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Showing posts with label vaccine. Show all posts
Showing posts with label vaccine. Show all posts

Saturday, December 2, 2023

Pandemic Polarization

Many posts have discussed partisan polarization and aversive or negative partisanship.

 Jay J. Van Bavel have an article at  Perspectives on Psychological Science titled "The Costs of Polarizing a Pandemic: Antecedents, Consequences, and Lessons."

Abstract
Polarization has been rising in the United States of America for the past few decades and now poses a significant—and growing—public-health risk. One of the signature features of the American response to the COVID-19 pandemic has been the degree to which perceptions of risk and willingness to follow public-health recommendations have been politically polarized. Although COVID-19 has proven more lethal than any war or public-health crisis in American history, the deadly consequences of the pandemic were exacerbated by polarization. We review research detailing how every phase of the COVID-19 pandemic has been polarized, including judgments of risk, spatial distancing, mask wearing, and vaccination. We describe the role of political ideology, partisan identity, leadership, misinformation, and mass communication in this public-health crisis. We then assess the overall impact of polarization on infections, illness, and mortality during the pandemic; offer a psychological analysis of key policy questions; and identify a set of future research questions for scholars and policy experts. Our analysis suggests that the catastrophic death toll in the United States was largely preventable and due, in large part, to the polarization of the pandemic. Finally, we discuss implications for public policy to help avoid the same deadly mistakes in future public-health crises.

From the article:

Studies have suggested that partisan identity is the primary driver of affective polarization in the United States and that policy preferences contribute to affective polarization mainly by signaling partisan identity (Dias & Lelkes, 2021; Mason, 2018b). Affective polarization is at its highest point in 40 years, and out-group hate now surpasses in-group love in U.S. politics (Finkel et al., 2020). It is therefore reasonable to expect partisan affiliation to influence voting behavior and attitudes toward specific policies. But why would partisanship affect people’s health-related behaviors—especially in ways that clearly run counter to their own self-interest, such as avoiding disease and death (or infecting their family and friends)? A potential explanation is that political parties not only represent a set of political stances but also fulfill social functions, and these functions can therefore affect beliefs and behavior.
Social groups satisfy basic human needs, such as belonging, distinctiveness, status, and epistemic closure (Baumeister & Leary, 2017; Brewer, 1991; Hogg et al., 2008). According to social-identity theory (Tajfel & Turner, 2004), people’s sense of self is defined not only by their personal traits but also by their group memberships—which can include their political-party affiliation (Iyengar et al., 2019; Mason, 2018a). In a polarized context, such as the United States, partisanship has become a particularly important social identity (Mason, 2018b; Van Bavel & Packer, 2021). The combination of elite cues, partisan news media, hostile rhetoric, social media “echo chambers,” and geographic sorting increases the centrality of partisanship to the self-concepts of citizens (Finkel et al., 2020). Furthermore, partisan identities have become “mega-identities” that are strongly associated with a number of other demographic identities (e.g., gender, race/ethnicity, sexuality, religion, region; Mason, 2018b).
These identities, in turn, shape how people interpret the environment around them (see Xiao et al., 2016). According to the identity-based model of political belief, people tend to believe information that allows them to maintain a positive view of the groups they identify with so that these groups can continue to meet their core social needs (Van Bavel & Pereira, 2018). Partisanship, or identification with a political party, is one way people satisfy these needs (e.g., by attending political rallies and events). As a result, political parties affect not only people’s policy preferences but also other aspects of their beliefs and behavior (see Dimant, 2023; Robbett & Matthews, 2021), including health-related choices. This becomes an issue when party members make unhealthy choices part of their identity—or resist healthy choices because they are associated with a hated out-group.
Social-identity goals can thus outweigh accuracy concerns, making people susceptible to believing misinformation (Van Bavel & Pereira, 2018). For instance, both Democrats and Republicans are more likely to believe and share positive news about the in-group and negative news about the out-group even when the information is false (Pereira et al., 2023). Moreover, one analysis of 2,730,215 social media posts found that out-group animosity was strongly associated with sharing political news (Rathje et al., 2021)—and similar patterns have been found for the spread of misinformation ( Batailler et al., 2022; Borukhson et al., 2022; Osmundsen et al., 2021).1 In the context of the COVID-19 pandemic, many have expressed concern that a misinformation “infodemic” on social media may have harmed public health (Robertson et al., 2022; Van Bavel, Harris, et al., 2021; Zarocostas, 2020). For instance, COVID-19 misinformation has a causal effect on vaccination intentions (Loomba et al., 2021). Moreover, one global study of nearly 50,000 people found that belief in COVID-19 conspiracy theories negatively predicted adherence to public-health behaviors across 67 countries (Pavlović et al., 2022). Thus, partisan differences in vaccination and other public-health behaviors in the United States (Dolman et al., 2023; Liu & Li, 2021; H. A. Roberts et al., 2022; Tram et al., 2022) could be partly explained by an identity-driven motivation to believe misinformation and conspiracy theories.

