Forced vaccination in the Land of Liberty (TM)

“Should the Government Impose a National Vaccination Mandate?” (New Yorker, by Jeannie Suk Gersen (quoted in the Domestic Violence chapter of Real World Divorce) provides a good window into the thinking of the elites:

Despite claims to the contrary, there are many routes to legally requiring COVID inoculation.

The pre-covid legal landscape, in other words, was quite clear: a state could require vaccinations to protect public health, even imposing criminal penalties for noncompliance. And vaccination as a condition of attending school or of government employment has been widely, if not universally, accepted.

There has been a plethora of legal challenges to covid-vaccine mandates imposed by public and private institutions, but courts have been quick to dismiss them.

No city or state has yet issued a straight-up requirement that all private citizens be vaccinated against covid-19, along the lines of the Massachusetts smallpox-vaccination law upheld in Jacobson, but some have edged toward it. The closest so far is New York City’s requirement of proof of having received at least one dose for access to certain activities, including indoor dining, gyms, and performances. Various states have also ordered certain subsets of their populations, including health-care and nursing-home workers, school teachers, and state employees, to be vaccinated or face regular testing. The F.D.A.’s full approval of the vaccine this week makes it more likely that cities and states will impose general mandates on residents. If they do, they can feel confident that such requirements will be upheld by the courts, so long as they include medical and religious exemptions.

The only real question is whether it is a state governor’s job or Presidents Biden and Harris’s to order residents to be injected:

And, in fact, the government has never issued a national vaccination mandate—perhaps because, in the past, leaving that role to states and localities has sufficiently contained epidemics. If any federal statute currently provides authorization for a national covid-vaccination mandate, however, it would be the Public Health Service Act, which gives several agencies the authority “to prevent the introduction, transmission, or spread of communicable diseases” from foreign countries or between states. The government can use this law to pursue quarantine policies, and the statute, broadly construed, may also allow the government to mandate vaccinations to prevent interstate spread of covid-19.

After the tens of $trillions spent on defending liberty from foreign bogeymen (our military is our #3 federal expense, after Social Security and Medicare/Medicaid), will it ultimately turn out that foreigners enjoy more freedom to choose which medical interventions to accept?

Separately, most of the above examples of forced vaccination wouldn’t apply to someone who stays home playing Xbox in public housing while shopping for food via EBT. Instead of emigrating to Sweden or a similar foreign haven, perhaps an American who loves freedom could simply transition to disability/welfare.

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Checking in on the wicked Swedes

Sweden hasn’t been in the news lately. Let’s see if the wicked never-masked never-locked-down Swedes are being punished by the mighty and just CoronaG*d. First, “cases” (adjusted for population size):

Case rate can vary tremendously depending on a country’s love for running PCR machines. Let’s look at ICU hospitalization rate:

Why aren’t the Swedes being punished for their sins?

Remember that the typical Swede lives a fairly urban existence, as noted in Analysis of Sweden versus UK COVID-19 outcomes. So it isn’t that Swedes don’t encounter one another.

Maybe it is the miracle of vaccines? It turns out that vaccination rate is almost the same in Sweden compared to the U.S.:

How about hot weather driving people into air-conditioned shared indoor environments as an explanatory factor? The case rate (above) in the UK is higher than in the US, despite the UK being cooler than the US.

How about the choice to let humans co-evolve with what the Swedish MD/PhDs predicted would be a permanent companion virus, similar to influenza? “Having SARS-CoV-2 once confers much greater immunity than a vaccine” (Science, August 26, 2021):

The natural immune protection that develops after a SARS-CoV-2 infection offers considerably more of a shield against the Delta variant of the pandemic coronavirus than two doses of the Pfizer-BioNTech vaccine, according to a large Israeli study that some scientists wish came with a “Don’t try this at home” label. The newly released data show people who once had a SARS-CoV-2 infection were much less likely than vaccinated people to get Delta, develop symptoms from it, or become hospitalized with serious COVID-19.

The new analysis relies on the database of Maccabi Healthcare Services, which enrolls about 2.5 million Israelis. The study, led by Tal Patalon and Sivan Gazit at KSM, the system’s research and innovation arm, found in two analyses that people who were vaccinated in January and February were, in June, July, and the first half of August, six to 13 times more likely to get infected than unvaccinated people who were previously infected with the coronavirus. In one analysis, comparing more than 32,000 people in the health system, the risk of developing symptomatic COVID-19 was 27 times higher among the vaccinated, and the risk of hospitalization eight times higher.

