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What should the legal response be when parents refuse to vaccinate their kids?
Nothing. Their kids, their choice. 27%  27%  [ 7 ]
Their choice, but ban the kids from public schools, parks, etc. 58%  58%  [ 15 ]
Require the vaccination and take the kids if necessary. 8%  8%  [ 2 ]
Other (please specify) 4%  4%  [ 1 ]
Not sure / don't care 4%  4%  [ 1 ]
Total votes : 26
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 Post subject: Re: Re:
PostPosted: Wed Feb 04, 2015 1:01 pm 
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RangerDave wrote:
Arathain Kelvar wrote:
So you think that removing children from stable homes is better for them than a 1 in 116,000 chance of getting a typically non-lethal disease?

I'm not primarily thinking about what's best for the anti-vaxxers' kids; I'm thinking about what's best for mine, and that is doing what's necessary to preserve herd immunity and prevent the resurgence of extremely serious and entirely preventable diseases in the US population. That said, I'm overstating a bit in that I'm currently kind of on the fence between "their choice, but ban the kids from public places where kids congregate" and "require the vaccinations" solely because the anti-vaxxer movement isn't widespread enough just yet to pose a serious threat. It seems to be getting there, though, and if it does, there's plenty of legal, Constitutional, historical and moral justification for requiring vaccination as a matter of law. If we have to do that again to prevent this **** from getting out of control, then I say **** the anti-vaxxers and their idiotic sensibilities.


So then you think it's best for your children, or society at large, to remove children from stable caring households.


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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 1:02 pm 
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It's best for his children, and for society at large, if unvaccinated individuals are not allowed entrance into high traffic public spaces or events.


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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 1:04 pm 
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Lenas wrote:
It's best for his children, and for society at large, if unvaccinated individuals are not allowed entrance into high traffic public spaces or events.


That's not what he voted for. He voted for "take them if necessary".


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PostPosted: Wed Feb 04, 2015 1:24 pm 
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RangerDave wrote:
Diamondeye wrote:
the policy you are referring to are the standards for legal immigration.

No, I'm referring to the policy that requires medical screening and vaccinations for illegal immigrant kids that get detained, which is what the articles I linked discuss.


Which you should have linked in the first place. That was the main point.

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Fair enough, but just for the record, I don't usually ask people to source their argument unless I've done at least some Googling myself to see if I can find some support for their view. In this case, when I did a quick Google of Rori's claim, all I found were some articles quoting comments from anti-immigration politicians and media personalities, which were quickly countered by people at the relevant agencies and medical facilities pointing out that there's no evidence to support those claims, the source countries have high vaccination rates, and we screen and vaccinate detained kids anyway. So, I asked him for a source. That said, I agree that simply demanding evidence can be rude, so I should have at least noted that I was asking because what he was saying was contrary to everything I've read.


What you found was people citing the policy, without reference to whether that policy is actually being carried out or is being carried out in an effective manner. While Rori didn't qualify his statement that way, it should be fairly obvious that the end result of "they aren't vaccinated at all" and "they aren't vaccinated until after they've already been packed in with hundreds of other people for several days because as a practical matter it's not possible to do anything else" is the same.

Diamondeye wrote:
Aye, this I don't dispute. Many of the articles I read that debunked the claims of illegal immigrants spreading serious diseases like TB and measles to the general population went on to note that the facilities were understaffed and overcrowded, posing a potential risk to the people being held there and the personnel tasked with overseeing them. The articles also noted that less serious but still very unpleasant things like scabies, lice, chicken pox, dysentery, etc. are common among newly-detained illegal immigrants, and the crowded facilities pose a clear risk of contagion among the detainees and personnel.

That said, though, the issue that everyone's concerned about isn't scabies; it's measles, TB and other serious diseases, and for those things, there doesn't appear to be any reason to believe that the illegal immigrants being held pose a threat to the general population at this time. More to the point, though, there's zero evidence that they are in any way likely to be connected to the recent outbreaks of measles, which is what Rori was claiming.


There isn't, but that's mainly because the outbreak is new and was already tied to Disney World which isn't really where illegal immigrant children end up, not because the proposal is preposterous on the face of it.

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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 1:25 pm 
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Arathain Kelvar wrote:
Lenas wrote:
It's best for his children, and for society at large, if unvaccinated individuals are not allowed entrance into high traffic public spaces or events.


That's not what he voted for. He voted for "take them if necessary".


