Skip to main content

Should There Be A COVID-19 Vaccine Mandate?

It is easy to opine on issues that don’t personally affect us.  We’ve all seen folks on television or in our own lives who righteously stake out positions when they are far beyond the reach of their effects.  Conversely, we’ve seen the irony and the hypocrisy of individuals who ‘evolve’ almost instantly when a controversial issue becomes relevant to their personal circumstances.  Senator Rob Portman of my state of Ohio, for example, was against same sex marriage until he wasn’t.  Readers are encouraged to look up what led to a reversal in Senator Portman’s view.



Charles Darwin didn't realize that politicians can evolve.

The pandemic has also exposed much public (and private) pontification from individuals, businesses, organizations, government agencies – all of whom may have agendas that extend beyond any actual public health concerns.  One issue that has created raw fissures among us is the concept of mandating vaccines.  There are spirited arguments on various sides of this issue.  There’s the public health angle.  There’s the personal freedom argument.  There are business concerns regarding worker retention.  It’s now a legal issue.  It permeates commerce, education, travel, politics and nearly every sphere of our lives.

As of this writing, it has yet to be determined if the Occupational Safety and Health Administration’s (OSHA) Emergency Temporary Standard (ETS) requiring vaccinations of businesses who employ more than 100 workers is lawful.  The ETS has been stayed by the courts.

But here’s my point.  Assume that every business of any size must have all employees fully vaccinated. I have no doubt that tens of millions of Americans would support this from a public health standpoint.  This mandate would protect employees as well as customers.  In addition, the more of us who are vaccinated the closer we are to overpowering the pandemic before new variants emerge.  Can you say, 'Omicron'?

So, how does one oppose a measure that seems to have no legitimate counter-argument?

Think of it from a small business’s point of view.  Say you run a small retail shop, perhaps in a rural area or a part of the country where there is vaccine reluctance.  You have 7 employees and 5 of them have decided against the vaccine and would sooner quit than submit to the mandate.  The prospect for hiring new employees is non-existent, even though you have raised wages substantially and have offered a hiring bonus.  

What would a vaccine mandate do to this business and millions of similar businesses?  While the employer might favor a vaccine mandate in principle, do we expect that he or she would support a measure that would incinerate his livelihood?   And, are the folks who are arguing for a broad vaccine mandate at risk of losing their livelihoods if they prevail?

It’s quite different to argue a position when you’re not in the line of fire.

 

Comments

Popular posts from this blog

Why Most Doctors Choose Employment

Increasingly, physicians today are employed and most of them willingly so.  The advantages of this employment model, which I will highlight below, appeal to the current and emerging generations of physicians and medical professionals.  In addition, the alternatives to direct employment are scarce, although they do exist.  Private practice gastroenterology practices in Cleveland, for example, are increasingly rare sightings.  Another practice model is gaining ground rapidly on the medical landscape.   Private equity (PE) firms have   been purchasing medical practices who are in need of capital and management oversight.   PE can provide services efficiently as they may be serving multiple practices and have economies of scale.   While these physicians technically have authority over all medical decisions, the PE partners can exert behavioral influences on physicians which can be ethically problematic. For example, if the PE folks reduce non-medical overhead, this may very directly affe

Should Doctors Wear White Coats?

Many professions can be easily identified by their uniforms or state of dress. Consider how easy it is for us to identify a policeman, a judge, a baseball player, a housekeeper, a chef, or a soldier.  There must be a reason why so many professions require a uniform.  Presumably, it is to create team spirit among colleagues and to communicate a message to the clientele.  It certainly doesn’t enhance professional performance.  For instance, do we think if a judge ditches the robe and is wearing jeans and a T-shirt, that he or she cannot issue sage rulings?  If members of a baseball team showed up dressed in comfortable street clothes, would they commit more errors or achieve fewer hits?  The medical profession for most of its existence has had its own uniform.   Male doctors donned a shirt and tie and all doctors wore the iconic white coat.   The stated reason was that this created an aura of professionalism that inspired confidence in patients and their families.   Indeed, even today

Electronic Medical Records vs Physicians: Not a Fair Fight!

Each work day, I enter the chamber of horrors also known as the electronic medical record (EMR).  I’ve endured several versions of this torture over the years, monstrosities that were designed more to appeal to the needs of billers and coders than physicians. Make sense? I will admit that my current EMR, called Epic, is more physician-friendly than prior competitors, but it remains a formidable adversary.  And it’s not a fair fight.  You might be a great chess player, but odds are that you will not vanquish a computer adversary armed with artificial intelligence. I have a competitive advantage over many other physician contestants in the battle of Man vs Machine.   I can type well and can do so while maintaining eye contact with the patient.   You must think I am a magician or a savant.   While this may be true, the birth of my advanced digital skills started decades ago.   (As an aside, digital competence is essential for gastroenterologists.) During college, I worked as a secretary