Note that the above data contradict #Science as known to American public health experts. There would be no point in ordering the previously infected to get vaccinated before going to work or school if we didn’t know from #Science that vaccines confer much better protection than infection with the actual virus. (Remember that staying home and playing Xbox doesn’t require any vaccination, masking, or other COVID-19-related compliance!)

Readers: What’s your theory as to why Sweden is not suffering a dramatic plague right now?

Separately, how should science-following journalists characterize a country that gave the finger to the coronavirus and ended up with half the death rate of masked-and-shut Maskachusetts (where the urban kids whose lives purportedly matter lost an entire year of education)? It all depends! Part of a screen from Apple News:

(Note that even the Telegraph folks who are apparently willing to consider the advantages of children being able to leave the house and attend school refer to Sweden following W.H.O. pandemic respiratory virus advice from pre-2020 as an “experiment”. It is not the countries that have tried general public mask orders and year-long school shutdowns that are experimenting.)

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The consequences of telling the public that simple cloth and paper face coverings are protective

On arrival in Florida, which coincided with a (presumably typical going forward) summer COVID-19 case peak, I noticed that the wearing of face masks was actually more common than in Maskachusetts. This surprised me a little, given that MA has been the land of ordering people to wear masks and FL has been notable for its lack of mask orders. But, of course, given the hysterical media stories about Florida as the worst-afflicted state in the nation (except for all of the other states where the death rate has been much higher (and the COVID Olympics score would be even more in FL’s favor if you adjusted for percentage of population over 65)), it is natural that the more fearful residents and visitors would wish to protect themselves from a raging plague.

What was interesting was how the fearful had chosen to protect themselves. Instead of wearing N95 and P100 masks, as you might expect for people concerned about an aerosol virus, they were wearing simple cloth and paper masks, about as effective as a chain link fence against sand. I wonder if this is partly due to the media and government telling us that bandanas, paper surgical masks, and stylish cloth masks are “protective”. (I am aware that the theory is that if 100 percent of people wear such masks that transmission will be reduced (such that everyone gets COVID a few weeks later than otherwise? What is the point if R0 is not reduced below 1?), but this is seldom explained clearly. Certainly no public health official says, in public, “it is pointless for you to wear a mask if nobody else is.” (though sometimes they say that in private; see “Fauci Said Masks ‘Not Really Effective in Keeping Out Virus,’ Email Reveals” (Newsweek))

Some of the same phenomenon is on display with vaccine propaganda. A guy in his 60s cited Dr. Fauci for his belief that 99 percent of people having problems with COVID-19 are unvaccinated (according to the UK’s far superior medical record system, however, the Delta variant kills without distinction; roughly 60 percent of those hospitalized with COVID-19 in Israel are fully vaccinated). To show his concern regarding COVID-19, he was wearing a cloth mask emblazoned “Combat COVID” …. under his nose.

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Coronascience: pack a plane to 100 percent capacity and then have everyone de-mask simultaneously

“18 US Orthodox Jewish girls kicked off a Delta-KLM flight following a COVID-19 protocols dispute, reports say” (Business Insider):

Eighteen Orthodox Jewish girls were barred from boarding a Delta flight from Amsterdam to New York on Thursday because of a dispute on a KLM flight about COVID-19 protocols, according to reports.

The passengers breached the protocols by taking their masks off to eat their own food outside of the designated mealtimes, The Jerusalem Post reported.

Despite my general adherence to the Swedish level of coronapanic, if I could take over as dictator of the U.S. and issue executive orders, my first order to would to make it illegal for airlines to sell the middle seat, except to families traveling together.

Related:

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All will be well in the garden; There will be growth in the spring! (Dr. Fauci as Chance the Gardener)

“Fauci: U.S. can get control of pandemic by spring if vaccinations rise” (Axios):

NIAID director Anthony Fauci told CNN on Monday the U.S. could “start getting back to a degree of normality” by next spring [of 2022] if more Americans are vaccinated against COVID-19.

Yes but: “There’s no guarantee, because it’s up to us,” Fauci said in his interview with CNN’s Anderson Cooper, noting that another variant could emerge unless the current surge is brought under control.

Fauci told Cooper that the U.S. should get “some good control in the spring of 2022” if “we can get through this winter and get really the overwhelming majority of the 90 million people who have not been vaccinated.”

Compare to a leading 20th century economic scientist:

Separately, I am curious about the #Science. If we host a raging a coronaplague, won’t most of those who are currently unvaccinated get infected and develop a similar immunity to what they would have received via vaccination? And aren’t we told by the media that the U.S. is currently suffering from Third Wave coronaplague? Why does it matter, therefore, if some people remain unvaccinated?

