Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Should Masks Stay Post-Pandemic?; Health Care Provider Burnout Needs Swift Attention
As an emergency physician, there are many things that I will not miss when the Covid-19 pandemic is finally brought under control. I will not miss having to wear full personal protective equipment (two masks, face shield, gown, two sets of gloves) for every hospital shift. I will not miss having to tell a patient's family that they are unable to visit their loved one in the emergency department. I will not miss wondering whether I am bringing the virus home to my family. Most of all, I will not miss treating the rooms full of people, gasping for breath from this virus, hoping the few effective treatments available will save their lives. I do hope, though, that a few things stick with us after SARS-CoV-2 becomes less of a threat. Respect for masks is at the top of that list. (Dr. Megan Ranney, 4.9)
Like many people, I'm beginning to venture out to medical practices for long overdue visits. I always ask my providers how they're doing. They tell me the truth鈥攎aybe because I'm also a doctor and somebody who is focused on helping medical practices thrive. One provider told me she's selling her medical practice and retiring early, in her late 50s, after losing her mother and a close friend to COVID-19. Another was in the room with me physically, but barely there mentally. And another who used to love talking about her practice with me only wanted to talk about her weekends in the mountains. (Dr. Halee Fisher-Wright, 4/9)
It was a bright yellow booklet I carried everywhere, and at some national borders it was scrutinized even more carefully than my government-issued passport. It was my vaccine certificate, showing the dates I鈥檇 received shots or screenings for more than half a dozen diseases. ... Immunization rules were rigorously enforced because those diseases were endemic in the countries I visited. Today, COVID-19 is more than endemic; it鈥檚 a pandemic, of course. And that鈥檚 what makes the political debate over COVID vaccine 鈥減assports鈥 so bizarre. Make no mistake: In the United States, the debate is being driven almost entirely by ideology and partisan politics. Conservatives and Republicans have embraced opposition to vaccination requirements as the newest flashpoint in their culture war. (Michael Hiltzik, 4/5)
鈥淚 was wrong.鈥 That simple statement should have been at the top of the soundtrack for our first pandemic year. But it was rarely uttered, replaced instead by confident soundbites. That was too bad, because the admission 鈥淚 was wrong鈥 and the humility it reflects can help save us from Covid-19. (Eric D. Katz, 4/8)
The power of collective bargaining laws complicates the question of whether public employees can be required to get COVID-19 vaccinations before returning to their workplaces. It鈥檚 a big reason why San Diego Unified officials have urged all employees to get vaccinated but never made it mandatory. Private employers, however, do have the right to require their workers to take the COVID-19 vaccine, subject to a handful of legally protected exceptions for disabilities and religious beliefs. That was the Dec. 16 guidance from the U.S. Equal Employment Opportunity Commission, in keeping with more than a century of court rulings 鈥 dating to a 1905 Massachusetts case involving mandatory smallpox vaccinations in which the U.S. Supreme Court upheld vaccine laws that were 鈥渞easonably required for the safety of the public鈥 while noting that individual liberty was not absolute. The California Supreme Court and Legislature have also upheld private employers鈥 right to make workers follow their edicts so long as they don鈥檛 constitute discrimination involving race, national origin, sex, age, disability, marital status, sexual orientation or religion. (4/8)
Last summer, when Covid-19 vaccines were in development, friends on text threads and Zoom calls asked if I鈥檇 get one. My response was always the same: Sure, I鈥檒l be right in line 鈥 after 100 million of y鈥檃ll go first. I told them I鈥檇 seen too many zombie movies. But my hesitancy was actually grounded in a less cinematic reality.: I just don鈥檛 trust America enough. This mistrust comes from an awareness of the ubiquity of American anti-Blackness 鈥 a dynamic that can, um, modify your sense of reality. That鈥檚 what happened, for instance, with the persistent myth of Tommy Hilfiger鈥檚 racist comments. (Damon Young, 4/9)