ethics, healthcare, politics

A most unproductive attitude…

Last night, a Facebook friend shared the following meme.

Hmmm… I’m not sure this works.

I understand people not wanting to see medical care being “wasted” on the non-compliant. It’s heartbreaking to read stories about people with cancer being turned away from hospitals because of unvaccinated people taking up beds as they die of COVID-19. I get that, in spite of overwhelming evidence that the vaccines help prevent severe illness and hospitalization, some people just aren’t on the bandwagon yet. They have this idea that there’s a conspiracy going on and that Democrats are trying to grab power and quash individual liberties.

I’m also not so naive that I don’t understand the concerns of people who are against mask and vaccine mandates. Personally, I don’t like the idea of being forced to wear a mask or be vaccinated against my will. But I also don’t like the idea of being hospitalized, helplessly gasping for air while my husband wrings his hands in anguish. I may not mind exiting the world as soon as possible, but COVID-19 is not the way I would like to go. So I was all for getting vaccinated as soon as I could, which in my case, was in May and June. I will also willingly get a booster. And while I still hate masks and find them depressing to look at and wear, I do cooperate.

Every day, I read another story about someone who was preaching against the vaccines getting COVID-19 and dying. Last week, it was conservative radio talk show host, Phil Valentine. Like several others before him, Phil Valentine had the false idea that COVID-19 is a hoax. He wrote on his blog that if he caught it, he’d have “way less than one percent” chance of dying. Sure enough, on July 11, 2021, Mr. Valentine announced that he had COVID-19. But he was upbeat, and vowed to be back on his show within a day or two.

“Unfortunately for the haters out there, it looks like I’m going to make it,” [Valentine] wrote. “Interesting experience. I’ll have to fill you in when I come back on the air. I’m hoping that will be tomorrow, but I may take a day off just as a precaution.”

Within two weeks, Valentine was hospitalized and in serious condition. His radio station, Nashville based 99.7 WTN, announced that Valentine had changed his mind about the vaccine and was urging people to get the shot(s). Unfortunately, it was too late for the late radio talk show host. He died this past Saturday. Interestingly enough, I see that Valentine was born in Nashville, North Carolina, and died in Nashville, Tennessee. He had been ventilated since July 28th, all to no avail.

So anyway… after reading yet another tragic story about a dead vaccine skeptic, I had a look at the comments. A woman named Nicole wrote this:

Comments here just show how fine the line is between dems and reps…as in there in no line at all. Hateful people hate, no party affiliation necessary.

At this writing, Nicole’s comment has over 1100 reactions, some of which are “laughing”. I honestly don’t see what’s so funny about someone else dying of a virus. Many people also responded to Nicole in a rude and disparaging way. I noticed that she kindly and patiently answered some of the people who “laughed” and “raged” at her, preaching about how they no longer had any “sympathy” for people like Phil Valentine. My heart went out to her, so I wrote this:

I get it. I feel the same way. Whether or not people want to acknowledge it, he had loved ones who are grieving. I have a hard time accepting people on a moral high horse when they are literally laughing and cheering about a man’s death. I am vaccinated and believe in science over foolishness, and I get tired of the craziness spewed by the ignorant. But I also hate seeing how mean people have become, especially as they preach to others about compassion and forbearance.

Thanks for being brave enough to speak up. I am with you.

The truth is, Phil Valentine is not going to read or care about the hateful comments. But he’s got loved ones and friends who are seeing all of this stuff. I don’t think reading hateful, derisive, mean spirited comments are going to convince them to change their views. Moreover, I also don’t think the idea of denying medical care to people with communicable diseases is the best way to convince cooperation. All being “mean” does is shut down communication and make people feel angry… and hopeless.

Also… by denying medical care to people with COVID-19, we would simply be prolonging the pandemic. COVID-19 is contagious. Even if a person is totally recalcitrant and belligerent about COVID-19, they can still spread the disease to others if they get it. Not helping that person is only going to put other people at risk. Some of those at risk will include children, elderly people, those who can’t be vaccinated for medical reasons, and those who are vaccinated, but immunocompromised. So, I would never be onboard with denying medical care to people with COVID. I think that attitude only puts other people at risk. I do, however, understand the sentiment. It’s frustrating to see so many people not understanding the very serious risk COVID poses to everyone and not wanting to do their part to end the pandemic.

What I think could eventually happen if things don’t get better soon, is that non-compliant people will be arrested and either forced into isolation, or compelled to accept care and vaccination. I know that’s a chilling thought for people, but it has happened before with other pandemics and it still happens with certain communicable diseases. I have seen that it’s starting to happen in certain countries, like Singapore, where personal liberty is not as important as the welfare of the whole community.