Wednesday, August 23, 2023

Health Misinformation

 Many posts have discussed myths and misinformation.

 Kaiser Family Foundation:

Overall, health misinformation is widely prevalent in the U.S. with 96% of adults saying they have heard at least one of the ten items of health-related misinformation asked about in the survey. The most widespread misinformation items included in the survey were related to COVID-19 and vaccines, including that the COVID-19 vaccines have caused thousands of deaths in otherwise healthy people (65% say they have heard or read this) and that the MMR vaccines have been proven to cause autism in children (65%).

Regardless of whether they have heard or read specific items of misinformation, the survey also asked people whether they think each claim is definitely true, probably true, probably false, or definitely false. For most of the misinformation items included in the survey, between one-fifth and one-third of the public say they are “definitely” or “probably true.” While the most frequently heard claims are related to COVID-19 and vaccines, the most frequently believed claims were related to guns, including that armed school police guards have been proven to prevent school shootings (60% say this is probably or definitely true), that most gun homicides in the U.S. are gang-related (43%), and that people who have firearms at home are less likely to be killed by a gun than those who do not (42%).

Combining these measures, the share of the public who both have heard each false claim and believe it is probably or definitely true ranges from 14% (for the claim that “more people have died from the COVID-19 vaccine than from the virus”) to 35% (“armed school police guards have been proven to prevent school shootings”).


Monday, October 3, 2022

Death by Party

Jacob Wallace, Paul Goldsmith-Pinkham & Jason L. Schwartz, "Excess Death Rates for Republicans and Democrats During the COVID-19 Pandemic," NBER Working Paper 30512 ttp://www.nber.org/papers/w30512

Political affiliation has emerged as a potential risk factor for COVID-19, amid evidence that Republican-leaning counties have had higher COVID-19 death rates than Democrat- leaning counties and evidence of a link between political party affiliation and vaccination views. This study constructs an individual-level dataset with political affiliation and excess death rates during the COVID-19 pandemic via a linkage of 2017 voter registration in Ohio and Florida to mortality data from 2018 to 2021. We estimate substantially higher excess death rates for registered Republicans when compared to registered Democrats, with almost all of the difference concentrated in the period after vaccines were widely available in our study states. Overall, the excess death rate for Republicans was 5.4 percentage points (pp), or 76%, higher than the excess death rate for Democrats. Post- vaccines, the excess death rate gap between Republicans and Democrats widened from 1.6 pp (22% of the Democrat excess death rate) to 10.4 pp (153% of the Democrat excess death rate). The gap in excess death rates between Republicans and Democrats is concentrated in counties with low vaccination rates and only materializes after vaccines became widely available.


Thursday, May 12, 2022

Two COVID Americas

Michael A. Stoto  ,Samantha Schlageter ,John D. Kraemer "COVID-19 mortality in the United States: It’s been two Americas from the start," PLOS One.  The abstract:

 During the summer of 2021, a narrative of "two Americas" emerged: one with high demand for the COVID-19 vaccine and the second with widespread vaccine hesitancy and opposition to masks and vaccines. We analyzed “excess mortality” rates (the difference between total deaths and what would have been expected based on earlier time periods) prepared by the CDC for the United States from January 3, 2020 to September 26, 2021. Between Jan. 3, 2020 and Sept. 26, 2021, there were 895,693 excess deaths associated with COVID-19, 26% more than reported as such. The proportion of deaths estimated by the excess mortality method that was reported as COVID-19 was highest in the Northeast (92%) and lowest in the West (72%) and South (76%). Of the estimated deaths, 43% occurred between Oct. 4, 2020 and Feb. 27, 2021. Before May 31, 2020, approximately 56% of deaths were in the Northeast, where 17% of the population resides. Subsequently, 48% of deaths were in the South, which makes up 38% of the population. Since May 31, 2020, the South experienced COVID-19 mortality 26% higher than the national rate, whereas the Northeast’s rate was 42% lower. If each region had the same mortality rate as the Northeast, more than 316,234 COVID-19 deaths between May 31, 2020 and Sept. 26, 2021 were "avoidable." More than half (63%) of the avoidable deaths occurred between May 31, 2020 and February, 2021, and more than half (60%) were in the South. Regional differences in COVID-19 mortality have been strong throughout the pandemic. The South has had higher mortality rates than the rest of the U.S. since May 31, 2020, and experienced 62% of the avoidable deaths. A comprehensive COVID-19 policy, including population-based restrictions as well as vaccines, is needed to control the pandemic.

Wednesday, May 11, 2022

Churches Break Up


Tim Alberta at The Atlantic:
The nation’s largest denomination, the Southern Baptist Convention, is bleeding members because of ferocious infighting over race relations, women serving in leadership, accountability for sexual misconduct, and other issues. The United Methodist Church, America’s second-largest denomination, is headed toward imminent divorce over irreconcilable social and ideological divisions. Smaller denominations are losing affiliate churches as pastors and congregations break from their leadership over many of the same cultural flash points, choosing independence over associating with those who do not hold their views.

Perhaps it shouldn’t be surprising that Christians, like Americans from every walk of life, are self-selecting into cliques of shared habits and thinking. But what’s notable about the realignment inside the white evangelical Church is its asymmetry. Pastors report losing an occasional liberal member because of their refusal to speak on Sunday mornings about bigotry or poverty or social injustice. But these same pastors report having lost—in the past few years alone—a significant portion of their congregation because of complaints that they and their staff did not advance right-wing political doctrines. Hard data are difficult to come by; churches are not required to disclose attendance figures. But a year’s worth of conversations with pastors, denominational leaders, evangelical scholars, and everyday Christians tells a clear story: Substantial numbers of evangelicals are fleeing their churches, and most of them are moving to ones further to the right.

Christianity has traditionally been seen as a stabilizing, even moderating, influence on American life. In 1975, more than two-thirds of Americans expressed “a great deal or quite a lot of confidence in the church,” according to Gallup, and as of 1985, “organized religion was the most revered institution” in American life. Today, Gallup reports, just 37 percent of Americans have confidence in the Church. This downward spiral owes principally to two phenomena: the constant stench of scandal, with megachurches and prominent leaders imploding on what seems like a weekly basis; and the growing perception that Christians are embracing extremist views. One rarely needs to read to the bottom of a poll to learn that the religious group most opposed to vaccines, most convinced that the 2020 presidential election was stolen, most inclined to subscribe to QAnon conspiracy theories is white evangelicals.

Saturday, March 5, 2022

Political Geography of COVID

Bradley Jones at Pew:
During the fourth wave of the pandemic, death rates in the most pro-Trump counties were about four times what they were in the most pro-Biden counties. When the highly transmissible omicron variant began to spread in the U.S. in late 2021, these differences narrowed substantially. However, death rates in the most pro-Trump counties were still about 180% of what they were in the most pro-Biden counties throughout late 2021 and early 2022.

The cumulative impact of these divergent death rates is a wide difference in total deaths from COVID-19 between the most pro-Trump and most pro-Biden parts of the country. Since the pandemic began, counties representing the 20% of the population where Trump ran up his highest margins in 2020 have experienced nearly 70,000 more deaths from COVID-19 than have the counties representing the 20% of population where Biden performed best. Overall, the COVID-19 death rate in all counties Trump won in 2020 is substantially higher than it is in counties Biden won (as of the end of February 2022, 326 per 100,000 in Trump counties and 258 per 100,000 in Biden counties).

Partisan differences in COVID-19 death rates expanded dramatically after the availability of vaccines increased. Unvaccinated people are at far higher risk of death and hospitalization from COVID-19, according to the Centers for Disease Control and Prevention, and vaccination decisions are strongly associated with partisanship. Among the large majority of counties for which reliable vaccination data exists, counties that supported Trump at higher margins have substantially lower vaccination rates than those that supported Biden at higher margins.