I read this as "take them, vaccinate them, then return them", not "keep them after the vaccination for no apparent reason."

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 Post subject: Re: Re:
PostPosted: Wed Feb 04, 2015 1:40 pm 
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Arathain Kelvar wrote:
So then you think it's best for your children, or society at large, to remove children from stable caring households.

Yes, I think there's definitely a tipping point at which the number of unvaccinated people poses a sufficiently serious public health risk for the state to make vaccinations mandatory and, if some parents still flatly refuse to get their kids vaccinated, to take those kids out of their custody to the extent necessary to administer those vaccines. Now, the number of cases in which that would be necessary is likely to be quite small, as I imagine the vast majority of "stable, caring households" would follow the law rather than lose custody of their kids. Also, as DE noted, presumably this wouldn't have to be a permanent removal, since we're just talking about administering a few shots and maybe doing some follow-up, not maintaining a lifelong course of treatment.

Like I said before, I'm overstating my position a bit in that I'm not sure we're there yet in terms of the numbers, but from what I've read, we're headed in that direction. Colorado kindergarten kids have MMR vaccination rates lower than in many Third World countries, and some schools in Los Angeles are reporting opt-out rates (i.e., parents filing for "Personal Belief Exemptions" so they can enroll their kids in school without the required immunizations) as high as 60-70%!

I'm not big on fear-mongering, but people really need to pull their heads out of their asses on this stuff before we get to the point where drastic action is required.


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PostPosted: Wed Feb 04, 2015 2:20 pm 
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RangerDave wrote:
Arathain Kelvar wrote:
So then you think it's best for your children, or society at large, to remove children from stable caring households.

Yes, I think there's definitely a tipping point at which the number of unvaccinated people poses a sufficiently serious public health risk for the state to make vaccinations mandatory and, if some parents still flatly refuse to get their kids vaccinated, to take those kids out of their custody to the extent necessary to administer those vaccines. Now, the number of cases in which that would be necessary is likely to be quite small, as I imagine the vast majority of "stable, caring households" would follow the law rather than lose custody of their kids. Also, as DE noted, presumably this wouldn't have to be a permanent removal, since we're just talking about administering a few shots and maybe doing some follow-up, not maintaining a lifelong course of treatment.

Like I said before, I'm overstating my position a bit in that I'm not sure we're there yet in terms of the numbers, but from what I've read, we're headed in that direction. Colorado kindergarten kids have MMR vaccination rates lower than in many Third World countries, and some schools in Los Angeles are reporting opt-out rates (i.e., parents filing for "Personal Belief Exemptions" so they can enroll their kids in school without the required immunizations) as high as 60-70%!

I'm not big on fear-mongering, but people really need to pull their heads out of their asses on this stuff before we get to the point where drastic action is required.


Well, I think that forcibly taking a child away from a parent and injecting a foreign substance into their body against their will is a huge violation of rights (and lazy policy which I'll get into in a minute), but at least having it be temporary instead of permanent pulls you back out of the batshit crazy column where I thought you were.

Now, once this is a forced practice, what do you do when a child has a severe reaction that causes permanent damage? If a parent opts out, and you cause their child permanent brain damage, coma, or deafness, what happens? Oh, that's the breaks? Sorry we broke your child? Below is from the CDC website for adverse reactions to the Measles, Mumps and Rubella vaccine:

Quote:
Severe Problems (Very Rare)

Serious allergic reaction (less than 1 out of a million doses)
Several other severe problems have been reported after a child gets MMR vaccine, including:
Deafness
Long-term seizures, coma, or lowered consciousness
Permanent brain damage


As for lazy policy, outreach and education is hard. It's much easier to force people to do what you want rather than try and convince them. I get that. But if there are areas with 60-70% opt out rates, the people in charge of education and outreach are not doing their jobs.


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PostPosted: Wed Feb 04, 2015 2:25 pm 
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I voted 'Not Sure/Don't Care'. I voted this way because I have not personally researched the danger of the vaccines in question, and wouldn't care to espouse my opinion without doing some homework first. In other words, I'm just not sure... (I do care however).

When I was on active duty in the early to mid 90's, when the first gulf war was getting started, the military was about to start a mandatory bovine anthrax vaccination program for all active and reserve/guard members. I was stationed in Alaska, with no risk of being deployed to the gulf, and about to retire at the time (19 of 20 years served). I was prepared to take a less than honorable discharge (for disobeying an order) and forgo my pension to avoid getting that series of shots. I would have been more than happy to take my chances being deployed to the gulf without the vaccination, but not willing to accept the risk of an untested bovine (series of) vaccination(s).

