30-40% of people choose to opt their children out?
Honestly, I think a lot of people here without kids have absolutely no idea that you need to prove immunization in order to attend school.
What’s funnier still to me is men (it always seems to be men) outraged that they might need to prove vaccination in order to send their kids back to school, publicly admitting that they’ve been fobbing that work off on their spouse.
People know. They know, if anything, because you need to be vaccinated to attend colleges.
The issue is that this vaccine is not FDA approved. A vaccine that provides for only a year is hardly the same as a booster shot which is good for 10 iirc.
> For emergency authorization, the FDA required two months of safety data versus six months for full approval, he explains.
> Pfizer submitted its application on May 7 and was granted special priority review status on July 16. In a press release, the company said the decision whether to fully approve the vaccine should come by January 2022. Other reports suggest Pfizer’s approval will likely be sooner, possibly as early as the start of the school year.
> As you might expect, clinical trial data is scrutinized, but the process involves more than just experts reading data. The FDA also inspects manufacturing facilities and meets many times with company executives.
> "I think a lot of us are baffled why the FDA is taking so long.” - Ashish Jha, dean of the Brown University School of Public Health
> To that end, the agency has reportedly expedited the process, even deprioritizing other projects in order to accelerate the timeline.
That last sentence struck me strangely, seeming to imply reprioritizing other projects was a big deal. We're still in a global pandemic, people are still dying here in the USA, and the economic realities still actively happening... yeah, I think deprioritizing other things is about the least surprising thing imaginable.
It’s time to move these vaccines up into regular approval, for a variety of reasons. This is probably the most scrutinized vaccine ever, keeping it in emergency use is mistake.
> A vaccine that provides for only a year is hardly the same as a booster shot which is good for 10 iirc.
As compared to the flu shot? The one that I’ve been given for free in every school and workplace I’ve attended in the past twenty years?
Logistically, yearly shots are nbd. Maybe we should make flu shots mandatory for education just like the MMR shot, given the number of kids killed by the flu every year.
See these peer-reviewed papers for some insight into the second and third order evolutionary dynamics that we face with the current spike protein focused mRNA vaccines for SARS-CoV-2 [1][2].
These are serious long-term concerns, which may not manifest overnight, but they are certainly on the radar of many experts in the field.
On websites where covid vax hesitancy is rampant, I often see posts discussing antibody mediated enhancement, vascular damage caused by circulating spike protein increasing vascular damage and causing death from heart attack and stroke in a few years, prion disease development from misfolded protein propagation, and fertility issues. For most of these issues, long term data is needed to rule them out.
Isn’t this just an argument for nihilism? Over a long time anything is possible, but that’s not an excuse to ignore the data that we have right here and now. Never mind that there will never be a point where there isn’t a “long period of time” in front of us, which becomes a convenient excuse for permanent inaction.
Also, anything being possible is not the same as anything being probable. The vaccine might make me grow a third arm too, after all anything is possible in the long run, but you would laugh if I said that I wasn’t getting a vaccine for the fear of my tailoring bill.
The vaccines have full approval here in the EU. Thats why we got the vaccines 2 months later than the US.
It is also not clear, how long the vaccines protect. Some part of the immune response is considered to be quite long-term, only the antibody-count falls quicker. The thing is: we lack precise data here and we have an ongoing pandemic. Once the pandemic is over, it is much safer to explore how long we can set the interval for booster shots.
Is it required or can you just sign a waiver and get out of it for religious/personal/health without a doctor reasons? Or is the documentation required easily forgeable?
Depends on the state. My college’s policies were set by state law. A doctor has to sign a record for a religious exemption, which probably reduced the number of people taking it significantly.
Early (i.e. existing) Covid vaccines are NON-STERILIZING, unlike almost every vaccine given to kids. There are sterilizing Covid vaccines in development, e,g. delivered nasally directly to the upper respiratory tract, but none have yet reached the market.
> To be sterilizing a vaccine must prevent infection. Since you never get infected you never replicate the virus and thus do not shed it. If you do not shed it the potential path of the viral life-cycle for that particular infection ends with you and thus you cannot pass on or cause a mutation. You are sterile against that disease; from the point of view of the virus you are a lifeless rock. Among commonly-used sterilizing vaccines are MMR (measles, mumps and rubella), Varicella (chicken pox), OPV (oral polio) and others. The only time that such a vaccine fails is when you do not build immunity (such as due to immune compromise.) This is extremely rare and the protection from such vaccines tends to be either decades-long or lifetime.
> A vaccine that is not sterilizing permits the virus to infect you and replicate and as a result you can infect others. Technically it is not a vaccine at all (which by definition prevents infection); it is a prophylactic therapy. Such a "vaccine" instead acts to reduce or eliminate symptomatic disease. You don't know you're sick and you don't get sick. You don't go to the hospital and you don't die. Unfortunately since you don't know you're sick but are infected and the virus is both replicating in you and shedding you are more-likely to spread the infection to others. All of the current Covid jabs are in this category and so is, for that matter IPV (injected polio vaccine -- the original Salk discovery.)
> During the original vaccine trials in the summer and fall of 2020 they deliberately did not test any of the recipients for asymptomatic infections. Only a person who developed a significant illness was tested. This has continued post roll-out with the CDC specifying that a close contact of a known case who was vaccinated did not need to quarantine or be tested until and unless they became symptomatic. They knew damn well, in other words, that the jabs were not sterilizing but did not want that data up for public debate because then those who have read history would be likely to make the connection to the present day and thus they did their level best to hide it. That has now blown up in their face with it being conclusively known that jabbed people in fact not only get infected but spread the virus to others.
> ... natural infection with Covid-19 is sterilizing. Being infected and recovering conserves the nasal and respiratory mucosal response which is where the virus enters the body.
I find it hard to believe they “didn’t want the public to know” when one of the earliest studies the CDC did on vaccines, with a March 2021 publish date, was a study that tested weekly regardless of symptoms to see if it prevented infection outright. Maybe not perfect sterilizing immunity but it does prevent asymptomatic.
I agree they didn’t get into the nuances of sterilizing vs. non sterilizing but for the general public that’s deep in the weeds, anyone who followed the details knew this was the case early on.
> “One of this study’s strengths is its design: participants self-collected nasal swabs each week for RT-PCR laboratory testing, regardless of whether they had developed symptoms of illness. Researchers were able to look for evidence of SARS-CoV-2 infection irrespective of symptoms. A small number (10.7 percent) of infections in this study were asymptomatic (i.e., did not result in symptoms). However, the majority of infections (58 percent) occurred among people whose infections were identified by testing before they developed symptoms or knew they were infected. The study demonstrates that these two mRNA vaccines can reduce the risk of all SARS-CoV-2 infections, not just symptomatic infections.
This is important because preventing both asymptomatic and pre-symptomatic infections among health care workers and other essential workers through vaccination can help prevent the spread of SARS-CoV-2 to those they care for or serve. Findings from this study complement earlier reports that these two mRNA COVID-19 vaccines can reduce both asymptomatic and symptomatic SARS-CoV-2 infections.“
If the amount of taking vaccines, drugs, and paying medical services determine our good health, people in the US would be the healthiest ones, and they are not... Is it because they don't take many or much enough?
11% of Americans don't have government-issued ID. Not "don't have the ability" to get ID but don't have ID. They can get it with ease. Once we hit 89% vaccination rate then we can worry about that.
> based on Israel, the vaccine is also losing efficacy after 3-6 months so they are giving a 3rd shot now
A study[0] released last week shows that the Pfizer vaccine's effectiveness is still in the high 80s/low 90s after 6 months, and still 97% effective at preventing severe symptoms and hospitalizations.
When compared to the annual flu vaccine, where the VE typically falls in the 30s and 40s, this vaccine is remarkably effective, even after 6 months.
Interesting. That seems to go against what Israel is reporting (one of the most vaccinated population if I remember right). And they are also using Pfizer & Moderna.
> Recent data released by the Health Ministry shows that those who were first to receive their two doses of the Pfizer COVID vaccine are more likely now to be infected, as the vaccine appears to lose protection potency over time. Data released by the Health Ministry last week suggested that people vaccinated in January have just 16% protection against infection now, while in those vaccinated in April, the effectiveness was at 75%.
Your last point about "When compared to the annual flu vaccine, where the VE typically falls in the 30s and 40s, this vaccine is remarkably effective, even after 6 months." proves my point. We don't mandate flu shots. And they are seasonal and very few people take them. This is exactly what I am saying - mandated vaccines like polio, chickenpox, measles etc last a lifetime or at least a few decades. That's not the case with these COVID vaccines, nor flu shots.
You can't catch polio twice. And chicken pox is pretty similar to covid actually. It has a similar R value, and adults who catch it can be hospitalized, but for children it's usually not as serious. And once you've had chicken pox you have strong immunity, although you can still get some of the symptoms if exposed.
As for comparing restaurant and school. Schools are publicly funded and mandated by the state. No one has to go to a restaurant.
To preface: I got the vaccine months ago (as soon as I had access), I'm a big believer in vaccines.
With that being said, this policy doesn't sit well with me. None of the currently available vaccines in the US are FDA approved. Of course, a lot of people have received those vaccines, but I also don't necessarily fault individuals for feeling hesitant (the nuance here is that I think people ought to get the vaccine). mRNA is a new, unknown technology, and the vaccine was rushed faster to public access than any other vaccine before. We have absolutely no idea if there are any long term side effects of these vaccines.
Both candidates Biden and Harris expressed the need for full trials and transparency in regard to the vaccine before they were in office, then changed their tune after (see: https://twitter.com/pbhushan1/status/1416969060890210305). Biden says:
> When we finally do, God willing, get a vaccine, Who’s going to take the shot? Who’s going to take the shot? You going to be the first one to say, “Put me — sign me up, they now say it’s OK”?
If the vaccine is as effective as it seems, then this decision feels positively nanny state to me. It takes away an individual's agency to inform themselves of the risks on both sides and make an informed decision.
This is untrue, researchers have been testing various mRNA therapies on people for 30 years, with it being first done in vitro in 1990 then in vivo in 1992 [1]. Lipid nano particles were first used around the same time.
> the vaccine was rushed faster to public access than any other vaccine before
This is only true if you ignore the development of the mRNA vaccine platform for flu, rabies, and zika that predated the pandemic by years. The novel development here was swapping in new protein encoding. If you look at this as a continuation of that process, then it's only a little faster than normal, and a lot of that was due to the FDA switching sequential steps in the process to be parallel.
> We have absolutely no idea if there are any long term side effects of these vaccines.
This isn't a meaningful claim for 2 key reasons. There has never been a vaccine that had serious side effects that did show up shortly after vaccination[2]. The history of mRNA treatments began as an experiment in gene therapy, but has largely ben abandoned because the effects never lasted long enough. As of 2020 this is an ongoing area of research[3]. No one has figure out how to stabilize mRNA so that it has long lasting effects.
> Both candidates Biden and Harris
They're both craven, ignorant politicians, who cares what they said when the other guy was in power.
>This isn't a meaningful claim for 2 key reasons. There has never been a vaccine that had serious side effects that did show up shortly after vaccination[2]. The history of mRNA treatments began as an experiment in gene therapy, but has largely ben abandoned because the effects never lasted long enough. As of 2020 this is an ongoing area of research[3]. No one has figure out how to stabilize mRNA so that it has long lasting effects.
This isn't really what I'm worried about. Right now people are talking long COVID, subtle long term brain damage and it seems like mechanisms are still unknown. So who's to say that immune system reaction triggered by vaccination isn't causing same kind of hard to detect damage. I'd be much more comfortable with the vaccine if the long COVID studies included groups :
- no vaccination/hospitalised
- no vaccination/asymptomatic
- vaccination/not infected
- vaccination/infected
I'm not a risk group and have no problems with social distancing so I'm waiting for stuff like this to come out.
> I'm not a risk group and have no problems with social distancing so I'm waiting for stuff like this to come out.
Respectfully, I think what you're really waiting for is this thing to blow over so you don't have to take any personal risk. That's likely to be a fail, as you're just a waiting Petri dish for the live virus to infect.
All kinds of things have risk and the craven merchants of doubt are busy spreading FUD about the vaccine. It's really our only way out of this shit show, because waiting around is just prolonging it.
Or would you like to have a long drawn out conversation about the long term health effects of:
* preservatives
* artificial sweeteners
* high fructose corn syrup
* pesticides
* HPV infection
* influenza/rhinovirus infection
* sunburns
* a night of heavy drinking
Because we can absolutely have a long, drawn out, twisting conversation about all those things.
On one hand I'm being presented with avoiding long COVID sideffects as a reason to get vaccinated - on the other I get no proof that vaccination doesn't do similar harm and that it's actually protective of those effects.
I don't really mind social distancing measures untill people in the risk groups get vaccinated - all of my high risk contacts have been. So I don't get what we need to get out of, my government is already saying they will eliminate COVID measures after summer, UK style.
I'll get vaccinated at some point if I have to do it for travel or what not - right now I'm not convinced - the social arguments don't make much sense to me (variants will come up anyway, you can get infected and spread the virus even if vaccinated you're just reducing risk)
> On one hand I'm being presented with avoiding long COVID sideffects as a reason to get vaccinated - on the other I get no proof that vaccination doesn't do similar harm and that it's actually protective of those effects.