Tuesday, February 15, 2022

Accepting COVID Misinformation, Rejecting Science

We asked respondents to mark four popular vaccine misinformation claims as true or false. When in doubt, they could also select “Not sure.” Here are some of the patterns we found:
  • While we observe a decline in believing misinformation since the early days of COVID-19 vaccination efforts in 2021, 16% of Americans still hold vaccine misperceptions. Close to half (46%) are uncertain about the veracity of at least one vaccine misinformation statement.
  • People aged 25 to 44, parents with children under 18, Americans who did not go to college, and Republicans are most likely to hold vaccine misperceptions, with over 20% of the respondents in each group marking at least one misinformation statement as true.
  • Early in the pandemic, people with high socioeconomic status were amongst the most likely to hold vaccine misperceptions. Over time,people with graduate degrees and those with high income made large shifts towards rejecting misinformation. The groups least likely to espouse false claims now include graduate degree holders, Democrats, Asian Americans, and those over 65 years of age.
  •  A third of the people who believe vaccine misinformation statements are aware that scientific and medical experts reject those claims as false.  Additionally, over a fifth of Americans (21%) are aware that science considers a particular claim to be false, but still say they are not sure whether to believe it or not. 
  • People who think they know a lot about COVID-19 vaccines are more likely to hold vaccine misperceptions. Among those who claimed to have expert knowledge, 48% believed false claims compared to only 16% of those who said they knew almost nothing about vaccines
  • Compared to those with no vaccine misperceptions, Americans who believe misinformation claims are less likely to trust the government, news media, science, and medicine. That pattern is reversed with regard to trust in Fox News and Donald Trump.
  • Vaccine misinformation beliefs, uncertainty about false claims, trust in government and science remain among the most important predictors of getting vaccinated, even after accounting for demographic and other factors
people with
graduate degrees and those with high income made large shifts towards
rejecting misinformation. The groups least likely to espouse false claims now
include graduate degree holders, Democrats, Asian Americans, and those
over 65 years of age.

Wednesday, December 29, 2021

Vaccine Mandate for National Guard

Jordan Williams at The Hill:
An Oklahoma federal judge on Tuesday denied an attempt from the state to block the Department of Defense’s coronavirus vaccine mandate for National Guard members.

In a 29-page ruling, U.S. District Judge Stephen Friot denied a motion from Oklahoma Gov. Kevin Stitt (R) and Attorney General John O’Connor to preliminarily enjoin the mandate, saying the plaintiffs’ claims were without merit.

“The court is required to decide this case on the basis of federal law, not common sense. But, either way, the result would be the same,” Friot wrote. “The claims asserted by the Governor and his co-plaintiffs are without merit.”

From the ruling:

The constitutional allocation of responsibility for Guard matters has been fleshed out by Congress. The beginning point, understandably relied upon by the defendants, is 32 U.S.C. § 110: “The President shall prescribe regulations, and issue orders, necessary to organize, discipline, and govern the National Guard.” In turn, the Service Secretaries (as relevant here, the Secretary of the Army and the Secretary of the Air Force) are empowered to “prescribe such regulations as the Secretary considers necessary to carry out provisions of law relating to the reserve components under the Secretary’s jurisdiction.” 10 U.S.C. § 10202(a).
Apropos of the constitutional grant of power to Congress to provide for “organizing” and “disciplining” the Militia, Congress has directed that “[t]he discipline, including training, of the Army National Guard shall conform to that of the Army. The discipline, including training, of the Air National Guard shall conform to that of the Air Force.” 32 U.S.C. § 501. If the Guard fails to comply with federal standards, the President is empowered to cut off its funding: “If, within a time fixed by the President, a State fails to comply with a requirement of this title, or a regulation prescribed under this title, the National Guard of that State is barred, in whole or in part, as the President may prescribe, from receiving money or any other aid, benefit, or privilege authorized by law.” 32 U.S.C. § 108. If a state should find federal standards governing the National Guard to be too tight a fit, the state is free to establish (and pay for) its own, independent version. 32 U.S.C. § 109(c). Oklahoma has not done so.
The upshot of all this is that, however wide-ranging the command authority of the Governor and the Adjutant General may be within the four corners of their own state (and the court does not presume to define the extent of that authority other than as is strictly necessary for present purposes), it is unmistakably clear that the intent of Congress, as expressed in the text of its enactments, is that the Guard and its members will at all events be prepared, conformably to federal military standards, Case 5:21-cv-01136-F Document 41 Filed 12/28/21 Page 19 of 29 20 to be ordered into federal service, deploying alongside members of the active duty Army and Air Force, on little or no notice, anywhere in the world–which is exactly what the Oklahoma Guard and its members have done, with great distinction, on dozens of occasions