Same question on the variants… we’ve told that vaccinated people are still getting infected and becoming contagious, but are less likely to be hospitalized. If this is true, why would the production of variants be tightly correlated to the percentage of Americans who are vaccinated? (And even if we could get God to shut down domestic production of variants, wouldn’t variant coronavirus arrive in the U.S. from other countries? We don’t have a more or less sealed border like the COVID-free paradise islands of Australia and New Zealand.)

What if you don’t want to wait 7 months to see if Fauci’s fairy tale comes true? Move to Florida! There is plant growth all the time here, whether you want it or not. By the time you get your move organized, the current COVID-19 wave should be over.

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How do I return 6 square miles of Plexiglas?

What if you rejected my harebrained idea, Build downdraft paint booths for K-12 schools?, and #FollowedScience by investing in acrylic barriers?

“Those Anti-Covid Plastic Barriers Probably Don’t Help and May Make Things Worse” (NYT, 8/19/2021):

Covid precautions have turned many parts of our world into a giant salad bar, with plastic barriers separating sales clerks from shoppers, dividing customers at nail salons and shielding students from their classmates.

Intuition tells us a plastic shield would be protective against germs. But scientists who study aerosols, air flow and ventilation say that much of the time, the barriers don’t help and probably give people a false sense of security. And sometimes the barriers can make things worse.

Research suggests that in some instances, a barrier protecting a clerk behind a checkout counter may redirect the germs to another worker or customer. Rows of clear plastic shields, like those you might find in a nail salon or classroom, can also impede normal air flow and ventilation.

(Note the “false sense of security”, which is why the Swedish MD/PhDs didn’t want to order residents to wear bandanas and paper/cloth masks. Masked humans would be more comfortable crowding together and the vulnerable would feel comfortable entering indoor public environments that, in fact, could not be made safe with these primitive tools.)

Maybe the plastic barriers work better to separate diseased K-12 students? “The Science of Masking Kids at School Remains Uncertain” (New York, August 2021) says “no”:

At the end of May, the Centers for Disease Control and Prevention published a notable, yet mostly ignored, large-scale study of COVID transmission in American schools. A few major news outlets covered its release by briefly reiterating the study’s summary: that masking then-unvaccinated teachers and improving ventilation with more fresh air were associated with a lower incidence of the virus in schools. Those are common-sense measures, and the fact that they seem to work is reassuring but not surprising. Other findings of equal importance in the study, however, were absent from the summary and not widely reported. These findings cast doubt on the impact of many of the most common mitigation measures in American schools. Distancing, hybrid models, classroom barriers, HEPA filters, and, most notably, requiring student masking were each found to not have a statistically significant benefit. In other words, these measures could not be said to be effective.

#Science did not evaluate my downdraft paint booth idea, sadly. From the Watertown, Maskchusetts central post office, August 27, 2021:

Related:

  • “The 60-Year-Old Scientific Screwup That Helped Covid Kill” (WIRED, 5/13/2021): “The distinction between droplet and airborne transmission has enormous consequences. To combat droplets, a leading precaution is to wash hands frequently with soap and water. To fight infectious aerosols, the air itself is the enemy. In hospitals, that means expensive isolation wards and N95 masks for all medical staff. … An indoor-air researcher at the University of Hong Kong, Li had made a name for himself during the first SARS outbreak, in 2003. His investigation of an outbreak at the Amoy Gardens apartment complex provided the strongest evidence that a coronavirus could be airborne. But in the intervening decades, he’d also struggled to convince the public health community that their risk calculus was off. Eventually, he decided to work out the math. Li’s elegant simulations showed that when a person coughed or sneezed, the heavy droplets were too few and the targets—an open mouth, nostrils, eyes—too small to account for much infection. Li’s team had concluded, therefore, that the public health establishment had it backward and that most colds, flu, and other respiratory illnesses must spread through aerosols instead.”
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Florida implements my renal dialysis-inspired COVID care idea (sort of)

Since all that hospitals are generally doing for COVID-19 patients is providing supportive care (i.e., not treatment) and, in fact, patients can do just as well at home with an oxygen bottle (nytimes), it seemed like an obvious idea to look for a way to handle COVID-19 patients somewhere other than a hospital. If nothing else, this would prevent the COVID-19 patients from infecting workers and patients within the hospital. If we could build renal dialysis capacity, why not COVID-19 treatment centers? is my idea from April 2, 2020:

On the one hand, the U.S. health care system is kind of lame. It consumes a ton of money. New York State spends $88 billion per year on its Department of Health, $4,400/year for every resident, mostly just for people on welfare in New York; Mexico spends about $1,100/year across all citizens, including those with jobs. The U.S. health care system delivers feeble results. Life expectancy in Mexico is 77 versus 78 in the U.S. Despite this prodigious spending, New York has completely failed to protect its residents from something that isn’t truly new.