Well if you're feeling conflicted between these things, you're just being willfully ignorant at this point. The vaccine protects against severe COVID, hands down. Long COVID is highly correlated with severe COVID. The data is absolutely rock solid on both of those. And for these nebulous "unknown long term effects" of the anti-vaxers keep scare-mongering with, the data on that is also pretty damn good. There is no data supporting widespread negative effects from the vaccine after a year. mRNA vaccines have been in use for decades to combat influenza, and there is similarly absolutely no data to support long-term effects from their use. Even a cursory education about how mRNA vaccines actually work, how they create an immune response and don't alter your DNA should be enough to convince most Science-minded, reasonable people. The immune response induced is on the order of any other; there's nothing special about the COVID vaccine immune response! And it doesn't give you an actual viral infection. A vaccine is literally all the benefit with none of the downside. Unlike dummies who think that somehow actually getting COVID is better for immunity. No data supports that conclusion, either.
The vaccine is effective and safe. People who tell you otherwise are just manufacturing doubt and spreading FUD. They are fucking this up for the rest of us. We could have reached herd immunity with the vaccine by now, and variants would no longer be of concern.
> right now I'm not convinced
Well, I'm not inclined to believe that you can be convinced, because you didn't reason yourself into the position you're in now. No one will be reasoning you out of it. We're mostly just combating your further spreading of FUD like your apparent willingness to be a link in the chain in further spreading of the goddamn virus. It's really incredible the selfishness here.
You're just being presumptive, overreaching in conclusions and overconfident in your narrative. I've seen two studies linked recently about long COVID. Neither included vaccination as a test variable. Since these two studies were recent and newsworthy enough to link on HN I'm assuming your "There is no data supporting widespread negative effects from the vaccine after a year." boils down to there is no data because we didn't look for it. There would be no data of asymptomatic long term effects of COVID if we didn't search for that either.
I have 0 problems with people at risk of serious COVID getting vaccinated, in fact I convinced my grandparents to do it. I don't really see what it buys me as a healthy 30 something year-old with no preexisting conditions, other than likely being a day out after the shot.
>We could have reached herd immunity with the vaccine by now, and variants would no longer be of concern.
How does that compute ? I thought nobody actually believed zero COVID is possible ?
Bigfoot is out there, and UFOs. Sorry, I shouldn't mock you. But seriously, epidemiologists, you know--Scientists--without political agendas study this problem very carefully...and do not see any widespread effects from the vaccine after a year. It's not like they forgot to look for it. If you seriously believe they are just being willfully blind to it then you're going to be off a long chain of other rationalizations that are just more hallmarks of the fact that you didn't reason yourself to where you are. But I already suspected that so I am not trying to convince you as much as tag your misinformation for passers by.
> I don't really see what it buys me
This is really the crux of matter. You only think about yourself. One, you are are far higher risk of Bad Things (tm) straight-up getting COVID, especially with Delta and Lambda coming. Again, the data is absolutely clear on that. Two, other people exist. Data shows you are more likely to be infected and more likely to infect others if you are unvaccinated. You help keep this thing festering by offering yourself up as a host. And no, vaccinated people are not doing the same. They are actually taking precautions that protect themselves and others. You're just being selfish and obstinate, and it isn't even principled, you are just worried about vague side-effects that only affect you. Worse, you put vaccinated people at risk too. If you are infected, and also being in contact with vaccinated people, you are just offering evolution more dice rolls to create a more infectious variant that can evade vaccine-induced immunity and infect the people around you. In fact, you tempt evolution to do so, because it's then a selective pressure. It's like giving your crazy neighbor who steals people's bullets and shoots them into the air randomly free ammunition by putting it on the porch with a bow on it instead of locking your shit up in your house. It's infuriatingly irresponsible.
> I thought nobody is actually believed zero COVID is possible?
I said herd immunity, not zero COVID.
herd im·mu·ni·ty, noun:
resistance to the spread of an infectious disease within a population that is based on pre-existing immunity of a high proportion of individuals as a result of previous infection or vaccination. "the level of vaccination needed to achieve herd immunity varies by disease but ranges from 83 to 94 percent"
Zero COVID was a possibility when infections were low. But back then, people were saying it only affected a few people and didn't even want to wear masks. Irresponsible people brought this upon us and keep it going with continued irresponsibility.
I think you're irresponsible and I'm saying it you explicitly.
>you know--Scientists--without political agendas study this problem very carefully...and do not see any widespread effects from the vaccine after a year.
??
This entire thread is me asking if there's some studies that compare long COVID sideffects with groups based on vaccination. Instead of linking these, since you're already certain (and I would very much be convinced if you can show me) you are saying "believe science" ? And I'm unscientific ?
By all means enlighten me and I'll edit my top post with links to stop spreading misinformation.
So you're just googling post hoc and haven't actually looked into it. How scientific.
This study [1] is what got me interested, they claim gray matter loss compares to control group even in asymptomatic cases but they excluded vaccinated people from what I can tell. I want to see this level of data for the groups I mention and then we have a really good insight. And this data should be possible to get.
Your links are articles referencing self-reports and doctors guesses...
> So you're just googling post hoc and haven't actually looked into it. How scientific.
Actually, I've seen dozens of articles fly by and they all said pretty much the same thing, because the data is so clear that no one really disputes it. I just googled it because it's stupidly easy to find. Nothing's going to convince you anyway, so there's no point in putting in more effort at this point.
If you're so concerned, don't get the vaccine. But I'm begging you to please stop spreading baseless FUD about long term side effects. There is 0 evidence or any theory at all that could account for that.
> So who's to say that immune system reaction triggered by vaccination isn't causing same kind of hard to detect damage
This is pure conjecture base on literally nothing. I don't mean to sound harsh, but it's just baseless. The immune response from the vaccine works like any other type of vaccine immune response. The mRNA vaccines cause you own cells machinery to build virus proteins at which point it works just like any viral subunit vaccine, which have existed since 1970 and include flu vaccines, hep A and B, and few other you may have had already. Billions of people have received those types of vaccines and they don't have long term negative effects, except rarely when someone has an acute reaction right after vaccination. It is true that some people have allergic reactions (a strong an destructive immune response), but they happen within about 4 hours and symptoms usually clear up in a few days.
If the COVID vaccines had some mysterious far off long term effects, it would be the first vaccine ever to do that, and there's no reason to suspect that might be the case. You may find this nature article interesting https://www.nature.com/articles/s41577-020-00479-7, it's about general vaccine immunology.
I'm not telling you that you need to get vaccinated, but the particular concern you're raising isn't something you should be worried about.
>The immune response from the vaccine works like any other type of vaccine immune response.
You are assuming because the mechanism is the same that the effects will be as well - it's like saying "we have this black box service we sort of have an idea of what it does and if we send it X/Y/Z we know what happens, it should work the same with W too - I've been in that scenario often enough to know that's an assumption that I'd rather see the data for.
I already saw that people in my peer group reported short term side effects like headache after getting vaccination, have taken days off from work, family members complained about dizziness the day after.
It's relatively easy to do these studies along with long COVID studies, should be insignificant even compares to money that will be spent on vaccination campaigns - so why skip out on valuable data.
> You are assuming because the mechanism is the same that the effects will be as well
I'm not assuming, the whole field of immunology seems to be on board here. We know pretty well how the immune system work and how immunity develops from exposure to foreign material, it isn't black magic. There's no black box here the immune system has been well studied, and we know the inputs as well.
Vaccines are probably the safest medical intervention we have, the reactions you're describing are typical immune responses that are well studied, well understood, and temporary. No vaccine has every caused some long range reaction in the we you're describing.
> It's relatively easy to do these studies along with long COVID studies
One could, but there's absolutely no reason to bother, because immunology is a well established field and we know what happens after people receive subunit vaccines. The only moderately novel part here is the mRNA which has been tested for 30 years in vitro, in animals, and in people.
There is no mechanism for the vaccine to have some long term effect that wouldn't be apparent within a short time period give the MASSIVE number of people who have received the vaccine. Again, you don't have to take the vaccine, but the thing you are worried about isn't supported by any evidence or research it is amateur conjecture at best.
>There is no mechanism for the vaccine to have some long term effect that wouldn't be apparent within a short time period give the MASSIVE number of people who have received the vaccine.
By the same logic brain effects of long COVID on asymptotic cases is impossible aince these people don't even know they had the infection and shouldn't be studied either.
Saying that the immune system is well studied and we know what happens when we don't even know the mechanism behind the long COVID sideffects is again overreaching.
And I'm not saying my "amateur conjecture" is likely true, I'm saying given the surprising sideffects of COVID on asymptomatic cases it's not really unreasonable to check this kind of things - especially when you're vaccinating a huge % of population in one step (other required immunisations happen generationally)
> By the same logic brain effects of long COVID on asymptotic cases is impossible
No, not at all. The virus binds to ACE2 receptors on cells, where are all over you body and in your circulatory system. You could be infected and fight it off without acute symptoms and still have enough systemic damage from the virus and immune response to have lingering effects.
> when we don't even know the mechanism behind the long COVID sideffects
We do, it's cellular damage from the infection. This is well studies with the flu and various other viruses. What we don't know is why it seems to effect some people and not others, the risk factors, and we're still parsing through symptoms to put together a full picture. There's no mystery as to how this happens. When researchers say they don't know why brain fog is a symptom, it doesn't mean they have no clue how it happens.
> I'm saying given the surprising sideffects of COVID on asymptomatic cases it's not really unreasonable to check this kind of things
It isn't surprising though. Plenty of viruses can cause lingering systemic damage without sever acute symptoms. The long covid cases were appearing as early as late April 2020 in the US, and clearly wen't caused by the vaccines that weren't available for a year. This whole what if scenario is just baseless FUD.
> None of the currently available vaccines in the US are FDA approved.
On one hand, I can't wait for the Pfizer vaccine to be fully FDA approved in September. On the other, everybody who uses that argument today will simply forget about it and move goalposts.
Exactly this -- people have just seized on the the "not FDA approved" line because it sounds reasonable if you don't really understand how FDA approval works or what it really means. As soon as it's approved, the goalposts will absolutely move to "well, I don't trust the FDA".
For those "waiting for FDA approval", have you ever taken a vitamin supplement? Guess what, you're putting not-FDA-approved chemicals into your body.
>If the vaccine is as effective as it seems, then this decision feels positively nanny state to me. It takes away an individual's agency to inform themselves of the risks on both sides and make an informed decision
If this were mandating that every resident of NYC must be vaccinated, I would agree. But it's not doing that. It's only saying that anyone wanting to dine (or possibly shop, too) indoors, that is, in spaces we know to have higher contamination and spread rate, they need to be vaccinated. People that are hesitant can still go unvaccinated and that's fine, but they have to keep to areas where contamination and spread are less prevalent.
From Alec Karakatsanis's excellent Usual Cruelty on plea bargains:
> “the Constitution requires that every guilty plea waiving the constitutional right to trial by a jury of one’s peers be knowing, intelligent, and voluntary.69 But no one who works in the criminal system thinks that contemporary plea bargaining produces voluntary agreements. The vast majority of plea bargains are accepted by people who are told that they will be imprisoned for longer if they do not give up their right to a jury trial. Many of these people are in jail and are told that pleading guilty is the only immediate way out of jail. In no other cultural context would the word “voluntary” describe this arrangement. Should my coworker ask a person out on a dinner date but tell the person that, if he does not accept, he will be placed in a cage, no one would view the person’s agreement to dine with my coworker as voluntary. That’s not how we understand “voluntary” actions.”
Plea bargains are a totally different world, I'm not trying to compare this decision with plea bargains. What I would like to illustrate, through the author's example, is the process by which modern governments reduce the individual's agency in a de-facto manner, while de-jure asserting that individual's rights are upheld. People have been stuck inside for so, so long, keeping them out of restaurants if they don't get vaccinated is surely just manipulating their decision making toward getting a vaccine they may be uncomfortable getting.
I suppose I don't really get what good this does. If a person decides to not get vaccinated and then decides to dine indoors, who are they harming, other than potentially themselves, by making that decision? I wish they would get the vaccine, but I also do respect their rights to judge the information available for themselves without severely restricting their ability to live their lives.
Who are they harming? Literally everyone else in the space that is now more likely to be exposed to someone with the virus (and who has taken fewer precautions to avoid being contagious)
People’s rights to swing their fists around wildly end at my face
Minority communities have the lowest vaccination rates. They were also discriminated against in the past. Your argument is same as justifying segregation by saying "how being required to dine separately from another race is a severe restriction on someone's ability to live their life?"
> Minority communities have the lowest vaccination rates.
Do we know if this has more to do with unethical bosses not allowing paid time off to get vaccinated, or more to do with echo chambers about vaccine safety, or something else?
There's definitely overlap between these, of course (an anti-vax boss might create both of these problems in their workplace).
If you look at De Blasio's announcement of this "Key To NYC" program, the stated purpose sounds pretty clearly like trying to pressure people to get vaccinated. He gave the example of how successful it was with mandating city workers get vaccinated. Making it clear that this is to show New Yorkers that the way to participate in normal life is to be vaccinated. Sort of a "enough is enough, it's time to get vaccinated" attitude.
Maybe you think his real purpose is what you described rather than his stated purpose, but if he were hiding the ball I'd expect it in the other direction. It's rather jarring, really. But I suppose authoritarianism and paternalism are becoming more normalized these days.
> Maybe you think his real purpose is what you described rather than his stated purpose, but if he were hiding the ball I'd expect it in the other direction. It's rather jarring, really. But I suppose authoritarianism and paternalism are becoming more normalized these days.