Tuesday, December 21, 2021

Vaccines and Patriotism

 

Sarah Mervosh and Amy Harmon at NYT:
When a polio vaccine became available in the United States in the 1950s, the March of Dimes, an organization that had been affiliated with President Franklin D. Roosevelt, made a major advertising push, with posters featuring young children who were most at risk of being infected, recalled René Najera, editor of the History of Vaccines project at the College of Physicians of Philadelphia. To boost public interest in the vaccine, Elvis Presley got vaccinated backstage at “The Ed Sullivan Show.”

“It was seen as a patriotic thing,” Dr. Najera said.

Today, the government has planned public education efforts, but the issue has remained fragmented and divisive.

Wednesday, December 8, 2021

Survey Samples: Bigger Is Not Automatically Better

Surveys are a crucial tool for understanding public opinion and behaviour, and their accuracy depends on maintaining statistical representativeness of their target populations by minimizing biases from all sources. Increasing data size shrinks confidence intervals but magnifies the effect of survey bias: an instance of the Big Data Paradox1. Here we demonstrate this paradox in estimates of first-dose COVID-19 vaccine uptake in US adults from 9 January to 19 May 2021 from two large surveys: Delphi–Facebook2,3 (about 250,000 responses per week) and Census Household Pulse4 (about 75,000 every two weeks). In May 2021, Delphi–Facebook overestimated uptake by 17 percentage points (14–20 percentage points with 5% benchmark imprecision) and Census Household Pulse by 14 (11–17 percentage points with 5% benchmark imprecision), compared to a retroactively updated benchmark the Centers for Disease Control and Prevention published on 26 May 2021. Moreover, their large sample sizes led to miniscule margins of error on the incorrect estimates. By contrast, an Axios–Ipsos online panel5 with about 1,000 responses per week following survey research best practices6 provided reliable estimates and uncertainty quantification. We decompose observed error using a recent analytic framework1 to explain the inaccuracy in the three surveys. We then analyse the implications for vaccine hesitancy and willingness. We show how a survey of 250,000 respondents can produce an estimate of the population mean that is no more accurate than an estimate from a simple random sample of size 10. Our central message is that data quality matters more than data quantity, and that compensating the former with the latter is a mathematically provable losing proposition.

Friday, September 10, 2021

President Biden's Vax Mandate

Colin Kalmbacher at Law & Crime:
The administration’s latest exercise of highly-publicized state power in response to the renewed COVID-19 pandemic was predictably met with grumbling from discontented online posters and commentators, primarily on the political right. Quickly after Biden’s plans were made public, the hashtag #DoNotComply spread on Twitter.

Legal experts, however, quickly noted that the vaccine mandates were likely to pass constitutional muster.

“Yes, this is constitutional,” famed constitutional law professor and Dean of Berkeley Law School Erwin Chemerinsky, told Law&Crime.

“There is no constitutional problem with requiring people be vaccinated,” the author of the premier constitutional case law textbook used in U.S. law schools added. “The government could require everyone to be vaccinated against COVID.”

“This was resolved by the Supreme Court in 1905,” Chemerinsky said, referring to Jacobson v. Massachusetts.

...

The first proposal will have the U.S. Department of Labor, under the auspices of the Occupational Safety and Health Administration, issue new rules that mandate any business with 100 or more employees enforce vaccine compliance among their workforce or maintain a regime where employees submit to weekly COVID-19 testing.

The new rules will further mandate that such large businesses must provide paid time off for their employees to receive the free vaccinations–and for any necessary post-vaccine recuperation.

“To continue efforts to ensure that no worker loses a dollar of pay because they get vaccinated, OSHA is developing a rule that will require employers with more than 100 employees to provide paid time off for the time it takes for workers to get vaccinated or to recover if they are under the weather post-vaccination,” the White House explained in a press release announcing the new directives.