Fortunately, the plant that was manufacturing the vaccination was temporarily shutdown by the USDA because they didn't meet the standards necessary to give the injection TO CATTLE! (let alone humans), so, because supply was limited, they were only giving it to individuals deploying in theater. I got lucky.

I know these two things are very different, but I still have a bit of a soft spot for people refusing vaccinations. It's pretty hard for me to trust that the federal government is being entirely truthful about the possible risks.


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 Post subject: Re: Re:
PostPosted: Wed Feb 04, 2015 2:48 pm 
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Arathain Kelvar wrote:
As for lazy policy, outreach and education is hard.


Ignorance can be educated. Stupid is forever. Antivaxxers are the latter.

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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 3:06 pm 
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Arathain Kelvar wrote:
Well, I think that forcibly [...] injecting a foreign substance into their body against their will is a huge violation of rights [...]


Isn't that what an unvaccinated child is? Since you're choosing to not have immunity to a disease, you're risking your ability to control exposing others to such a foreign substance.

I would accept the argument (and think it has its own merits) on the basis that the door does indeed swing both ways.

Criminal and civil liability for infecting others with a disease, either through negligence or intentionally, seems appropriate.

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PostPosted: Wed Feb 04, 2015 3:11 pm 
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Arathain Kelvar wrote:
Well, I think that forcibly taking a child away from a parent and injecting a foreign substance into their body against their will is a huge violation of rights....Now, once this is a forced practice, what do you do when a child has a severe reaction that causes permanent damage? If a parent opts out, and you cause their child permanent brain damage, coma, or deafness, what happens? Oh, that's the breaks? Sorry we broke your child?

I agree it's a major infringement of rights, which is why I'm only on board if the numbers pose a serious public health risk and the risks of the vaccine are comparatively minimal, which they are for the vaccines we're talking about. That said, yes, although the risks of getting the vaccines are very low and the benefits (both to the public and to the person who gets them) outweigh those risks, there is still a non-zero chance of a bad reaction. If that happens, there's not much you can do other than apologize and maybe compensate. Doesn't change the public health calculus though.

Arathain Kelvar wrote:
As for lazy policy, outreach and education is hard. It's much easier to force people to do what you want rather than try and convince them. I get that. But if there are areas with 60-70% opt out rates, the people in charge of education and outreach are not doing their jobs.

I was actually just reading about the difficulties faced by education and outreach programs. A recent study indicates that, basically, they don't work:

One of the most important studies to date is a 2014 paper in the journal Pediatrics, “Effective Messages in Vaccine Promotion: A Randomized Trial.” The researchers — Brendan Nyhan of Dartmouth College, Jason Reifler of the University of Exeter, Sean Richey of Georgia State University and Gary L. Freed of the University of Michigan — analyzed the results of a Web-based national survey of nearly 1,800 parents. After asking respondents about their own family health situations and beliefs, researchers then tested common public health communications strategies to promote vaccination: “(1) correcting misinformation, (2) presenting information on disease risks, (3) using dramatic narratives, or (4) displaying visuals to make those risks more salient or accessible.”

...The study’s conclusion was unequivocal regarding traditional messaging: “None of the pro-vaccine messages created by public health authorities increased intent to vaccinate with MMR among a nationally representative sample of parents who have children age 17 years or younger at home. Corrective information reduced misperceptions about the vaccine/autism link but nonetheless decreased intent to vaccinate among parents who had the least favorable attitudes toward vaccines.

The problem is not that the anti-vaxxers are ignorant or uneducated; the problem is that their attitudes are not based on factual analysis at all. I suspect it's more like a combination of personal identity and social signaling, and it's very, very difficult (maybe even impossible) for public education/outreach programs to counter that in anything but the very long-term.


Last edited by RangerDave on Wed Feb 04, 2015 3:17 pm, edited 2 times in total.

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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 3:14 pm 
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Rafael wrote:
Criminal and civil liability for infecting others with a disease, either through negligence or intentionally, seems appropriate.

That would only work if you could readily identify which specific person transmitted the disease to another specific person. In most cases, that would be next to impossible.


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PostPosted: Wed Feb 04, 2015 3:29 pm 
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RangerDave wrote:
The problem is not that the anti-vaxxers are ignorant or uneducated; the problem is that their attitudes are not based on factual analysis at all.