I don't think de Blasio has a real purpose. I think he's doing what his advisors and experts are recommending he do and he's trying to make it sound purposeful because the political like sounding purposeful.
It’s not a small stretch to imagine expanding it to all grocery stores. Then if you want to eat you have no choice but to get it. What about denying healthcare for unvaccinated? Another easy step.
> It’s not a small stretch to imagine expanding it to all grocery stores.
When Covid first broke everything shut down. That is, everything except grocery stores, which were open to all. So yes, I think it's a big stretch to imagine it expanding to grocery stores.
Yes, because no one ever breaks the rules of the road right? I mean, you've never driven over the speed limit? Parked in a non-parking space? Driven through a red light? Yes, what a great example lol.
Your response to a claim that the state has a compelling interest is an argument that enforcement is incomplete. You do see how these things are orthogonal, right?
> It's putting a scarlet letter on these people and shaming them for making their own choice about their own bodies.
Yes, that's how de Blasio phrases it, but I think there's more to it than how he's talked about it.
The way I see these mandates is an effort to have people maintain a person R-naught of less than 1. How each person achieve that is up to them. They can wear masks, they can get vaccinated, they can avoid places with high transmission rates (such as indoor dining/shopping), or a combination of all these things. And ideally we find more options for people to take so that that everyone can help achieve a personal R-naught in a way that best fits their needs.
Ultimately, the goal is to create a win-win scenario where on a personal level individuals can choose what degree of transmission prevention they want to pursue, and on a social level we're organized so that everyone is (hopefully) not infecting others, or doing so so sparsely that the infection rate is going down.
The goal now is to find a comfortable equilibrium in which society can continue to do its thing without explosive outbreaks of Covid. These sort of mandates help get us there. This is all still very new and we need to find more methods in which we can reach that equilibrium, and we should continue to look for them, but we can't let Covid-19 run rampant until we feel we've all the options we like.
> we can't let Covid-19 run rampant until we feel we've all the options we like.
What makes you say this? There is literally no other city in our country doing a lockdown like this. Many places are still opened up and not experiencing a surge. Even in Missouri, cases have dropped in many regions in the last few days without such lockdowns, and hospitals have not been overloaded.
Expansion of covid wards is not overload. Mortality rates aren't skyrocketing, and people aren't dying in the streets like we saw in Italy and China in the first weeks.
Don't get me wrong, there has been an increase in cases and the R0 needs to be lowered. But draconian measures aren't necessarily required, as Greene County MO's recent infection rates have shown[1]. The R0 sits at below 0 now, and hospital case loads have stabilized.
I don't understand calling it a nanny state. The government punishes you for not wearing a seat belt, children are excluded from school if they aren't vaccinated, drunk driving is illegal. Other than fda approval is the covid vaccine any different? if you're worried about the long term side effects and thus choose not to get vaccinated shouldn't you expect to not participate fully/freely in society (a la children's vaccines or repeat drunk-driving offenders)?
> We have absolutely no idea if there are any long term side effects of these vaccines.
By that logic, we have absolutely no idea if there are any long term side effects of COVID-19, and how they might compare to the unknown of the long term side effects of vaccines.
We do know that many COVID-19 patients have had very bad effects over many months (I'm thinking of long COVID here), not to mention the possibility of death. We don't know what it'll be like 5 years from first getting COVID-19, but we know long term problems happen from the virus.
Compare that to what's known about the vaccine: we haven't seen any indication that the vaccine is causing very bad effects over many months in any significantly large percentage of the population.
You lose all credibility when you bring up the Biden/Harris comments.
At the time we were at the point where it was a real possibility that Trump would push out the vaccine regardless of the status of trials, etc. Trump kept saying dates and deadlines for all sorts of things throughout the pandemic that had no basis in reality, to the point that pushing out the vaccine early was a real possibility, just to make him look better.
THAT is what the Biden/Harris comments are referencing.
Could they have been more clear? Absolutely. But I'm confident that you personally know the difference and that you're just deciding to peddle that bullshit to further whatever right wing agenda you have.
If the vaccine had been rushed under trump it would have been malicious, but if the vaccine is rushed under Biden it's kosher?
This is partisan logic and pointing it out doesn't make someone right-wing.
It wasn't rushed under Biden, at least in the sense that it didn't skip any steps or ignore trial data (the whole vaccine process was as quick as possible under both Presidents, of course).
There was a real worry that it would be maliciously rushed under Trump.
Imagine this: Trump guts the FDA leadership and installs fringe scientists. Those scientists then skip steps, ignore trial data, and push out the vaccine.
If you think that was a far out possibility, then you're likely right-wing. The Scott Atlas situation alone should convince you that this was possible, let alone everything else about Trump.
> If the vaccine is as effective as it seems, then this decision feels positively nanny state to me. It takes away an individual's agency to inform themselves of the risks on both sides and make an informed decision.
Do people feel the same way about schools requiring vaccines, or children getting the MMR, Hep B, or Polio vaccines?
Does cautious science make the state less of a nanny? Isn't the critique of nanny state about whether the state is acting like a parent, knowing what's good for you?
People who have already gotten covid infection are extremely unlikely to get it again and some reports are saying that they have stronger immunity than vaccinated ones. This is not the case for things like polio. Plus based on Israel, the vaccine is also losing efficacy after 3-6 months so they are giving a 3rd shot now. That's not the case with polio vaccines.
We didn't get this vaccine out of nothing in 9 months. Every time there was a corona virus scare in the past (i.e., SARS and MERS) there was research into vaccines. After the panic dies down, these got shelved, but they served as a starting point. We've been developing this vaccine on-and-off-again for the past 20 years.
As I clearly mentioned, this vaccine is not FDA approved. We have no idea of the long term effects. I find it fairly reasonable to not want to be a test subject.
Do vaccines being approved by government make the government not a nanny state? Isn't that still a matter of government knowing what's good for you, as a parent would?
Perhaps you have no idea, but the people closest to this science, including the countless government agencies around the world that have given authorization, have a pretty good idea. The design and length of clinical trials is not arbitrary, but your personal idea of "long term" is arbitrary.
Do we have data on 5, 10 years after usage? I'm fairly certain that there won't be anything either (based on what experts have said), but we should withhold making assertions without data to back it up, right?
Well, mRNA vaccines have been in human clinical trials for over 10 years now, so if 10 years is your metric you may want to look in to that. My greater point is that to you and I - people who do not research the human immune system - 5 or 20 or 40 years may all seem like reasonable metrics. The people closest to the science disagree with us, at least in part because they cannot identify any mechanism for these vaccines to possess stealth side effects that only emerge decades later.
I don't care if this data exists or it doesn't. Even without this data, there's no good reason to think that the vaccine has a higher chance of long term complications than COVID itself, which makes the decision to get vaxxed an obvious one, even for young people.
Yes, training your cells to mass produce a new protein we're not familiar with is absolutely safer than your trained immune system possibly encountering a mild viral load, with the proteins attached to the shells as normal.
Anyone who doubts the safety of this new immune system programming is obviously either a science denier or a paid [insert foreign country] shill.
This is silly because of the strong evidence that has emerged about long COVID. We know there are often significant long-term complications to COVID. You can see things like reduced grey matter volume in people who have had COVID across multiple regions of their brain. Yet for mRNA vaccines there is simply no reason to expect anything remotely this bad. You're positing that there could be surprise side effects into the future that will, with non-trivial probability, outweigh the long-term side effects from COVID (e.g. literal brain damage) that we've already observed. If long COVID wasn't a well-established observation, then I'd grant that you have the ghost of a point.
To be fair, vast majority of those scientists also claimed the lab leak theory was impossible and a conspiracy theory and 1.5 year later flip flopped. If it was so easy to silence scientists on such an obvious issue, what else were the dissenting scientists silenced on?
The frustrating thing about weaselly antivax nonsense like this is that if you just google your question, there is a clear answer:
> Over 20 women enrolled in the initial adult Pfizer/BioNTech vaccine trial became pregnant during the study period, and none suffered pregnancy loss or perinatal complications.
I understand that some people are not as plugged into the internet, or have various difficulties understanding information, but I doubt that describes you as a hacker news commenter. There is really no excuse for you to be ignorant about things that you can find an answer to in mere seconds.
Right, I am only arguing that we are not flying totally blind here. Is the risk 0%? No, never. But the people who know the science best think the risk of something occurring beyond the timeframe we have good data for is very, very low. And the idea that there is a certain amount of years or decades, or a certain life event that changes the expectations of how this impacts human health, is something that we are only guessing about. Whereas the people with the knowledge and background to make educated guesses generally have little to no concern.
That's an appeal to authority and we know there's a big problem with censorship right now. (Medical) doctors and professors who ask questions about the effectiveness of vaccination policy have a high chance of getting fired. In my country a researcher got fired a few months ago after publicly saying there's no guarantee that getting vaccinated means you will no longer spread the virus. By now he's been proven right of course, but meanwhile he did lose his job, his income, his reputation, and his voice in the media.
So how is it possible to have an honest, open discussion (not to mention conduct proper science) in such a highly censored environment?
(For the record, I'm not antivax and not against these new vaccines, and I think it's also worrying in and of itself that many people like me feel this needs to be said every time in these discussions in order to minimize the chance of name-calling and personal attacks.)
Higher or lower than the chance of hospitalization for women of childbearing age for covid-19? Many people suspect that the answer to this question is "we don't really know". But public health agencies are trying to boost vaccination rates, period. So they say "just get the vax". It's getting exhausting trying to parse out the truth from the various "noble lies".
This leads many people who already mistrust "the system" to tune out future guidance and legitimate information. Black Americans, and Republicans, for example.
I upvoted this. I strongly agree that public health communication has been awful at times and has absolutely diminished trust. Especially the recent f*ck up at the CDC where they spread disinformation about vaccinated people and their ability to spread the Delta variant.
Referring to unsettled science as "disinformation" seems premature. Is it not the case that we have some preliminary evidence that this may be the case? I've seen lots of criticism of the study that led to their updated guidance about this. Confounding variables, etc. But these are experts giving us their expert opinion. Surely it should at least be considered a possibility worthy of more study? Does referring to it as "disinformation" create a chilling effect around truth seeking?
Are there other studies, or a "preponderance of evidence", so to speak, that refutes their position? I'm not aware of any. Most often I hear people make "common sense" or "just so" arguments about vaccines in general and how they work. Nothing specific about the covid vaccines. The majority of which, at least in USA, utilize novel tech.
Fair points, and I don't stand by calling it disinformation. This particular incident has just really frustrated me. I'm not sure exactly what the CDC was thinking by elevating this study so much, or why it was leaked before publication. But it does look suspect to me.
The limitations discussed in the paper seem to have been completely ignored by the media. That isn't surprising at all, but it is a little suspiring that the CDC made a such a quick and resolute policy change based on a study with such obvious (and some might say peculiar) limitations.
Just as they had a good idea that vaccinating would effectively make the virus transmissible, just as they had a good idea about masks working and not working, just as they...
Not sure what point you are making, but vaccines work and are neutralizing the pandemic in places with sufficient coverage. The Delta variant does spread more aggressively to recovered or vaccinated people, but very, very rarely sends them to the hospital.
It is definitely not reasonable for a healthy young person who hasn't had COVID yet to skip out on the vaccine, given that the long term complications from COVID are almost certainly going to be worse than any (if that) associated with a vaccine, and getting COVID eventually is pretty much guaranteed now.
Israel is reporting the vaccine efficacy goes down by 50 percent in 3 months and down to 16 percent in 6 months. Now they are talking about a 3rd shot. If despite all this, the FDA somehow approves this, I doubt it will convince people. This is especially relevant for millions of people who have already gotten immunity via infection itself.
People need to start protesting with their wallets.
People need to talk less and act more.
I work in NYC, in an "essential" service. In the beginning myself and other workers were threatened with discipline if we did not show up for work. We were told to go straight home, and stay inside, and do as little as necessary otherwise.
Now, this is easy for me, as I am single with no family, but I continue that policy to this day. I buy the essentials and no more.
You want to threaten me? If I don't do this, I can't travel? Fine, I'll keep my money. I can't go to a restaurant? Fine, I'll keep my money, and cook myself. I can't go to the beach? Well fine, I'll keep my money. I'll find something else to do (some of the parks are empty this time of year as everyone's at the beach!). Can't hurt me by telling me I can't spend.
I do the same when gas prices jump. I travel less. Not because I'm hurt more financially, but as a middle finger to the corporations behind the price increase.
Yeah, it doesn't make a dent in the grand scheme, but at least I don't feel the fool.
Honestly with all of this spending less and the way even essentials are jumping in cost, I haven't been able to save much more, and that's a shame.
There are so many ways Americans could make this work, to send a message, if they didn't spend as the corporate overloads told them they have to do.
One idea i've been musing for a while is that much American grief (high prices, archaic governments etc) seems to stem from a lack of new cities. Say austin is the new hotness, settled in 1800s. What about building a 2000s friendly city in the middle of nowhere and not limiting ourselves to the decisions made in 1800s like where's the water and walking/horse is the only mode of transport?
I think that exorbitant cost of living is a large part of what makes it miserable. That and overcrowding.
You can get around town really without the cost of a car. For a little time and $3 you can go damned near anywhere in the city (and let's admit: with traffic and the wrong time of day, the subway can come in at a shorter ride than a taxi). How many places in the US can you do that?
Remote working may not make that such a big deal, but then you add entertainment and other activities. Fix the two major issues and maybe a good City government, and it could be far from miserable.