“The issue is whether the government has the authority under some statute to order employers to require vaccination or weekly testing,” OSHA expert and Wake Forest University Law Professor Sid Shapiro told Law&Crime. “If such authority exists, it would be constitutional because Congress can regulate interstate commerce.”
New York City-based attorney and writer Luppe B. Luppen said the relevant statute was contained in OSHA’s authorizing legislation, the Occupational Health and Safety Act of 1970, which was signed into law by then-president Richard Nixon.

In response to conservative writer Andrew Egger calling Biden’s new proposals “nuts,” Luppen retorted that the move was “a plain Jane congressionally authorized OSHA regulatory proceeding under Section 6(c) of the Occupational Safety and Health Act.”

“OSHA’s been around for 50 years,” federal employment attorney Bradley P. Moss added via Twitter.


Sunday, August 29, 2021

Vaccine Incentives Don't Work: Time for Mandates

 Thirumurthy, Harsha and Milkman, Katherine L. and Volpp, Kevin and Buttenheim, Alison and Pope, Devin G., Association between statewide financial incentive programs and COVID-19 vaccination rates (August 27, 2021). Available at SSRN: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3912786&download=yes

To encourage COVID-19 vaccination, many states in the US have introduced financial incentives ranging from small, guaranteed rewards to lotteries that give vaccinated individuals a chance to win $1 million or more. We compiled information on statewide incentive programs along with data on daily vaccine doses administered per 100,000 individuals in each state. Leveraging variation across states in the daily presence of incentives, we used difference-in-differences regressions to examine the association between these incentive program indicators and vaccination rates. Difference-in-differences analysis showed that 24 statewide incentive programs were associated with a non-significant relative decline in daily vaccination rates of 8.9 per 100,000 individuals (95% CI [-64.3,46.5]; p=0.75). Furthermore, there was no significant difference in vaccination trends between states with and without incentives in any of the 14 days before or after incentives were introduced. Lotteries and other incentives offered by 24 states were not associated with a significant change in COVID-19 vaccination rates. More substantial incentives or mandates may be necessary to raise vaccination rates.


Tuesday, August 24, 2021

Delta House: Student Support for Mask and Vax Mandates

Maria Carrasco at Inside Higher Ed:
As Delta variant cases continue to surge and institutions adjust their start-of-term plans, most college students support vaccine mandates and remain wary of resuming normal campus life, according to two new polls.

Axios and Generation Lab, a polling and research firm studying young people, found that of 846 students polled at two- and four-year institutions nationwide, 73 percent agreed that their institutions should mandate vaccines on campus.

Likewise, a survey of 1,000 college students conducted last week by TimelyMD, a telehealth provider created for universities and colleges, found that students who attend institutions with mask and vaccine mandates overwhelmingly support the measures, with 85 percent in favor of vaccine requirements and 87 percent in favor of mask mandates. For students whose campuses don’t have mandates in place, 55 percent said they wished their campuses required masks and/or COVID-19 vaccines.

Monday, August 23, 2021

Consultants and COVID

Isaac Stanley-Becker at WP:
California wasn’t alone in using private contractors to manage the vaccination campaign. At least 25 states, along with federal agencies and many cities and counties, hired consulting firms, according to a Washington Post tally. The American vaccination drive came to rely on global behemoths such as McKinsey and Boston Consulting Group (BCG), with downsized state and local health departments and even federal health agencies relying on the private sector to make vaccines available to their citizens, according to hundreds of pages of contract documents, emails and text messages obtained through public records requests.

McKinsey’s role extended beyond California to other states, including Ohio and New Jersey. Deloitte worked in 10 states. BCG received millions of dollars from the federal government to coordinate vaccine planning, while at least 11 states also worked with the company, in some cases paying it to address gaps in federal planning.

Consultants say they helped save lives by supporting overextended public servants with specialized expertise. “Our work helped state decision-makers quickly size up key factors impacting the effective distribution of vaccines,” said McKinsey spokesman Neil Grace. “All our work was based on state-defined priorities, and the data we analyzed was provided by state and local public health authorities.”

 But critics question whether such contracts improve government performance, arguing the arrangements are costly and difficult to oversee. Taxpayers have no way to know what precisely they are getting under no-bid contracts worth millions of dollars because the internal documents of private consultancies are not subject to public records laws.
...