For example, when I was getting my MPH/MSW at the University of South Carolina, I was classmates with a woman whose field placement was working with people who were being detained because they had tuberculosis and refused to get treatment. These folks were not being held by law enforcement, per se. They were “locked up” because they had a communicable disease and would not cooperate with public health authorities by either isolating, or getting treatment.

I remember my classmate talking about what it was like to deal with these folks who, for one reason or another, decided that they would not voluntarily take the very powerful antibiotics used to treat TB. I distinctly recall her telling our class that the people were “pissed off”. And yet, there they still were, locked up, not necessarily because they had committed a crime, but because they put other people at risk.

Here’s a more recent example. About seven years ago, Ebola was the communicable disease that was in the news. A nurse named Kaci Hickox had returned to the United States from Sierra Leone, where she had been caring for people with Ebola. She supposedly had a fever upon arrival to the United States, so she was forced to quarantine in New Jersey for three days. She then returned to her then home state of Maine, where she was requested to self-isolate at home, which she also refused to do, as she had tested negative for Ebola.

A year later, Hickox sued then New Jersey Governor Chris Christie, former state Health Commissioner Mary O’Dowd and other Health Department employees for false imprisonment, violation of due process and invasion of privacy. She claimed that there were no medical or epidemiological grounds to hold her. Interestingly enough, Chris Christie is a Republican. At the time she was in the news, Hickox was “loathed by Republicans.” The late Rush Limbaugh had harsh words for her after Hickox returned to Maine, where she very publicly flouted voluntary quarantine. Meanwhile, she got praise from more liberal outlets.

“Is this not a little bit sanctimonious?” Limbaugh said at the time. “I mean, here you volunteer and you let everybody know, by the way. … ‘I am a good person. I have volunteered to go to Africa, and I am helping Ebola patients. Look at me. See me? I am a good person.’ You come back, ‘I have just returned from Africa helping Ebola patients, and you are not going to quarantine me so that I can’t be noticed.’”

Hickox eventually settled the lawsuit, and new protections for quarantined travelers were introduced. I’m sitting here shaking my head, though. In 2014, Republicans were screaming for Ebola quarantines and Democrats were lamenting the potential loss of civil liberties. And now, in the COVID era, the opposite is happening. It really shouldn’t be controversial or political, though. It’s a matter of basic decency and consideration for other people, isn’t it? I guess some people are fine with denying other people their civil rights, as long as it doesn’t affect them personally. And some people are fine with flouting public health rules, if it’s they who are being asked to quarantine.

I wrote about Kaci Hickox on my old blog. At the time, I was of a mixed mind about her situation. I was definitely understanding her points about civil liberties. However, at the same time, my background in public health made me concerned about her risk of spreading a deadly disease to Americans. I looked up Kaci Hickox last night. I see that she, too, has a master’s degree in Public Health. I wonder how she feels about COVID-19. In this article from March 2, 2021, a reporter states that Ebola is deadlier than COVID-19 is. That was before the virus had mutated to what it is today. Moreover, according to the article, unlike like COVID-19, asymptomatic people don’t spread Ebola. But Ebola is still a very nasty disease, just as COVID has proven to be.

Anyway… I just think that we should all try to be as compassionate as possible. I don’t think it’s ethical to deny medical care to people, even if they behave in a foolish or offensive manner. I get being offended or annoyed by the willfully ignorant. God knows, I post all the time about my irritation with people who have unhelpful attitudes. But when it comes to getting people to cooperate, I don’t think it’s helpful to laugh at them as they die or express hatred for them. All that does is divide people. It’s in everyone’s best interests to be cooperative. At least for now, people still have the right to choose whether or not they will be vaccinated. It would be good if some of those who hesitate figure it out for themselves that not getting the shot could really mess up, or even end their lives.

As for Phil Valentine… it is a shame that he didn’t comply sooner. But at least at the end of his life, he tried to change hearts and minds. For that reason, I think people should be kinder regarding his memory. When it comes down to it, this issue is really NOT about politics. It’s about health, and potentially life and death.

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8 thoughts on “A most unproductive attitude…

  1. These are scary, bewildering, and frustrating times.

    I will not blame the former President for the initial breakout in Wuhan or the Chinese government’s politically motivated effort to cover up the seriousness of the novel COVID-19 virus in late 2019; that book by Carol Leonnig and Philip Rucker (I Alone Can Fix It: Donald J. Trump’s Catastrophic Final Year) shows how Beijing stonewalled the CDC and failed to share information that the Chinese government had in its possession.