Since NYC was the epicenter of early Covid cases, it means a sizable subset of the population, especially essential workers, were already infected and recovered. These workers, who bore the risk of serving those sequestered at home, are now to be punished for their service? https://thehill.com/opinion/healthcare/558757-the-ill-advise...
> During the pandemic, the professional laptop class protected themselves by working from home while exposing the working class that brought them food and other goods. It is now the height of hypocrisy to recognize immunity from vaccinations but not immunity from those exposed while serving the laptop class.
> Consider this from the Wall Street Journal. “Children under the age of 12, who cannot be vaccinated according to the Centers for Disease Control and Prevention, would likely not be excluded from the program’s outlined indoor activities ... So Broadway shows of children’s plays are permanently banned? Families cannot eat in restaurants? Kids under 12 cannot go to indoor events at all? Is this serious? Media questioned New York officials about all of this, and it truly appeared as if the geniuses running the city had completely forgotten to think about children at all. The question alone seemed to take them by surprise. If they exempt them, there is already a problem. Why include a 12-year-old but exclude an unvaccinated 13-year old?
> Regardless, this is an appalling and unthinkable amount of compulsion to impose for the sake of a vaccine that the willing have long ago accepted and about which the remainders have either grave doubts or hard-core opposition. People figure that it will be challenged in court but that takes time and money, and it is not at all clear how courts will respond. In the end, though lawsuits are fabulous and there should be many more, I don’t see how they stop this tyranny. I’m not sure what precisely does but I know this much: a people and culture that acquiesces to this level of imposition is not well suited for the preservation of liberty or civilization in general. This really does feel like a new chapter in the history of American rights violations.
I am also voting with my wallet. Despite being vaccinated, I am watching the infection dynamcs closely when considering indoor activites, especially where I can't wear a mask.
Same here. I won't spend money anywhere where it seems likely that I'll have to encounter unvaccinated people, especially without masks. They can infect each other if they want, but leave me out.
By not getting vaccinated you are pushing the onus of responsibility to society.
When you occupy a bed in a hospital for a preventable disease (like covid post-vaccine) you are a detriment to society. You are occupying precious resources because you were dumb. Just dumb. No ifs or buts - we need to start calling out stupidity again.
We already handle people occupying hospital resources with self inflicted diseases, like lung cancer or liver trouble, by taxing the shit out of cigarettes and liquor (in countries where universal healthcare is a thing). We can’t put a covid tax on people I guess, so we might as well mandate vaccinations for everything we can.
People who believe vaccines aren’t at least reducing mortality by 10x to 100x can just maintain their stupidity and become pariahs to society. I idgaf anymore. These people are dumb and I won’t waste another breath defending them. It is immediately proven from vaccination campaigns globally that the impact vaccines have is at least 10x reduction in mortality. Vaccines would be worth it even if they killed 1/2 of the numbers of covid, bout they don’t. They are a HUGE reduction.
> From 1999–2000 through 2017 –2018, US obesity prevalence increased from 30.5% to 42.4%. During the same time, the prevalence of severe obesity increased from 4.7% to 9.2%.
> Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer. These are among the leading causes of preventable, premature death.
> The estimated annual medical cost of obesity in the United States was $147 billion in 2008. Medical costs for people who had obesity was $1,429 higher than medical costs for people with healthy weight.
Also, if the government really cared about the health of the population, why aren't they mandating exercise or dietary health?
This is just a fallacious argument but you know this. Saying “if x is true then why not y also” is just a false dillemma. Not sure who you are but potentially just a russian bot troll of some kind.
They are doing that very same thing with sugar taxes in other countries. The USA is not the world and my argument really is focused on countries with free healthcare.
Exactly! Here in Mexico the government implemented sugar taxes and "warning labels" [1] for unhealthy food. I think any sort of "government mandated" approach doesn't work for the USA. I think in the US a better response would be obtained by "credit tokens", tax deductions or some other money related incentive, given that the US is more capitalist.
The interesting issue is how to operationalize such type of incentives program. (i.e. Are you COVID19 vaccinated? we will give you a 5% discount in your taxes next year. You get a unique "discount coupon code" after getting your 2nd shot.)
The previous resources isn’t the ventilators themselves anymore, it’s hospital beds and healthcare staff. Especially healthcare staff.
We’re almost done with the restrictions here in Denmark. You know why? Because people got vaccinated and because we required proof of a test or vaccination to keep the spread down while we were building herd immunity.
It’ll be rich when all that effort was wasted because some new strain mutates in western countries that were full of adult babies.
Not an anti-vaxxer but I agree with you given we'll prob never get rid of covid, and if we somehow manage to mobilize the entire planet to support one unified lifestyle change in any meaningful timeframe, that'd be an extremely radical event in the course of human history, as far as I understand, so I'm not betting on that either. I think you're right to point out that society needs to support the existence of covid beyond vaccine mandates.
I agree that the vaccines pose very little risk to a given individual, even though the possibility of long-term effects have yet to be ruled-out in the scientific literature.
But there are selective pressures & second order effects to consider regarding mass vaccination using the current mRNA vaccines which induce an immune response that is highly targeted towards the SARS-CoV-2 spike protein [1][2].
Combined with the evidence that people who have naturally acquired immunity are protected equally as well as vaccinated individuals [3][4], and that combinations of existing medicines have proven effective in reducing hospitalization and death [5] - don't you think that a strategy focused on vaccinating only the most vulnerable populations across the world would be more rational?
> By not getting vaccinated you are pushing the onus of responsibility to society. When you occupy a bed in a hospital for a preventable disease (like covid post-vaccine) you are a detriment to society. You are occupying precious resources because you were dumb
Why are you focusing on weak predictors of expected medical cost like vaccination status instead of strong predictors like diet and obesity?
Because vaccination is virtually free in comparison to getting people to lose weight.
Vaccination takes minutes while getting someone to lose weight takes months.
Whatever. This whole vaccine vs obesity is a false dillemma and a logical fallacy. And if you’re smart you know this and if you’re not smart it’s not worth the trouble to try and educate you.
You are looking at things from the perspective of being vaccinated. Yeah you are fine because you got vaccinated. But because you are vaccinated, you now pose a risk to all unvaccinated people because you now have a non-zero chance of transmitting.
In other words, by getting vaccinated you pushed the onus of responsibility onto society.
See how this is a zero-sum game? Either everyone gets vaccinated, and maintains that vaccination forever, or someone is still getting the short end of the stick, and society as a whole loses.
I'm sure you personally feel great for getting a vaccination, but that means literally nothing in the grand scheme of things. But clearly getting everyone vaccinated isn't the focus here, not with this post nor this law. The focus is clearly to feel good about yourself if you are vaccinated and look down upon those who aren't. So I'd say keep ngaf, because as long as lawmakers share opinions like those of yourself, this issue isn't going anywhere.
Whether or not SARS-COV-2 becomes endemic and chronic isn't clear, though that does appear a possibility. It's been detected in 40% of tested wild deer population in 2021 across four US states:
A persistent animal reservoir in North America, and presumably, other continents, in multiple species (deer are simply where we've looked so far), would suggest a substantial risk of chronic Covid, continuously evolving and mutating. My own very nonexpert concern is that COVID-19 will be with us for at least another 2--3 years and quite possibly well beyond that.
The vaccine massively reduces the major risks associated with COVID-19. Including the risk of transmission to others.
A fact you seem to be quite pointedly ignoring.
Scale and degree matter.
(That relative rates have to be discussed on HN, a site nominally dedicated to fractions-of-a-percentage conversion-rate optimisations in advertising and sales funnels is ... well, it is.)
Yes but where did I say anything to the contrary? If you don't have COVID, there is a 0% chance of you transmitting the disease. Regardless of if you've had it before or not, once you get the vaccine you now have a > 0% chance of transmitting the disease, and it is a statistically significant chance. All you're doing is posting articles that boast the proficiency and efficiency of the vaccine, which I never discounted. The focus here is that once you get the vaccine, you become a transmitter, doesn't matter that you have lower chance than someone who is unvaccinated. W.r.t someone who does not have COVID, they should take the same precautions against those who are vaccinated as they do for people who are not, and my post is pointing out the hypocrisy of the OP who seems to believe that since they are vaccinated, they are somehow safer to be around than someone who is unvaccinated, while to an unvaccinated person who does not have COVID, these two groups of people should be treated the exact same way.
A bit off topic but you know what’s really jarring for me?
For the past ten years I’ve agreed with the majority on hacker news on almost every issue. Software patents, voting rights, who knows what else. Everyone seemed to just find the right answer and it made sense.
Then all of a sudden I’m in tiny minority because I believe people should be able to choose what they put in their own bodies. It really feels like a twilight zone episode.
> I believe people should be able to choose what they put in their own bodies
You still can, with limited exceptions:
* Kids need to be vaccinated against ~9 ailments before they attend school (seems mandatory but homeschool is an option in every state)
* Adults need to be vaccinated against one before they patronize indoor restaurants, entertainment venues and gyms (completely optional activities and only in the densest city in the US, probably some others will follow)
There are also things you are banned from putting in your body, some by age (tobacco & alcohol) and some entirely (e.g. DEA scheduled drugs) and some controlled to the point that are effectively illegal to consume (e.g. meats that aren't allowed to be harvested or imported)
> Adults need to be vaccinated against one before they patronize indoor restaurants, entertainment venues and gyms (completely optional activities and only in the densest city in the US, probably some others will follow)
Also, adults that want to attend college classes on campus need to provide schools with proof of vaccination for about a half-dozen diseases. This was the case 20+ years ago, and it's still the case today.
So why did vaccinations suddenly become a huge problem with people today? Are these people who were never going to go to college but would have caused a fuss if the school demanded vaccination records? Or is it the right politicizing a health issue with misinformation? Maybe it’s even the left pushing vaccines that suddenly has people reflexively twitching their combative muscles?
The COVID vaccines reduce the risk of infection by a factor of 4 and the risk of serious disease by a factor of over 100. You’re right that vaccinated people still get COVID but the vaccines do a very good (if not quite perfect) job of protecting people and stopping spread to others.
> Then all of a sudden I’m in tiny minority because I believe people should be able to choose what they put in their own bodies.
It's just being selective, because you had to be vaccinated to go to school and/or college.
And ain't nobody alive today that can choose to not ingest microplastics, PFAs, pesticides, many can't avoid lead in their drinking water, and none of us can avoid air pollution.
And COVID for that matter! I would like to choose to not put COVID in my body! It'd be great if I could CHOOSE that. But people are just wandering around spreading the plague like that's their constitutional right. Your unvaccinated fist is right in my face.
>But people are just wandering around spreading the plague like that's their constitutional right. Your unvaccinated fist is right in my face.
This kind of thinking is the root of the problem: so many people nowadays are so completely devoid of values that they have no problem infringing on other people's fundamental rights just to minimise risk to themselves. In decades past Americans were willing to die to protect the freedoms of their fellow countrymen, now they're so spineless they'd rather destroy other people's freedoms just to prevent a risk that's incredibly miniscule considering they're already vaccinated.
I agree with you (pro-vaccines) but the same can be said about "Your emergency approved vaccine fist is right in my face" is what the other side is probably thinking as well. Pesticides, removing lead from water, etc. do not happen on the client-side by taking an experimental pill that produces proteins to fight microplastics, heavy elements, etc.
>And ain't nobody alive today that can choose to not ingest microplastics, PFAs, pesticides, many can't avoid lead in their drinking water, and none of us can avoid air pollution.
If it is important to you, you can find ways to avoid those. It is just not a priority for many people, because their own health is secondary to something else.
I did, except the collective petri dish created by the unvaccinated pool means that the risk is actually worse, and seems to be increasing as life, uh, finds a way.
All hail the march of greek letters coming our way. It seems Lambda will be next.
This is a really interesting point. And I felt the same exact way, but over the past few weeks, there seems to be more and more people on HN that are against all this government overreach. So, I personally, am starting to feel better that there are many more that feel like I do than I thought.
Interestingly, this thread has got me surprised that there are so many vaccine skeptics or people that have such a deep mistrust in these vaccination incentives.
You do have a right to choose. This isn’t a vaccine mandate. It’s the vaccinated asking to be separated from unvaccinated individuals in high risk places of recreation (restaurants, movie theaters, gyms, and large venues). Meanwhile, mask mandates will likely stay in place for places where it isn’t possible or important to separate the vaccinated and unvaccinated (grocery stores, MTA, healthcare settings, the great outdoors). To avoid antagonizing the unvaccinated and reducing spread for high risk individuals that don’t have a choice, grocery stores are requiring masks for everyone still.
So what are people so in arms about? Overreaching? This isn't (legal, ethical) overreaching, this is using data to drive the economy forward without killing people in ways that have been supported by the courts for almost a century. The more we reduce cases, the less likely we get a variant that’s worse than Delta.
While we’re discussing gripes, the states that were in staunch opposition to mandatory vaccines (*and masks*) are the ones that reopened the earliest and with the highest cases. You can’t have your cake and eat it too. Read stories from people who are on their death bed from COVID, some ask for the vaccine (it’s too late), others still deny that it could have saved their lives.
Agreed. And furthermore it's distressing to see hundreds of well-written, good-faith comments downvoted to oblivion for holding the wrong opinion. I thought on hn we downvoted for meta-concerns like being off-topic or ad hominem, and not as a "dislike" button.