In some instances, current and former health authorities said consultants gave elected leaders political cover while taking on few substantive tasks. But the deeper problem is when private firms are entrusted with too much, rather than contributing too little, said Robin Taylor Wilson, a former chair of the American Public Health Association’s epidemiology section and an associate professor at Temple University in Philadelphia.


The contractors leave and we’re not retaining that expertise,” she said. “So the next time an emergency hits, we’re going to have another delayed reaction.”

Tuesday, August 3, 2021

Vaccination in Court

Many posts have discussed COVID, disinformation, and vaccine hesitancy.



Scott Jaschik at Inside Higher Ed:

Writing for the panel, Judge Frank Easterbrook wrote: "People who do not want to be vaccinated may go elsewhere. Many universities require vaccination against SARS-CoV-2, but many others do not. Plaintiffs have ample educational opportunities."
...
He added: "Each university may decide what is necessary to keep other students safe in a congregate setting. Health exams and vaccinations against other diseases ... are common requirements of higher education. Vaccination protects not only the vaccinated persons but also those who come into contact with them, and at a university close contact is inevitable."
...

In addition, the judges noted that a university may do things to students because they are students, such as charging them tuition. "Undergraduates must part with at least $11,000 a year (in-state tuition) even though Indiana could not summarily confiscate that sum from all residents of college age."

The appeals court also said the First Amendment does not protect the students from the requirement. "The First Amendment means that a state cannot tell anyone what to read or write, but a state university may demand that students read things they prefer not to read and write things they prefer not to write. A student must read what a professor assigns, even if they student deems the books heretical, and must write exams or essays as required. A student who is told to analyze the role of nihilism in Dostoevsky's The Possessed but who submits an essay about Iago's motivations in Othello will flunk."

Sunday, August 1, 2021

COVID Vaccination in Canada and the US

Many posts have discussed the politics and policy implications of COVID-19.

Doyle McManus at LAT:
Three months ago, Canada, which has no domestic manufacturer of COVID-19 vaccines, lagged far behind the United States in immunizations. Only 3% of its population was fully vaccinated. Canadians watched glumly as friends and relatives south of the border lined up for shots, while residents of Toronto and Montreal suffered repeated lockdowns.

No longer. Last month, Canada blew past the United States in the share of its population that’s fully vaccinated58% as of Friday, versus 49% in the U.S. — to take first place among the seven big industrial democracies. (The United States ranks sixth, ahead of only Japan.)

How did Canada, the country that most closely resembles the United States, do so much better, even though it had to wait longer for Pfizer-BioNTech and Moderna to deliver their vaccines?

The simple answer is that in Canada, the pandemic didn’t become a politically polarized issue, as it did in the United States.

Canada’s major political parties, including the opposition Conservatives, joined early in full-throated support of mass vaccination. Leading politicians didn’t dismiss immunization as unnecessary, deride mask mandates or attack scientists.
...
Like the United States, Canada has anti-vaxxers — just fewer of them. An Angus Reid Institute poll last month found that only 8% of Canadians said they definitely do not intend to get a COVID vaccination, including 15% of Conservative Party voters. Polls in the United States have found refusal rates at least twice as high.

And there lies a clue toward a deeper, more complex explanation for Canada’s vaccination success over that of the U.S.: the underlying differences between the countries’ political cultures and, especially, their conservative parties.

“There is much less polarization in Canada overall,” Peter Loewen, a political scientist at the University of Toronto, told me. “There’s not a lot of political mileage in appearing to be anti-science in Canada; there is in the United States.”

Sunday, July 18, 2021

Disturbing Survey Data on Vaccines

Many posts have discussed COVID, disinformation, and vaccine hesitancy.

CBS/YouGov:









Monday, May 24, 2021

Education and the Vax Gap

 

David Leonhardt at NYT:
It is common to hear about two different demographic groups that are hesitant to receive a Covid-19 vaccination: Republican voters and racial minorities, especially Black and Latino Americans.

The two groups seem to have different motivations. For Republicans, the attitude is connected to a general skepticism of government and science. For Black and Hispanic Americans, it appears to stem from the country’s legacy of providing substandard medical treatment, and sometimes doing outright harm, to minorities.

These ideas all have some truth to them. But they also can obscure the fact that many unvaccinated Republicans and minorities have something in common: They are working class. And there is a huge class gap in vaccination behavior.