It appears that for the anti-vaxxers, a large part of it is "I'm going to refuse simply because I can and will latch onto any reason not to, and no amount of evidence to the contrary will stop them. Essentially, it's just people who want to scream "you're not the boss of me!" at someone.

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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 3:31 pm 
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RangerDave wrote:
Hm, I wonder if sentient mice and ducks would think of them as rodentomorphic and anatidomorphic humans?



Now that WDW lets Mickey Mouse talk to guests, you can ask him.

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 Post subject: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 4:44 pm 
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RangerDave wrote:
Rafael wrote:
Criminal and civil liability for infecting others with a disease, either through negligence or intentionally, seems appropriate.

That would only work if you could readily identify which specific person transmitted the disease to another specific person. In most cases, that would be next to impossible.


Genomic markers in viruses, including genetic sequence, can determine in some instances with a fair amount of certainty, when and where a virus infected hosts. Forensic phylogentics in transmission of HIV is just such an example and has been used legally where as before it was a tool for characterizing the outbreak and spread of HIV.

Furthermore, since we're suggesting scenarios of outbreak of near-eradicated disease, genetic analysis for transmission might not need to be used, particularly where civil liability is being discussed as the burden of proof isn't beyond any reasonable doubt.

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Maybe in a situation where a handful of kids in one particular daycare get the measles it could be traced back to the first kid who brought it in, but what about situations like the Disneyland outbreak? Or if a kid happens to pick it up from the ball pit at a McDonald's playground? Barring a CDC/WHO-style search for Patient Zero, there'd be fairly little chance of ever finding out who's responsible, no?


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PostPosted: Wed Feb 04, 2015 4:53 pm 
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Diamondeye wrote:
RangerDave wrote:
The problem is not that the anti-vaxxers are ignorant or uneducated; the problem is that their attitudes are not based on factual analysis at all.


It appears that for the anti-vaxxers, a large part of it is "I'm going to refuse simply because I can and will latch onto any reason not to, and no amount of evidence to the contrary will stop them. Essentially, it's just people who want to scream "you're not the boss of me!" at someone.


This. There is no education or outreach that will fix this.

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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 5:16 pm 
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These are the same types of people that think Freemasons = Illuminati = Lizard People = Our Overlords. Facts do not matter.


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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 5:37 pm 
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Lenas wrote:
These are the same types of people that think Freemasons = Illuminati = Lizard People = Our Overlords. Facts do not matter.

Mm, some are definitely like that, but there are also plenty of the fundi-Christian types, and the organic/vegan/yoga types, and the Dr. Oz/self-help types, and so on. It's a mix, and I think it's really more a personality type than anything else - i.e., the kind of person who latches onto some non-mainstream group or idea and then wholeheartedly commits to it, even making it a part of their core self-identification. For example, my niece has always been a bit of a "joiner" of non-mainstream things, and since she moved to southern California a couple of years ago, she's started getting really invested in all the organic cleansing shakes, yoga-cures-everything, most illness is caused by your own mind, crap, so I could easily see her jumping on the anti-vaxxer bandwagon at some point.

From what I've read, the only really consistent trend among anti-vaxxers is that they skew young. Basically, older people remember what it was like when some of these diseases were still a threat (e.g., my mother remembers being sent to stay with relatives in the country during a polio outbreak in her home city when she was a kid, and she grew up hearing about the much worse **** her parents lived through), but the younger generations never had to deal with any of that, so there's no visceral understanding of the danger.


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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 6:09 pm 
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Lenas wrote:
These are the same types of people that think Freemasons = Illuminati = Lizard People = Our Overlords. Facts do not matter.


I lump them in with the GMO/Chemtrail/Monsanto crowd. They're all morons. Unable to think cogently about actual data.

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 Post subject: Re: Vaccinating Kids
PostPosted: Wed Feb 04, 2015 7:47 pm 
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Rafael wrote:
Genomic markers in viruses, including genetic sequence, can determine in some instances with a fair amount of certainty, when and where a virus infected hosts. Forensic phylogentics in transmission of HIV is just such an example and has been used legally where as before it was a tool for characterizing the outbreak and spread of HIV.

Furthermore, since we're suggesting scenarios of outbreak of near-eradicated disease, genetic analysis for transmission might not need to be used, particularly where civil liability is being discussed as the burden of proof isn't beyond any reasonable doubt.