Welcome to the club. I've been consistently anti-censorship and pro-freedom-of-speech for as long as I can remember, and I lost touch with the majority here years ago. The sudden lurch toward authoritarian in the tech world was something that I didn't expect and that I still lament.
There has been a total invasion of commies to HN over the past decade. I don't know if it's the schools to blame or what but something has definitely flipped.
Hackers, as a demographic used to be hard-core libertarian (not necessarily a party member).
No big explanation is needed there -- many posters including myself get shadowbanned within hours of account creation, for nothing more than having the wrong opinion.
This is the truth. People here are overwhelmingly advocating what I think is probably the most dangerous argument I've ever seen seriously advanced, that some medical procedures are not eligible to be decided by the individual, because they're matters of public health.
If we go down that road, what government injection proffered in the name of public health could ever be refused? It's not as if you won't still be labelled a selfish anti-science anti-vaxxer if you refuse, say, the tenth injection rather than the first one.
This is the point where we have to stop making trade offs of choice and liberty in the name of "security". Give the public open data about the effectiveness of the vaccine and then let people make their own decisions about what to do. The moralization and judgement about the vaccine has become ludicrous.
If you're scared to do things around others even if you're vaccinated, then that's fine. We cannot accept a societal change towards mandating choices for people. It will be very, very hard for us to walk that back.
> then let people make their own decisions about what to do
As we see, they go to crowded places, unvaccinated, and spread the virus. I think that's irresponsible. Is that "ludicrous moralization and judgement?"
irresponsible to who? The other people that have made the same decision and accepted the risk? or the people who are vaccinated and have pretty close to zero risk?
Vaccine effectiveness is changing every day. In Israel they're seeing 16% efficacy 6 months after the 2nd Pfizer dose.
Also, benefits are only one half of the cost:benefit analysis. Where is the public data on side effects? It doesn't exist because all we have is completely unverified VAERS claims.
You can't make an informed decision when you only know half the equation.
> If you're scared to do things around others even if you're vaccinated, then that's fine.
This has been a societal change in the making for quite some time. It used to be that if one were uncomfortable they were free to not participate, one's requirements were not an onus on others. Now people feel free to create onus on others.
Today people feel free to demand that others comply to their requirements to feel safe rather than relying on/increasing their own self protection and isolation standard.
I'm sorry but the whole "let people make their own decisions" is BS.
Making epidemiological decisions isn't something that most people are qualified to do. I have seen the takes from random people and 99% of them are abject garbage.
The exact point is that we don't know, but if we're going to discuss who's got good takes and who doesn't, I want that to be an informed debate between informed people looking for constructive arguments based on data, not internet randos.
The science around covid has been fluid this entire time. We aren't even sure if these vaccines will work against other covid variants in the future.
What makes anyone qualified to make decisions over someone else's choice of what they should put in their body? If the vaccines are effective, then you can make the choice if you feel comfortable getting them and then being around other people.
I don't even think people realize what they're saying when they say "most people aren't qualified to make decisions". I mean, seriously?
The death rate of covid for healthy individuals is still very low. Even lower if you're vaccinated. We should _not_ sacrifice personal choice in the name of public safety.
Give people the data and let them make their own choices.
> The science around covid has been fluid this entire time. We aren't even sure if these vaccines will work against other covid variants in the future.
Science _is_ fluid by its very nature because it's a process, not an outcome.
But processes can be well-executed or not. Scientists, with all their human and institutional flaws, are still just so, so much more qualified than the lay public to make informed opinions that it's not even funny.
It's the same as with doctors: a medical second opinions is obtained from another doctor, not by yourself, because ultimately expert opinions may be challenged by others who have at least a similar amount of training and expertise.
Lay opinions have gigantic, brutal knowledge gaps. The gaps are so huge as to make lay opinions essentially useless.
I have spent an hour a day, every day, since the beginning of the pandemic, reading up on the scientific literature of COVID. I am overeducated geek with a computer science degree. Do you know how many reasonable assertions I can make about the pandemic? About as much as validating that the calculations behind the p-values of studies are correct, and nothing more. I can, at most, summarize and explain the high-level reasoning behind most epidemiologists' and governments's decisions, with the pros and cons that they themselves have suggested.
We are talking about over 600 hours of research as an educated layman and still no novel conclusions. To think that people who have spent at most a fraction of that time, with no university-level knowledge of statistics or basics of germ theory, can make reasonable assumptions, has no relation to reality.
Science has been fluid ... as additional facts, experience, data, and expertise are gained.
The science-denying objections to the science has been ... remarkably consistent in shrillness, interneal inconsistency, and studied refusal to accept facts and demonstrated evidence.
I'm not scared for myself, I'm scared for people on anti-rejection medicine (for example) who have taken vaccines but still can't produce the necessary antibodies. These people have to contend with their fellow man deciding against all rational thought to become a potential walking plague vessel.
It is as if some subset of humanity decided to start driving their cars blindfolded and the internet commentariat proclaimed, "their car, their choice! Spare us your ludicrous moralization and judgement!"
The mortality rate for younger individuals is very low, and was low prior to a vaccine being available. We are almost 20 months into this pandemic. The virus is definitely more lethal for at risk groups but the lethality for the general population is overblown.
The biggest reason is disinformation coming from social media and conservative media outlets. That can't be fixed while respecting the first amendment.
That approach is being tried with some positive results, but it doesn't alter the fact that there is a tide of disinformation being pumped out day after day, a phenomenon few seem willing to engage with.
I'm not getting it because I had covid before it was even cool(Jan 2020). I also have zero trust in the FDA(See Docu Bleeding Edge) have experienced AE and SAE personally from flu, tdap and hep vaccines and I've watched my step daughter go from speaking and developing normally to pissing herself while rocking and screaming, to be told by medical staff that "it's impossible this was caused by the vaccine, take some ibuprofen".
So yeah, multiple levels, very little trust in the "system" to take care of me and my family.
Privacy watchdogs, data protection groups, and human rights councils have largely condemned these "vaccine passports".
To date, I haven't seen their concerns mentioned - mentioned - in any of these pronouncements.
I get that there are enough people willing to go along with this that they'll likely stick around for a bit - but another thing I haven't seen is an end game.
Corona is in the deer, it's in pets. Are they all going to get vaccinated too? Are people going to willingly get shot up with Pfizer and Moderna every six months for the rest of their lives; living in a three-tier society?
It seems that the endgame is to keep on pushing tighter and tighter restrictions on certain communities of people, strongly discouraging open debate, leaving dissenters no other option but to physically remove themselves, until only the most compliant remain, forming a tight-knit, ideologically homogenous group.
That would be the point if it weren't for the fact that the "debate", from the point of view of those who have actually kept up with the medical, epidemiomological, and ethical literature has been settled.
Yeah, I'm all for pushing willfully ignorant discussion out of the public eye.
I don't really see what the problem would be with vaccinating every six months in case it turns out to be necessary to keep up immunity; in fact even vaccinating every month would be fine to avoid the risk of severe COVID.
Indications though seems to be for only needing 2 or 3 doses or needing boosters multiple years apart.
Obviously the end game isn't seen. We're nowhere close to the end game. We don't know about lasting immunity or about variants that don't even exist yet.
Maybe we can eradicate it, maybe not. Literally no one knows what the future holds here.
Eradication is not happening. You might as well be talking about eradicating the flu, which is another contagious respiratory virus that rapidly mutates and is not completely controlled by vaccines. This was obvious even a month ago, when over 10% of a naval ship tested positive for Covid despite every single person being fully vaccinated [1]. I only hope that the "end game" is not permanent restrictions on travel, movement, and trade.
You're 100% right. This isn't Ebola or SARS where everyone who gets sick has obvious symptoms and becomes gravely ill. Asymptomatic carriers and transference to other animals like birds and cattle will ensure that it will persist in our population permanently.
The good news is that viruses tend to get less dangerous over time. Death of the host provides selective pressure against those variants. Syphilis used to be extremely dangerous and rapidly fatal, but it has been around for so long that it has changed. But that process takes years typically.
> The good news is that viruses tend to get less dangerous over time.
One notable exception was Marek's disease in chickens, where the widespread administration of leaky vaccines (which suppressed symptoms and complications but not transmission) led to the breeding of hotter and hotter strains in the vaccinated flocks, which became more lethal to unvaccinated chickens.
What it showed is that when you take a group of chickens, infect them with multiple strains of different virulence at the same time, and partially protect all of them with a vaccine, the ones with the most severe infection live longer, which allows them to spread more of the most severe virus than they would otherwise.
Said differently: if you don't let the "bad" virus kill the hosts, it can spread more.
"In recent years, experts have wondered if leaky vaccines were to blame for the emergence of these hot strains. The 1970s introduction of the Marek’s disease immunizations for baby chicks kept the poultry industry from collapse, but people soon learned that vaccinated birds were catching 'the bug' without subsequently dying. Then, over the last half century, symptoms for Marek’s worsened. Paralysis was more permanent; brains more quickly turned to mush.
'People suspected the vaccine, but the problem was that it was never shown before experimentally,' said virologist Klaus Osterrieder of the Free University of Berlin, who wasn’t involved in the study. 'The field has talked about these types of experiments for a very long time, and I’m really glad to see the work finally done.' "
Not trying to raise alarm here or say that this necessarily will happen with SARS-CoV-2, there are tons of big differences. In general, we should expect it to become less lethal over time, but the vaccines may have introduced a confounding factor to the usual selection for milder disease.
> Then, over the last half century, symptoms for Marek’s worsened. Paralysis was more permanent; brains more quickly turned to mush.
Sigh. Could the author choose more inflammatory language?
This is half of the problem with Covid-related reporting today: hack journalists who simply cannot resist using horror-movie language to describe illness.
> Not trying to raise alarm here or say that this necessarily will happen with SARS-CoV-2, there are tons of big differences. In general, we should expect it to become less lethal over time, but the vaccines may have introduced a confounding factor to the usual selection for milder disease.
As I said, I think that's an over-statement, having read the original paper. But sure, theoretically, if you have a vaccine that only partially protects against some really severe strain, that strain could escape and go on to become more severe over time.
I'm not sure what we're supposed to do with this information. Not vaccinate? Stay inside forever and suck our thumbs?
In chickens, we probably don't care enough to invest a ton of money into in creating a new vaccine every year. In humans, that's not a problem. If a more virulent form of SARS comes along that escapes the vaccines, we'll make a new vaccine. We're getting pretty good at it now!
(I realize you're not on this side of the argument. I'm just reacting generally.)
> I'm not sure what we're supposed to do with this information. Not vaccinate? Stay inside forever and suck our thumbs?
Switch from vaccinating everyone to vaccinating the most vulnerable and using antivirals to treat the illness when it's severe.
> If a more virulent form of SARS comes along that escapes the vaccines, we'll make a new vaccine. We're getting pretty good at it now!
And what if we can't one year --- for any reason? Then billions of people have their brains turn to mush. I don't want human survival to depend on an annual drug refresh.
> I'm not sure what we're supposed to do with this information. Not vaccinate?
If the actual progression of Covid shows something like it is happening I would say that would be called for for everyone except the high-risk groups, yes.
Surviving is not the same thing as living just as noise is not the same thing as music.
People have lost their minds over covid and act in ways that they would have said were insane probably five years ago.
A bunch of younger people at very little risk of getting horribly sick, are demanding that everyone get vaccinated wear masks and want life
to be miserable even though it is older people who are saying I’d rather just live my life and if I die I die.
I might get one dose of the vaccine, just so I can not be part of either side of this crazy debate.
You can't become part of some crazy ideological group unless you start believing and spreading their rhetoric -- the crazies on both sides don't "own" the action of getting a vaccine. If you're already willing to get the vaccine, you may as well get both doses (assuming you're talking about a two-dose vaccine). You can keep living normally, instead of just surviving as you say, while affording yourself and others around you the maximum protection possible.
First two doses for me is completely pointless. I’ve already have covid and recovered, which should be enough, but the crazies have also insisted you should still get vaccine, but even the mighty spirit of our age “science” has said just getting one as a booster combined with natural immunity would probably make you less likely to get or spread it than even those with two doses.
So no I will not get two doses because it is pointless. I might get one, and I’ll be more “safe” than all the others, yet I will purposefully not get two so I don’t get tempted to thinking those who didn’t should be shunned and isolated.
Let me ask you this, if I was a coworker and you found out I wasn’t vaccinated, yet wasn’t following the mandates, would you just say whatever, or would you notify the hotline to report violators? Could you do that with a good conscience?
Also there are crazies on the other side too. People thinking there are giant conspiracies of powerful people plotting together how to get more power.
No the scary thing about it all, is everyone the powerful and the weak are acting the way they are and feel completely justified and have their approval of their conscious.
No it isn’t actually. I’ve already had covid and recovered, so no “science” is saying you should get more than one as a booster.
I’m only slightly joking about getting one dose. Although natural immunity makes me statistically unlikely to get or spread covid, there is thoughts that the vaccine might do better against the variants (and some thoughts it might do worse).
They say it wouldn’t hurt to get a vaccine if you already had it, but probably just one as a booster.
I want to get one dose, to not be on the side who thinks these vaccine have chips in them and will make you infertile, and to not be on the side that is crazy and thinks we should have zero risk in life that we get sick and die, and would literally advocate for not allowing healthy people to be out of unvaccinated, because with natural immunity and a booster and I’d be even lower risk than double vaccinated yet would still not be allowed to do things only vaccinated people would do, pointing out the absurdity.