On the other hand, the U.S. managed to build enough renal dialysis capacity to keep 468,000 Americans with failed kidneys alive. This is a complex procedure that requires expensive machines, and one that did not exist on a commercial basis until the 1960s.

Of course, one issue is that we had decades to build up all of this renal dialysis capability while we have only about one more month to build COVID-19 treatment capacity. But once we have built it, can we sail through the inevitable next wave or two of COVID-19?

(Looks like I can take credit for predicting “the inevitable next wave or two of COVID-19” (the U.S. is officially in Wave #3? BBC).)

If renal dialysis can be delivered in a strip mall, why not COVID-19 care? Florida has taken a step in the direction that I suggested nearly 1.5 years ago. From https://floridahealthcovid19.gov/monoclonal-antibody-therapy/ :

Note that the locations are not hospitals. They’re not empty strip mall shops or big box stores as I’d expected, but rather parks and libraries (i.e., existing state-owned facilities). But maybe this is because these are the state-run operations rather than private sector. (Also, as far as I have seen, South Florida isn’t in the Zombie Apocalypse retail vacancy situation that Boston is.)

Also, I wonder if the 9-5 hours support my analogy between the Vietnam War and our War on COVID-19. We were in a fight where the fate of democracy all around the world was at stake… but the upper-middle class back home kept playing tennis and golf and President Johnson and Congress kept larding on social welfare programs without considering the cost. Right now we’re in an unprecedented emergency. Our best and brightest technocrats are using advanced technology and trillions of dollars against an enemy that has already killed more Americans than all wars combined… but we will fight the enemy from 9-5. (I don’t think this is completely fair because the Florida state government has treated COVID-19 as a respiratory virus to be managed like the flu, not as an entirely new phenomenon nor as something that can be vanquished by government action.)

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Nation’s leading Shutdown Karens complain that schools were shut down

This is kind of fascinating… the New York Times, which was a principal cheerleader for lockdowns, now complains about American public schools having been shut for roughly one year… “The School Kids Are Not Alright” (NYT, August 22):

One of the most distressing aspects of the Covid pandemic has been seeing governors and state education officials abdicate responsibility for managing the worst disruption of public schooling in modern history and leaving the heavy lifting to the localities. Virtually every school in the nation closed in March 2020, replacing face-to-face schooling with thrown-together online education or programs that used a disruptive scheduling process to combine the two. Only a small portion of the student body returned to fully opened schools the following fall. The resulting learning setbacks range from grave for all groups of students to catastrophic for poor children.

From the start, elected officials seemed more concerned about reopening bars and restaurants than safely reopening schools that hold the futures of more than 50 million children in their hands.

Could this be the new definition of chutzpah? (replacing the former “that quality enshrined in a man who, having killed his mother and father, throws himself on the mercy of the court because he is an orphan.”)

The rest of the editorial is about new ways for President Biden to force every American schoolchild to wear masks for 7 hours per day. Having bravely confronted the Taliban, Uncle Joe will now turn his post-nap attention to K-12ers who are wearing chin diapers, under-nose masks, or running wild:

President Biden took the right approach on Wednesday when he announced that his Education Department would use its broad authority to deter the states from barring universal masking in classrooms.

How much difference will this make? See “The Science of Masking Kids at School Remains Uncertain” (New York, August 2021):

At the end of May, the Centers for Disease Control and Prevention published a notable, yet mostly ignored, large-scale study of COVID transmission in American schools. A few major news outlets covered its release by briefly reiterating the study’s summary: that masking then-unvaccinated teachers and improving ventilation with more fresh air were associated with a lower incidence of the virus in schools. Those are common-sense measures, and the fact that they seem to work is reassuring but not surprising. Other findings of equal importance in the study, however, were absent from the summary and not widely reported. These findings cast doubt on the impact of many of the most common mitigation measures in American schools. Distancing, hybrid models, classroom barriers, HEPA filters, and, most notably, requiring student masking were each found to not have a statistically significant benefit. In other words, these measures could not be said to be effective.