    That having been said, Trump failed to deal with the spread of the virus as a public health issue. He chose to make a political issue out of it. and compounded Beijing’s lies and obfuscations by adding more of his own. A real leader, which Trump is not, would have done everything possible to limit the negative effects of COVID and rallied the entire nation – not just his base – to work together as a community. Not Trump. No siree. He helped create the “this is no worse than the flu…it’s all a hoax” mentality that has gotten us to a point in which a virus has killed more Americans than died in the Civil War.

    I do not like masks. They are hard for me to put on and wear properly. They’re uncomfortable to wear in the heat of subtropical Florida. Nevertheless, on the rare occasion that I venture out in public, I wear one of the four that I own. I do it because, unlike anti-maskers and anti-vaxxers, I believe that, at least where pandemics are concerned, the needs of the many outweigh the needs of the one.

    Unfortunately, we live in a society that is divided and at odds with itself. This was true when the U.S. was founded in 1776, and unfortunately, it will always be so. Rural America and urban America distrust, even dislike, each other. Racism, sexism, religious rivalries, even class divisions, will always be with us. As long as there are conservatives and liberals co-existing in the same nation, the gap between the Founders’ high-minded words (“All men are created equal…promote the general welfare….”) and the harsh realities of life in 21st Century America will be a permanent, even growing, fissure on the national landscape.

    • I unsubscribed from two YouTube channels yesterday because they were spreading ant-vaxxer bullshit.

      At the same time, I truly feel bad for almost anyone who gets the virus. Even people who are derisive. Anyone who hasn’t had the virus doesn’t know what it’s like. Some people are okay when they get it. Some are not.

  2. It’s sad that it has gotten to this point when many people find it hard to feel compassion for their fellow humans. It’s also bewildering, especially when 80 years ago most Americans were able to put aside partisan divisions and pulled together to help our Allies defeat Hitler, Mussolini, and Tojo in WWII. That’s what…three generations removed?

    I’m not naive about U.S. history; there were many people back in the 1940s who defied rationing and found ways to avoid being drafted. There were even a few traitors (Axis Sally, Tokyo Rose) who aided the enemy. But I find it tragic that once WWII ended in 1945, that sense of “we’re all in this together” vanished. Poof. We see some traces of that old spirit occasionally, mostly in the aftermath of a shocking tragedy (the Challenger explosion, the 9/11 attacks). But it always seems so ephemeral and dissipates like fog before a hot morning sun.

    • Yes, it’s sad. Honestly, before Trump, I gave less than a fuck about politics. I feel like he destroyed a lot of goodwill. People aren’t listening, either. It’s a lot of yelling and insulting.

      • For me, politics used to be something that was in the background, but I wasn’t particularly focused on. I knew it mattered, especially coming from a journalism background and my interest in history. But I challenge anyone who knew from Epinions to find any overtly political writing by me before the Trump era. (A caveat. I did write a few political posts in places that don’t exist anymore, though I’m sure our friend …tom….could find them on the Internet Archive. But…they were always on foreign affairs or defense-oriented stuff. Domestic politics were something I was usually quiet about.)

        Unfortunately, 2016 changed that.

        (By the way, I am in Facebook Prison for, of all things, posting a pro-masks photo of a Florida bar explaining its policy on vaccines and masks. Facebook’s bots obviously do not understand nuanced language, so I’m in the pokey till late September. Holy fuck.)

      • Facebook jail for that? What bullshit!

        I actually used to have a job in which I was tasked with watching state laws and bills coming through the South Carolina legislature. I wasn’t all that interested in it at the time, but now I think I would be very interested.

        If there’s one good thing Trump did, it’s wake up some of the complacent among us. Most of the other presidents were basically people who aren’t malignant narcissists. They all have narcissistic qualities, but not full on NPD. Unfortunately, many people mistake the charisma for actually giving a shit about others. Trump does not, and it is essential for a good and effective leader to care about others.

        In any case… I know not all Trump supporters are bad people. But too many of them are not seeing the big picture. At the same time, I don’t wish COVID on anyone… even Ex. I just wish people would be kinder to each other.

      • Yep. I still have 25/26 days in Facebook limbo. All I did was post a photo of a bar’s sign telling customers that they had to follow the owners’ rules re masks and vaccination cards.

        Problem is, though, is that the REMF who flagged it either is a bot, a foreigner, or an idiot. The sign had a list of patrons’ excuses for not wearing masks AND the owners’ responses to said excuses.

        The idiot in Community Standards only saw the “excuses” and not the owners’ replies and flagged the post as “Passing on potentially harmful misinformation.”

        The stupidity….it hurts.

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