Sorry, that’s absurd. I cannot understand how you’re thinking about this, it is completely disjoint from how I think, and what I believe reality is. You might as well be talking about the sky being green as part of your rationalizations.
I mean I know how you feel though. Literally I’ve had friends whose kids couldn’t hug their grandmother for a year, while they were all visibly healthy and outside.
Like people are insane. I’ve had covid, and yet some would still recommend I avoid hanging out indoors with others who have also have covid if none of us have been vaccinated.
The vaccines are super duper effective, but because a possibility exist you could still get sick and the virus could mutate again we should go on living like crazy hermits and not be the social beings we are.
So let me ask you this, if there were vaccine mandates to do xyz and you had a coworker, who you knew not to be fully vaccinated doing xyz, and the authorities have given a hotline to anonymously report violators, would you report this person?
I might actually get two doses in case my natural immunity is bad. And then rip up my vaccine card and will join with the non vaccinated crowd in not being allowed in restaurants demanding proof of vaccinations. Meanwhile as long as I’m not sick I will keep hanging out (as I’ve done this whole time) with my other non sick friends, and giving hugs and generally try to enjoy life.
So you’re going to get the vaccine, and purposefully exclude yourself from restaurants you think it’s safe to go to in order to make a point on behalf of people protesting the vaccine for reasons you don’t believe.
There’s a reason why I decided you weren’t making serious arguments worth debating. This is performative nonsense.
You can make a straw man of my argument but don’t try to act like you are some high and mighty smart guy who knows better than those dumb dumbs down there.
I know your type, you try to pretend that you’ve arrived at all your conclusions through thorough scientific processes coupled with your supreme intellect.
Yet you prove to be more ignorant than most.
Let me guess now you’ll say look at my degrees I am smart.
There may come a time where you will have to choose to hide a non-vaxxer in your basement, or rat out the dangerously healthy individual to the authorities.
I’d choose hiding them in my basement with my conscience wondering if I should, and you can choose ratting out your neighbor with the approval of your conscience.
Covid will be long gone in 100 years. But you know what might not be gone: the precedents we’re creating today. Introducing a show-your-papers culture where we once had a free and open society.
The US Supreme Court is not the ultimate moral authority. You’re responding to a comment addressing the abstract long-term consequences of a policy with a specific legal determination saying the policy didn’t happen to violate US law.
At some point, society has to reach a decision so it can function. You can't just throw your hands up in the air waiting for some higher power with a clearer moral standing to show up and do something universally morally unambiguous.
We use the court system as a way of resolving conflicts where there are competing interests and arguments to be made. The Supreme Court had a similar situation happen 116 years ago, and they found that the public health interests outweighed the competing arguments.
Is the process going to get every decision right? No. And they will from time-to-time revisit arguments. Korematsu v. US was overturned by the subsequent ruling Trump v. Hawaii. Jacobson v. Massachusetts has been used as the basis for 116 years worth of cases where public health has to be weighed against other factors, and is not in he same precarious position as Korematsu v. US.
What's the alternative method for making decisions when there are competing legal arguments?
The point beginning this thread was that some set of extraordinary precedent was being set today. ok123456 provided compelling evidence that this is not the case.
You are now failing to accept the point made, and changing the argument.
In 2000, WHO declared measles "eradicated" in the United States [1]. Of course, that's no longer the case thanks to those who have decided their feelings and watching an unverified Youtube video trumps science.
Requiring vaccination is not new. As a matter of law in the US the issue was settled by the Supreme Court in Jacobson v. Massachussetts in 1905 [2]. Mandatory vaccination has been used to effectively eliminate smallpox and polio, in particular.
We've now administered billions of doses of Covid-19 vaccines. The idea that we're somehow missing side effects is quite frankly ridiculous at this point.
That idea also shows a basic misunderstanding of what's going on here. Immune system responses to something like a vaccine are actually extremely quick. This is not the same as, say, other drugs or compounds that live in the body for a long time. The body's response is known very quickly, which is why the very slight possibility of a clotting issue with AstraZeneca, for example, was identified extremely quickly.
Vaccines just aren't a personal choice. If it was, nobody would care what individuals did. The idea that someone's baseless opinions should trump public good as a matter of principle is sad, false as a matter of law and baseless as a matter of principle.
Contrary to the opinion of many (sadly) absolute selfishness isn't a virtue, it's just selfishness. And it's the latest iteration of the underlying anti-intellectualisms in the US.
What's especially disappointing, even worrying, is just how much traction these baseless ideas get from those who allegedly have a science education.
With NYC's mandate (which I support), it still doesn't mean you have to get vaccinated. It just means there are consequences if you don't. We already have this with schools. While we're at it, it's time to stop this nonsense of vaccines being against one's "personal beliefs" to get an exemption.
If you want to live in a society that benefits from mass vaccination you should be prepared to do your part, particularly when that part just means getting an extremely safe needle. If you want to opt out of that, you also opt out of the benefits of that.
> The idea that we're somehow missing side effects is quite frankly ridiculous at this point.
I personally went to the ER with heart attack like symptoms (chest pain) and it was Pericarditis . No one warned me of this risk. Now I'm footing the $15k bill for the good of the public. Additionally no doctor suggested reporting it to VAERS. Why? i suspect because it's become taboo to speak ill of the vaccine in any way. (watch to see if this comment gets downvoted to oblivion, proving the point)
> We've now administered billions of doses of Covid-19 vaccines. The idea that we're somehow missing side effects is quite frankly ridiculous at this point.
So let's give the risks here the benefit of the doubt and assume the odds of dying from the vaccine are 1 in a million. Given that we've administered >1B doses, that would mean >1000 people have died from the vaccine. This clearly isn't the case. Any argument that the death rate will increase long term just shows a clear misunderstanding of the immune response. But that aside, let's still give it one in a million.
The one-year chances of dying in a car crash are ~20 in a million [1]. I assume then that if the vaccine "risk" concerns you, you've clearly given up driving, right?
A quick search suggest that US has had ~35M cases of Covid-19 and ~615K deaths. Deaths in particular is likely underreported but we'll go with the official figures.
That puts the odds of dying from Covid-19 at ~2%, which is of course 20,000 in a million. The vaccine isn't perfect but recent data shows that almost all severe cases (including death) occur in the unvaccinated population, even when there's a breakthrough infection of someone vaccinated.
This is the problem many including myself have when anyone raises the specter of "risks" because even if you assume the worst case scenario of getting the vaccine, not getting it is literally thousands of times more likely to kill you.
And that would be fine I guess if that only applied to you but it doesn't. The unvaccinated pose a health risk to everyone around them.
The anti-vaxxer position just completely defies logic. Worse, defying logic seems to be a badge of honor for some.
Why people are so quick to blame to blame anti-vaxxers? The United States has millions of immigrants and visitors from other countries. Some go through official channels which require vaccinations, many do not.
According to the CDC, Measles is brought into the US by international travel:
Measles cases in the U.S. originate from international travel. Make sure you and your loved ones are protected against measles before international travel. [0]
I don't think that the city should be able to impose this arduous constraint on private businesses. These businesses have already suffered greatly under the capacity restrictions of closures. Now they're being asked to turn away potential customers and enforce unpopular rules without compensation, under threat of substantial penalties.
If the city wants to impose this rule, then at the very least they should handle the enforcement. Outsourcing the mandate without compensation is absurd.
Currently it’s actually the opposite in that the best restaurants are thriving because they ~doubled capacity by adding huge outdoor dining structures on the sidewalks that were previously not allowed. Note that it only impacts indoor dining not outdoor and that some restaurants, gyms, and venues has already begun to require of their own volition.
Surely this is a violation of civil rights law. The law is going to have a disparate impact on minority groups since there is a difference in vaccination rates between different racial groups. The law doesn't seem narrowly scoped to achieve a specific compelling government interest. People from the government seem to be claiming this is being used to incentivise vaccine uptake. If the government made the claim that the vaccine was necessary in an indoor setting in order to reduce the spread then the law might be ok but because they have been caught making these other claims then it could burn them in court.
this is not enforcing vaccination it is denying services based on vaccination status. i think there is a distinction. like what if a state decided to make the franchise dependent on whether your were vaccinated or not in order to 'encourage' people to vaccinate similar to how they are trying to deny people access to indoor dining in order to 'encourage' people to vaccinate. i'm sure that would be challenged under the civil rights act. the key thing here is that if they wanted to increase vaccination rates it could be done in a more direct and narrow way like enforcing people to get vaccinated rather than doing it indirectly.
also, this case was not about the whether it was a breach of the civil rights act which is what i contend this law violates. in fact, the civil rights act was established after this case so it couldn't possibly have factored into the decision.
Reminds me when in California they shut off the water to someone's house when they had a party during lockdown. [1]
They knew arresting them wouldn't work, so instead they went with what they thought was more of legal grey area, just shut off their access to water. They're not forcing you to get vaccinated you see, you could obviously just buy bottled water!
The New York rules are less restrictive than Jacobson v. Massachusetts. Jacobson v. Massachusetts actually forced people to get a smallpox vaccine, this is about getting into Fudruckers and Planet Fitness.
The Supreme Court found, 7-2, that it was not a 14th Amendment civil rights violation to have compulsory vaccination and that police powers extended to protecting public health.
Wow that's interesting, sadly immigrants have to cheat the system, cant play by the rules like this, I'm sure he learned his lesson, bullshit till you make it
>there is a difference in vaccination rates between different racial groups
Considering that people of color have been the targets of medical experimentation under the guise of public health by both our government and the same drug makers peddling the vaccines (usually in other countries), this shouldn't be a surprise to anyone.
Glad I left LA last September. I can't believe NYC is going even more extreme than there, but they are. The good news, is my home purchase down here in Charleston is up 10% in only 3 months. This ridiculousness in CCP NYC will only help ensure my home price goes through the roof. So, yes, if you want to live in a place that respects your right to choose what you do with your body and your life, come on down south. Just don't bring your bad policies down here with you is all the locals ask :)
Yes but it's not actually a random lottery. The risk of death for a young person according to that page is probably 0.25%. However, not all young people are healthy. If you're healthy, it's probably close to an order of magnitude lower. More importantly, most people who got COVID didn't get tested. They just got better at home, or never even noticed that they had it. So there's another order of magnitude. For young healthy people, you're looking at 0.0025%.
I just think we should be clear about the risks. Obviously if you're older and/or unhealthy the risks are worse than presented as well.
I plucked them from Google. As of this morning it says there are 4.26 Million deaths, and 7.9 billion people on earth. My equation as done with 4.25 and 7.8, but same difference. Locked down areas faired about the same as stringent areas. In my opinion wearing a cloth mask does nothing except make the person wearing it feel some level of control about the virus. But as they say, viruses will do what they do.
Louis Rossmann, owner of Rossmann Repair Group, released a video attacking this new policy - and he is pro-vaccination and encourages his family and employees to get it.
What is the plan for undocumented workers? Especially in restaurants. Even if they managed to get vaccinated by providing valid "proof of age" documentation[1], they will not appear in the registries. And if anyone was skeptical and thought that the state might be lying about not tracking identity and immigration status, surely that identity information would likely be false. This is a significant, and likely a majority, of back-of-house restaurant workers, but it also cuts across industries.
When enforcement comes knocking, are we going to give them a pass? How does one reconcile requiring it for clients who spend and an hour or two, but not for workers spending 15 hours on premises?
pragmatically, the mandatory vaccinations seem to be predicated on the following assumptions:
1. Asymptomatic transmission is the primary vector and just as dangerous as being in proximity to a sick individual - has this been confirmed or refuted? Obviously-sick people aren't going to be in restaurants and bars so they can be taken out of the equation entirely. The virus has a normal lifecycle like all others: incubation, infestation and recovery, and during the 2nd phase people should be showing symptoms that our human instincts would urge us to isolate from and ostracize against.
2. The human body cannot become immune to a strain of this virus by recovering from it naturally - most people have had the virus by now, and if the virus is omnipresent, the non-vaccinated should keep becoming re-infected and in a perpetual state of illness - greatly multiplying their chances of death. I don't see the fatality data supporting this hypothesis, so natural recovery immunity is probably serving some protective function.
> Obviously-sick people aren't going to be in restaurants and bars so they can be taken out of the equation entirely.
I think this is neither obvious nor true. There are an unfortunate number of people in this country who choose to go out and socialize when they have active symptoms.
Note that I'm not making the comparison with slavery myself, I'm just passing on the statement from another big city mayor with a different perspective.
I have many issues with this policy, and I'm both vaccinated and pro-vaccination.
1. As others have mentioned, this is being done before the vaccine being available to children under 12 and before the vaccine has been officially approved by the FDA.
2. This policy isn't simply being announced as a way to temporarily bring down cases, it's being instituted indefinitely, with no pre-determined expiration date.
3. There has been no attempt to justify the policy. And the burden of proof should be on those instituting the policy.
4. This announcement is nearly triumphant rather than displaying any kind of humility. They barely conceal their glee at having the political capital to spend on this policy.
Vaccine mandates are good in concept* and will probably spur a lot of the "I'll get it if it's required" or "I'm going to wait and see" people to go ahead and get it.
But they're kind of weak as implemented here. Considering that a photo of a vaccine card is considered valid proof (and the guy checking cards at the bar or whatever is only going to spend two seconds looking at it), some enterprising scumbag could probably whip up a site that automatically creates fake vaccine pass photos over a weekend or two.