In the realm of science and public-health policy outside the U.S., the implications of these particular findings are not exactly controversial. Many of America’s peer nations around the world — including the U.K., Ireland, all of Scandinavia, France, the Netherlands, Switzerland, and Italy — have exempted kids, with varying age cutoffs, from wearing masks in classrooms.

(As with physics, e.g., Katherine Clerk Maxwell‘s equations, the predictions from coronascience will be different depending on the country in which the experiment is conducted.)

Another interesting media phenomenon is cheering for school districts that defy governors’ orders to reopen fully. See “How three school districts are defying state restrictions on mask mandates” (CNN) for example:

The debate over masks in schools has reared its head once again with the new academic year, and a handful of states have taken steps to restrict local officials’ ability to implement their own masking requirements, either through the governor’s office or state legislatures.

These restrictions — made despite guidance from the US Centers for Disease Control and Prevention recommending masks for everyone in schools regardless of vaccination status — have prompted showdowns between state officials and some local school districts, who say they’re trying to protect their communities, particularly students who are ineligible for vaccines.

Perhaps most prominently, several Florida school districts have decided to impose mask mandates, defying an executive order by Gov. Ron DeSantis that forbids such requirements and threatens to take away school funding if school districts don’t allow students to opt-out.

But some school districts have taken more methodical approaches, carefully circumventing state restrictions on mask requirements through careful legal maneuvering or apparent loopholes.

The school bureaucrats’ motives are noble. They want to protect their communities and especially the children. The nobility of their motive is one reason that a governor’s order cannot apply to them.

What if, in April 2020, a school district in a rural area of a state had said “we’re reopening our school in defiance of the governor’s shutdown order because we are trying to protect our children’s future and ensure that they have enough education to thrive. We aren’t suffering from a plague the way folks in the big city who ride the subway to their Tinder dates are”? Would the same journalists have praised such defiance?

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Internment camps for the unvaccinated?

Nobody loved my previous modest proposal: Euthanize the unvaccinated?

Here’s another idea for keeping the righteous safe from those who deny #Science… internment camps for the unvaccinated. Korematsu v. United States affirmed FDR’s decision to send Japanese-Americans into camps. World War II was a bad situation, but Japanese-Americans were a minor and speculative threat. Nonetheless, the Supreme Court held that the Constitution did not apply #BecauseEmergency.

Consider that COVID-19, at least according to our media, has already killed far more Americans than died in World War II (and the death of an 82-year-old with diabetes and cancer is actually more tragic than the death of a healthy 18-year-old soldier). So the emergency is far more severe right now than whatever we had concerning us in 1942 when Roosevelt issued Executive Order 9066. This is certainly no time to let purported Constitutional rights interfere with public health.

We are also informed that the unvaccinated are 99.2 percent responsible for spreading coronaplague and for COVID-19 deaths. The unvaccinated are a clear and present danger to themselves and others.

Isn’t the logical next step placing the unvaccinated into internment camps for their own protection? “Imperfect Vaccination Can Enhance the Transmission of Highly Virulent Pathogens” (PLOS, 2015):

Could some vaccines drive the evolution of more virulent pathogens? Conventional wisdom is that natural selection will remove highly lethal pathogens if host death greatly reduces transmission. Vaccines that keep hosts alive but still allow transmission could thus allow very virulent strains to circulate in a population. Here we show experimentally that immunization of chickens against Marek’s disease virus enhances the fitness of more virulent strains, making it possible for hyperpathogenic strains to transmit. Immunity elicited by direct vaccination or by maternal vaccination prolongs host survival but does not prevent infection, viral replication or transmission, thus extending the infectious periods of strains otherwise too lethal to persist. Our data show that anti-disease vaccines that do not prevent transmission can create conditions that promote the emergence of pathogen strains that cause more severe disease in unvaccinated hosts.

The only way to keep the unvaccinated safe from the super-COVID that we’re breeding by vaccinating those who were never at significant risk (with an imperfect vaccine) is to place the unvaccinated into camps where they can be isolated from the vaccinated population.

Readers: What do you think of this idea? And could Andrew Cuomo be repurposed to run one of the camps? He has experience ordering the infected into nursing homes. (But if he hadn’t done that, the hospital situation could have been worse; see Our hero’s hospital is full (but not with patients who should be there).) Maybe Cuomo could be tasked with rounding up the unvaccinated and ordering them into the Protection Camps. If that’s too big a task for one person, Cuomo could be in charge of outreach to young unvaccinated women.

Loosely related… a fixer-upper in Bodie, California, in the same dry Eastern Sierra environment as Manzanar.

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