I don't really see the benefit of going through all this bullshit just so we can sue people after the fact. I'm leery of forcible vaccinations, but this sort of thing makes the alternatives sound just as unattractive.

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Their kids their choice.

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PostPosted: Thu Feb 05, 2015 11:28 am 
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RangerDave wrote:
The problem is not that the anti-vaxxers are ignorant or uneducated; the problem is that their attitudes are not based on factual analysis at all. I suspect it's more like a combination of personal identity and social signaling, and it's very, very difficult (maybe even impossible) for public education/outreach programs to counter that in anything but the very long-term.


Excuses. If a strategy doesn't work, you find a new one - you don't just give up and say "too hard, let's violate some rights".

So what if it's long term? We currently have an immunization rate of about 92%, with pockets of resistance. As long as you can hold the trend (i.e. not reducing that 92%), then you just work harder to bring that up. I might say differently if we were looking at a disease like small pox or ebola, but it's measles. The benefits of going from 92% to 96% (you'll never get 100%) are not high enough to implement the type of policy you are proposing.

Lastly, so what if you never convince some people? I think 94% is where you want to be from a scientific perspective - beyond that you get diminishing returns.


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Arathain Kelvar wrote:
Excuses. If a strategy doesn't work, you find a new one - you don't just give up and say "too hard, let's violate some rights"....I might say differently if we were looking at a disease like small pox or ebola, but it's measles. The benefits of going from 92% to 96% (you'll never get 100%) are not high enough to implement the type of policy you are proposing.

Frankly, I think you're underestimating the seriousness of the public health threat and exaggerating the seriousness of the infringement of rights. Measles is a highly contagious airborne disease that can result in severe complications. And the anti-vaxxers generally oppose the raft of other standard vaccinations as well, so it's not just measles. On the flipside, the violation of rights is more abstract than tangible - we're not talking about requiring people to be harmed for the greater good here or even requiring them to accept a significant risk of harm; we're talking about requiring a few shots that have very, very low risks of harm and actually provide them with a significant net benefit.

Yes, people have the right to be stupid and undermine their own best interests, and if that's all it was, I would obviously not advocate doing anything about it. People should be absolutely free to eat as many Big Macs as they want regardless of what it does to their own arteries. However, people don't have a right to put others at risk with their own idiotic choices, so when that happens, a balance has to be struck. I'm inclined to think that preventing people from becoming potential vectors for serious diseases by requiring them to get a few shots that are largely harmless in the vast majority of cases is not a crazy balance to strike.


Last edited by RangerDave on Thu Feb 05, 2015 12:39 pm, edited 2 times in total.

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PostPosted: Thu Feb 05, 2015 12:24 pm 
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Arathain Kelvar wrote:
RangerDave wrote:
The problem is not that the anti-vaxxers are ignorant or uneducated; the problem is that their attitudes are not based on factual analysis at all. I suspect it's more like a combination of personal identity and social signaling, and it's very, very difficult (maybe even impossible) for public education/outreach programs to counter that in anything but the very long-term.


Excuses. If a strategy doesn't work, you find a new one - you don't just give up and say "too hard, let's violate some rights".

So what if it's long term? We currently have an immunization rate of about 92%, with pockets of resistance. As long as you can hold the trend (i.e. not reducing that 92%), then you just work harder to bring that up. I might say differently if we were looking at a disease like small pox or ebola, but it's measles. The benefits of going from 92% to 96% (you'll never get 100%) are not high enough to implement the type of policy you are proposing.

Lastly, so what if you never convince some people? I think 94% is where you want to be from a scientific perspective - beyond that you get diminishing returns.


While you're right about the diminishing returns, the issue appears to be one that we are starting to NOT hold the line on the 92% - which is clearly less than the 94% anyhow.

And what do you mean "excuses? You do not get to dismiss a course of action just because you personally classify it as an "excuse". One could just as easily say "Excuses. If people don't want to get vaccinated, you make them. You don't just let them go without because of abstract concerns about 'rights'."

Lastly, there seems to be a presumption that you have a right not to be vaccinated. While there's a legitimate argument that "the government should not be able to put foreign substances in your body without your consent", there's also a legitimate argument that when doing so is overwhelmingly safe and beneficial and negative effects somewhere between exceedingly rare and nonexistent, AND the consequences have a direct effect on the well-being of everyone else, that no, you do not have that right. At the time the Constitution was written and the philosophical ideas of rights were developed things like communicable disease simply weren't understood yet.

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