*Even with delta, the vaccines are pretty damn effective at preventing infections. A lot of media coverage on this is misleading and is based on not understanding base rates - when a high proportion of people at risk of hospitalization are vaccinated, you're going to see vaccination rates among hospitalized people that are higher than the actual efficacy rate would suggest.
Regarding security: You can get fined over using fake certificates. So most people won't use fakes as long as the incentives are right. There's no need for airtight security here.
I’m saying that, if you know you might have AIDS, expecting you to use a condom is not tyrannical at all.
Also, yes, why not? Same as polio
Right now, without masks, every time you go outside is like having unprotected sex with drug addicts in the 90s.
Worse in fact, because you are putting your life and the lives of others at risk knowingly.
A couple of tidbits no one seems to be touching on
- what will this do to the long term economy of the localities that choose to mandate this, if later the rest of the country does not go along?
Will this see a rise of restaurant soeakeasies?
- do people not wonder about the timing of it all, when the powerful opposition to the mayor of nyc (cuomo) is politically weakened by a sex scandal, and absorbs all the front page news in the process, effectively innoculating a mayor that is hated, among all demographic groups in nyc?
Anyone who thinks that government and Big Tech are going to setup a platform just for this one disease and just for the duration of the pandemic are simply not fit to vote in a free country. This is the beginnings of a social credit system, à la China/Gattaca.
I saw the same connection, moral judgment passed on a citizen's personal, perfectly legal choices, by the government that leads to the restriction of that person's right to engage in society. This is to say nothing of the Orwellian tracking by the (soon to be I'm sure) required NYC or State pass on your phone.
Well, here in the civilised world where we’re about done with the vaccination we’re also almost done with the restrictions and required proof of vaccination/recent test.
Of course we can both be right. I mean, if you can’t achieve herd immunity for some reason, then you can never really stop the requirement for proof either. But then, if a country has so many adult babies that it can’t achieve hers immunity through vaccination during a pandemic, maybe it needs to be run like a kindergarten (which you coincidentally can’t attend unless you’re vaccinated).
Appreciate NYC finding ways to push up vax% but not sure what to say about the app they are promoting.
Just checked this "NYC COVID Safe" app[1] which is claimed to be "Key to NYC". All it does is taking and storing a photo on the phone. It obviously meant to be CDC paper card, but there seems no validation, client side or server side. (update it does phone home for some apparently analytics event like onboard, added card, etc)
In contrast the NYS Excelsior Pass app [2] at least did some check on server side on personal information like name/DOB and place/date of vax before generate a QR code. Also there's another app for business side to verify the consumers' generated QR. It may not be 100% perfect but at least did some diligence.
It's horrible how confident and grandstanding the NYC government is of their own policy:
“A strong stance needs to be taken,” the lawmaker added. “It will be controversial, but your stance — when we look back in history on this one, this will be a defining moment in your government.”
They act like they know what's best, when in fact we have no idea how COVID-19 will evolve in the future or what the efficacy of the current vaccines will be with future variants. Also, we have studies coming out that show natural immunity is stronger than vaccine immunity against future COVID-19 infections. Simply put, this virus is going under evolutionary pressures that nobody can predict.
Having the NYC mayor saying things like, "it’s the only way to protect our people"? Um, you could do lockdowns, mask mandates, social distancing, or IVM. He is trying to incite hatred and war, with words like "We could not have been more kind... The voluntary phase is over". Pretty shameful in my opinion.
T cell responses are important for viral infections. However, we see that T-cell responses are significantly decreased in vaccine group, compared to natural immunity.
I keep seeing an argument put forward that we should mandate getting vaccinated (and feel righteous about it!) to prevent the rise of a new scary variant that might bypass the vaccines.
This argument, of course, is made by innumerate people who do not realize that the number of US holdouts is utterly dwarfed by the number of people who want a vaccine but can't get it no matter what. If we are worried about a new scary variant slowly burbling away in the lungs of the unvaccinated, preparing to jump out and get us good vaccinated folk, should we not be focusing our energy on... I donno, actually trying to help people who want it get vaccinated instead of forcing people who are reluctant? My $0.02 from a fully vaccinated person who still thinks people should be able to make their own decisions about their bodily autonomy.
Thinking about this more, maybe we should literally go so far as doing a last call for vaccines. Okay, if you want them, we'll only have them for another month and then we're sending all our supply to Mexico or whatever! Far more likely to actually use them that way, and it'll get those who are holding out for no real reason to step up and get them.
Why not both? I assume your talking internationally about those that desire the vaccine, and domestically in the US for those who are reluctant. Can't we donate vaccines overseas while still pushing those who are here to get the vaccine?
You can walk into any pharmacy and get vaccinated. We are long past demand exceeding supply. That's why vaccination rate graphs are plateauing and the numbers for 1-shot and fully vaccinated are converging.
Possibly dumb question, what about the people who have been told by their doctor to NOT get a covid vaccine because of specific pre-existing conditions or medical history?
My neighbor has been told by his doctor to not get any vaccine because of his medical history. Are those people just SOL, or am I missing something?
I've seen this objection a few times and I'm really not sure why anyone that had COVID would be all that fussed about getting the shot. We don't know how long antibodies from having already contracted it last for, so why not get the vaccine?
If you've had COVID you are more likely to have an adverse reaction to the vaccine, it's just how the immune system reactions. If I knew I'd have 2 bad sick days to take 2 doses of a vaccine that I have already beaten.. meh.
Every single person I know who has had COVID had a bad reaction (I think I misused "adverse" there, apologies) and this seems to be the commonly accepted pattern. Regardless of whether or not it's true that's the perception.
and I can't get that to recognize that I've been vaccinated. I was vaccinated at Stanford, and their health record system, which I can access online, shows that. But the data didn't make it to the state system. Stanford customer support blames the state. State customer support says "contact your health care provider".
If we believe these results, vaccine mandates are about as unpopular as TARP was back in 2008 (opposition to which was largely responsible for the "Tea Party" movement). You can expect even stronger opposition to vaccine mandates - because this issue is far more personal.
You should probably supplement that with at least one other survey. Trafalgar is by far the most right-leaning polling group and got the 2020 election predictions the most wrong based on their polling. 538 has some more info on their methodical issues.
My mistake, thanks for the calibration. Trafalgar leaned the most towards Trump winning in 2020 so I naively assumed they were off the farthest, but clearly polling in a US election is more complicated than that.
An alternative, market-powered fix: lift the regulatory statues that prevent insurance companies from raising the cost of coverage of their unvaccinated customers.
Vaccination reduces the risk of hospitalisation by 25x. (CDC data, 29 July 2021, leaked report).
I don't have good data on hospitalisations, though for quite some time early in the pandemic it was about 15% of all detected cases. I strongly suspect it's lower than that now (nonsymptomatic / low-severity cases are now detected), but it's still substantial.
Just on a per-person basis, that's about 50-65 large you're looking at in excess claims for shunning the vaccine. The actuarial risk is probably on the order of 10% of that, though you'd need to add in other costs and long-term health consequences. Severe cases can of course run far higher --- some patients have had double-lung transplants.
I'm pretty tired of all this. If folks want don't want to get the vaccine, under the argument of personal responsibility, let them do what they want. However, if they willingly or negligently transmit covid, they should be civilly and maybe criminally liable. If they end up needing medical care, make them pay for it out of their pocket. Make them financially responsible for their decisions.
You can still transmit the disease after getting vaccinated. Maybe if it was like the flu vaccine I'd understand, but it's not. I much prefer the mask mandate and the mask mandate is the only thing that makes sense, at least until they come out with a better vaccine. As it stands right now you have people getting the vaccine lulling themselves into the belief that they can't transmit to anyone, it's impossible to know the stats but easy to see it is just as bad as people who don't have symptoms thinking they don't have the disease and can't spread it.
If the goal is still seemingly to cut down spread this law does absolutely nothing but increase hubris and cause more cases as more people walk around without a mask. Walked into a CVS the other day and both the clerk and some customers had no mask on simply because they got the vaccine. So I'll stick with my mask for now.
I totally agree. You can still transmit COVID with the vaccine. People who want to be protected from dying of COVID get the vaccine (90% less likely to die), and those who don’t will not get the vaccine. Seems simple to me.
I’m vaccinated and don’t agree with this. Out of curiosity is there precedent for something like this for non governmental organizations (schools are governmental).
I'm in australia - masked up and locked down again, like most of the east coast at the moment, it could be worse. Though Sydney seems intent on killing some of the population.
This is the first hn thread I’ve been unable to finish due to bias fatigue (usually it’s oh, I guess I should be working) I don’t feel that I’ve learned anything new, but I feel a schism with no resolution.
How would this be enforced? What if a business just does not ask you for proof? Will they take your word for it or is it required to show actual proof?
It could be a good advertising campaign: Come on in, we trust you.
Some of the comments in here about the vaccine and the pandemic are shocking to me. I guess I was wrong, we have become a society of selfish and narcissistic people.
There shouldn't be a debate about it in the first place. If you want an even higher chance of not dying if you manage to catch the virus, get the vaccine. If you care about reducing the spread, wear the mask. I don't see why either of these things need to be mandated as they sound like pretty clear cut personal decisions in my eyes but I digress.
What I am seeing are a lot of people that conflate wearing a mask to being protected from the virus' side effects, or that getting the vaccine makes it impossible for them to transmit, and that they are morally/ethically superior to those who take neither of these decisions.
I have the vaccine and still think this is absurd and a slippery slope. If you havent noticed, society tends to run with things they can get away with to the most extreme direction.
The article states, "De Blasio said City Hall is finalizing the regulations, including if children younger than 12 years old with vaccinated parents will be allowed to dine indoors." if does not mean that they are not banned; it also does not provide an expectation from city hall as to their direction on the issue of children.
Don't forget the part where 600,000 people died and literally every single measure to combat that was instantly turned into a political wedge issue, and then when the literal Science miracle cure arrived, people wouldn't take it because they are selfish, confused, afraid of needles, and hate each other.
Protests, not riots. And there are protests all the time whenever a controversial decision is made, it's our national sport. Another confounding factor is the very aggressive calendar set up, where due to the span between the doses not everyone has a way to be fully vaccinated before the measure is active.
And there are protests all the time whenever a controversial decision is made, it's our national sport
It is an endearing habit; but to be fair, some of those protests can look a bit "riotey", what with the smoke bombs, water cannon, paramilitary cops with batons etc ...
Americans talk a good game when it comes to riots but if they took their rhetoric about "watering the tree of liberty with the blood of tyrants" seriously every election would wind up with the Capitol looking like it did on January 6th.
I wish Americans had more of a revolutionary tendency like the French do. Instead of rioting and pissing off the government at its doorstep, we head for the hills, hoard guns, and dare the government come get us out there.
It appears to me (based on Providence breakthrough infections) that vaccinated people are actually more likely to spread the (delta) COVID because their symptoms allow them to continue daily activities while at the same time they shed the same amount of virus as vaccinated.
There's a book called why the West still rules and in it it talks about the history of human civilization and discusses the idea that there are sort of theories that can predict the major directions and major players at each stage of history as the meaning of technology and geography alters over time in response to the level of development and interconnectedness of society.
In that book there's this concept called the advantages of backwardness and it's this thing that crops up often after a crisis where the previous major player, having collapsed as a result of whatever forces brought them down, surrender some of their former glory to previously more backward regions whose backwards methods, in the new climate or situation, set them up for success.
Here's a quote from Ian Morris the book's author discussing the advantages of backwardness in an interview:
"And as cities, states, and industry spread, they entered new geographical niches where the old ways of doing things didn’t always work. People on these frontiers were forced to tinker, to make old techniques work in new—and eventually better—ways.
The best example might be in the origins of agriculture: Seven-thousand years ago, farming first developed in the hilly lands around the edges of what we now call Iraq. When farmers moved down to the plains of modern Iraq, they found that to make farming work, they had to develop irrigation agriculture.
We saw the same thing happen again with the spread of industry in the 19th century. Industry was invented in the British Isles, but as it spread outward into Germany and North America, people in these places had to create new ways of making industry work successfully. As they did so, Germany and the United States began to replace the British Isles as the center of industry. And we see the same process continuing to work in our own day. In the last 20 years, we’ve seen the meteoric rise of China. We should expect the “advantages of backwardness” to continue being one of the major motors in world history."
The connection with the present topic I think is the following. In a sense we've denied our immune systems the advantages of backwardness by the very same advanced technology we designed to augment and protect them. In other words by rushing to create and deploy a vaccine we've prevented our collective human immune system from cultivating defenses to this virus. In that sense I think the policy from a high-level strategic point of view is a weakness and possibly fundamentally flawed, because it opens the possibility the we've made our immune system dependent on vaccinations to deal with further and related infections in future. The other side of the coin is the advantages of backwardness for the virus: we have applied such a strong selective pressure so universally and quickly that in order for the virus to survive it is forced to evolve to become more transmissible, and possibly more dangerous. The more dangerous point is contentious but I argue it as follows because the more dangerous a variant is is correlated with the strength of our measures against it we are selecting for more dangerous variance to evolve more transmissibility. In effect this could be one of the first times in human history that our advanced technology has seriously thrown a natural system previously in equilibrium, in other words the equilibrium between our collective immune system and the collective microbiome of bacterial viruses on Earth, out of balance. nearly many natural examples of how we've done this but they're localized to particular regions like oil spills or Forest clearing we're throwing ecosystems out of balance left right and center but this might be the first time we've done it on a global scale. (And if we release the prophesized mosquito nuclear bomb that's going to wipe out mosquitoes around the world that will be another example of throwing a global ecosystem out of balance). In this pandemic topic, as we keep throwing more fuel at that fire thinking we're solving the problem we may end up simply be providing fuel for future conflagrations that could lead to our collective demise.
I don't want to be too dramatic here and I admit the choice of words has a little bit of that effect but we are talking about a massive global scale thing which we are right to take it seriously and while there may be many motivations for getting a large proportion of the world vaccinated, this line of thinking is not one I've seen elaborated very much so I wanted to add it here.
Everyone has to be vaccinated and we must all prove it to exist in society ( even people who had covid )? So, it isn't about herd immunity anymore? It isn't about stopping covid, but getting everyone the vaccine and forcing them to carry identification everywhere?
"It’s time for people to see vaccination as necessary to living a good and full and healthy life,” de Blasio said during his daily press briefing."
That's what people were saying was going to happen more than a year ago and they were attacked for being conspiracy theorists...
Whatever happened to needing 60 or 70% of the people vaccinated to gain herd immunity and stop this pandemic?
So 100% vaccination, even for those who had covid and you must carry documentation/id at all times? Why now? Why for this disease? Especially considering the mortality rate is far lower than what was originally projected.
When the projections were 5%+, I can understand erring on the side of caution, but the mortality rate is lower than 1% last I checked. So odd.
Delta variant necessitates a higher level of herd immunity because it's so much more transmissible.
> Everyone has to be vaccinated and we must all prove it to exist in society ( even people who had covid )? So, it isn't about herd immunity anymore? It isn't about stopping covid, but getting everyone the vaccine and forcing them to carry identification everywhere?
No, it's very obviously about stopping covid. Don't be obtuse.
Delta appears to have about a 2x R_o over the original Covid strain. So, yes, that requires a much higher herd immunity to get transmission rates below 1.0
Does anyone believe this will be expanded to grocery stores, pharmacies and other basic services come fall? My job is already close to pushing mandatory vaccination and I'm trying to decide whether I should pack up my things and leave?
Do you really believe that mandatory vaccination is the start of some expansion of government checking on everything? I'm seriously asking, like you already need a drivers license to drive, you put in taxes and the government keeps those in a central database, if you have kids in school they need to be vaccinated in most places I read in this thread. Why would covid vaccination suddenly trigger some government panopticon? they already have so much information on you, why would this be the hill you die on?
If this is a good faith question that's fine. A health passport to buy groceries is the hill to die on because you are consenting to a lifetime of injections just to live.
No one should be under the impression that the next booster won't be mandated. You give these people an inch and they take a mile.
And it's also not a government thing. I would think that the White House is upset with New York's decision because they preferred private business restrict access to the unvaccinated, New York might have jumped the gun, revealed the play etc.
Thanks for answering. I do feel that government isn't anywhere near organised enough to exercise this sort of control. I've worked for a couple of different government organisations and they are in general, people who just want to do their job and go home. Like I'm not sure why vaccination cards would be the thing I'd choose if I wanted to control a population, that already has a myriad of different controls anyway (drivers license, tax records etc), when you travel overseas you already need vaccination records for various things, or when you send kids to school. The lifetime of injections is not guaranteed at this stage either, no doubt a better vaccine will come along. Thanks for answering anyway, I'm curious why this is such an emotional issue for some people.
Fond memories of the days this was the sole domain of paranoid conspiracy theorists. Now, at the exact same moment that we are getting evidence of the mRNA vaccines' rapidly waning efficacy[1] and ineffectiveness at reducing transmission of the Delta variant, the screws are being tightened and the unvaccinated are being scapegoated. Never mind that this variant arose in India where there was never any possibility of the entire population being vaccinated all at once.
If the vaccines work, why are we talking about vaccine passports and domestic travel bans? If the vaccines don't work, why are we talking about vaccine passports and domestic travel bans?
Also worth noting, this is de facto racial segregation, because blacks and Hispanics are by far the highest population of unvaccinated in NYC. Funny how a lifetime of having your health and well-being actively ignored and sabotaged by public officials raises doubts when they suddenly show up with shiny new injections and start pushing them with lotteries, free ice cream and donuts, and all the rest.
the fact that we have accounts on here with large amounts of reputation reposting facebook-based misinformation does not give me faith that leaving these choices up to allegedly informed individuals is a good idea. as others have pointed out, 99.99% of people are in no way qualified to make such determinations.
The links to the primary sources are all right there on the page. I'm not going to go hunting for some other compilation of the same data because you went clicking through the entire site until you found something which contradicted a not-very-convincing Politico "fact check" article. Especially not after Politico had to withdraw their earlier fact check -- chock full of quotes from "the experts" -- about how Covid couldn't possibly have come from a lab.
Those are very good points. Totally agree, the vast majority of people are gonna be careful and display caution staying at home etc.. I think covid vaccines should be compelling by their efficacity and safety. This is all so stringent for something so rightly divisive
"The program is modeled after the vaccine passport programs rolled out in France and other European countries, officials said."
Because that's working out well (also in Australia). I suppose de Blasio doesn't mind swarms of people protesting in front of Gracie Mansion, none of which will be wearing masks, mind you. And then you'll hear the same spiel about how the unvaxxed are to blame again for the Zeta variant as the local pride parade marches by in the background.
"Additionally, the mayor said the city is examining expanding the vaccine proof requirement to other indoor activities, such as shopping."
Of course they are. This is the thin end of the wedge. It always is.
"“If we do not take a strong stand and say ‘you have the right to your body, of course; but you do not have to kill other people.”"
Will they give it a rest? You have no right to force someone to take an experimental vaccine large segments of the population don't even need. And those living in glass houses shouldn't throw stones. Even IF I grant you that you can become a transmitter of the disease to someone vulnerable (a possibility that is always with us for any disease), it is not intentional whereas what he has in mind (abortion) is.
"“We’ve got to shake people at this point and say, ‘Come on now.’ We tried voluntary. We could not have been more kind and compassionate. Free testing, everywhere you turn, incentives, friendly, warm embrace. The voluntary phase is over,” de Blasio said on MSNBC last week."
What an absurd statement. That's like saying "I've tried consent, but since you didn't agree to my request, I'm going to eschew consent and coerce you." Then it wasn't consensual to begin with!
"“Given everything we’re learning, all options are on the table,” he said Friday. “I keep saying we’re climbing the ladder in terms of more and more mandates.”
"And on Monday, the mayor hinted at the Big Apple moving toward a “reality” in which those who do not get vaccinated are barred from certain settings.
"“More and more, there’s going to be a reality where, if you’re vaccinated, a world of opportunity opens up to you. If you’re not vaccinated, there’s going to be more and more things you can’t do,” de Blasio said during his virtual press briefing, when he announced that the city will only hire vaccinated workers and advised all New Yorkers to wear masks in indoor, public settings.
"“I say that to say, go get vaccinated, so you can fully participate in the life of this city, because that’s where things are going.”
How gracious of him. Again, thin end of the wedge. Why are some people being so credulous?
It's all quite simple:
1. The vaccine is not FDA approved.
2. It is an experimental vaccine.
3. COVID is not dangerous for the vast majority of the population, especially those under the age of 30.
4. There is mixed evidence about the safety and efficacy of he vaccine as well as its relation to new variants.
5. The suppression of expert debate is, at the least, suspicious as all hell.
Taking all factors into consideration, there is NO REASON to force anyone to take it. None. Especially not those in the cohorts that aren't affected. If you're at risk (e.g., the obese), then it is up to you to make the calculation for yourself.
(Also, since this mandate will disproportionately affect black and Latino New Yorkers, wouldn't this make it systemically racist according to the standards of today? Wouldn't you be punishing them for refusing to be vaccinated? Yes, reason has long exited the scene.)
>(Also, since this mandate will disproportionately affect black and Latino New Yorkers, wouldn't this make it systemically racist according to the standards of today? Wouldn't you be punishing them for refusing to be vaccinated? Yes, reason has long exited the scene.)
Yes, 88% of blacks would be excluded from restaurants by this policy while 80% of whites will walk right in.
I don't think many people care what NYC does. That city is a joke. And a dump. (A few videos from Louis Rossmann and I never want to visit, let alone live there.)
You people can argue all you want. I voted with my feet and I not only left New York City, I left the U.S.S.A . Even a blind man could see whats coming next!
Countries such as Italy and France have instituted this policy as a national level.
Many countries have/had lockdown policies far more strict than the strictest locale in the US.
I do not like the government placing the burden of enforcement on businesses. It will lead to a backlash from the anti-vax crowd, waste of employee resources, and lax oversight will give a false sense of security.
So they're requiring vaccination in "many indoor settings", which just includes restaurants, movie theaters and gyms... Those are luxuries.
What are people up in arms about then? Its like another take on the mask mandate outrage, where people conflated selfishness with freedom, except this time you can still do everything you need to while being non-compliant.
The government does not have carte-blanche authority to strip people of any liberty that isn’t strictly necessary for survival. The government stripping life of all its “luxuries” just looks like being in prison (except at least prisoners are allowed to go to the gym).
Sounds very dystopian when you describe it outside the context of a life-saving measure. I don't like the idea of a "government stripping life of all its luxuries" either. ...but are you sure they don't have that authority? There have been plenty of times I've had luxuries stripped in the last two years. What about enjoyable, luxurious substances? International travel to exciting places? Driving around without a seatbelt?
Yes, your imaginary scenario is dystopian. There is nothing dystopian about not being allowed to eat a burger in a crowded room to help slow the spread of a deadly disease. You assert the government has no right to enforce that, and I'm calling you wrong.
Given the current attitudes towards vaccines and individual rights, it's doubtful we'll be able to have another achievement like the elimination of smallpox and polio.
What happened in the last few decades? Increased mistrust of government? Shift in the views of individualism? Or is my assessment wrong and if something like smallpox popped up today we'd be able to work together to eradicate it?
I think it's because you don't understand quite how powerful the smallpox and polio vaccines are. I can walk around wherever I want with 0 concern of transmitting some dormant smallpox or polio. I don't see why people are comparing the COVID vaccine to either of these as you can still transmit COVID. In an absolute sense, all the COVID vaccine does is make your life more bearable, but those around you still have a non-zero chance of getting it from you. When you take that into account I start to wonder why some are so obsessed with treating it like the smallpox and polio vaccines when it is anything but.
“Everyone is going to get Corona. Whether you’re vaccinated or not, whether you’re old or young, whether you’re tested or not, whether we lock down or not. This is a fact of life now.
The vaccines will protect against severe symptoms only for a time, and Corona is always changing. Slowing the spread will prove counter-productive particularly to those who have sought the protection of vaccines.
Your best hope of continued immunity is infection while your vaccine still protects against severe symptoms. The best hope that children have of mild infection in adulthood, is low-risk infection now, while they are at no risk. There is no more point in slowing the spread.
That will only make us immunologically naive to this virus for a longer period of time. Many, many viruses infect and reinfect billions of humans throughout their lives, with barely any notice. It is time we made Corona one of these viruses.” End.
Are other viruses that I can interest you in being infected with? Let's see here, we've got HIV, HPV, Ebola, Rabies, Smallpox, Chickenpox, Polio, Hantavirus. Don't we need some time to...ehm, get "evolutionary familiar" with them, or whatever? I mean, why stop at viruses? Interested in some lovely bacterial infections like Lyme disease, staph, E. coli, Candida auris (oh, I love that one, I had it on my face!)
You ever had the flu? Because this is what covid19 is mutating into, and predictably so. More contagious, less lethal. And vaccination will pressure the virus to mutate further (this too has been predicted, eg by the Imperial College). Should we react to every new variant with a lockdown? For how long, the next 10 years? Whats the endgame here?
And calling it a "vaccination" is being generous, considering that after 6 months efficacy is down significantly, like 20% of original levels. Its more like a therapeutic. This too is similar to a flu vaccination. How many shots per year do you want to take? For how many years? Don't forget that every time you increase the risk of an auto-immune reaction. Also keep in mind that vaccination doesn't even seem to protect other people by decreased virus shedding.
You are comparing an experimental "vaccine", not approved by the FDA, with no long-term studies, where the companies that make them have immunity from unforeseen consequences, that rapidly declines in usefulness over mere months and which is "preventing" a disease that leaves the vast majority of people unaffected anyway to eg Polio, that can leave people paralyzed for life and where we have an effective vaccine that reliably works for decades and for which we have long-term experience.
How are you people thinking you're making a clever & well-informed point. Your reasoning amounts to "infection bad, why you want infection".
From what I can tell, you might be opposed to this policy if:
1. You have fears about getting a vaccine, moreso than for coronavirus. If this is you, do you prefer a mask mandate? And if so, how do you enforce this in a restaurant, where anyone eating takes off their mask right away?
2. You have fears about the privacy implications. If so, what are those fears? Perhaps your vaccination status can lead people to make inferences about your health?
3. You are not particularly concerned about the community spread of coronavirus (and the implications of that)
There aren't a lot of choices. You can 1) avoid high-risk areas and escape infection/spreading disease, in which case, this policy doesn't really directly affect you. Or 2) you can take your chances with coronavirus, which you will get sooner or later, and spread it. Or 3) you can "take your chances" with the vaccine which, statistically and biologically, is safer than getting coronavirus and reduces spread.
This policy allows people to choose from 1) and 3) but not 2), which is in all ways the worst decision. Unless, of course, you think that the vaccine is more dangerous than coronavirus. And then I don't really know what to say.
(lightly edited for clarification)