Friday, September 18, 2015

Vaccination is Not a Partisan Issue...Yet

During the last U.S. presidential election cycle, Michelle Bachmann was briefly seen as the Republican primary front-runner. Her downfall from that position was catalyzed when she claimed during a debate that the HPV vaccine could cause "mental retardation." Earlier this year a measles outbreak at Disneyland brought the issue of childhood vaccination to the public attention, resulting in California passing one of the strictest school vaccination laws in the country. Meanwhile, in the immediate aftermath of the measles outbreak, a variety of politicians, including some (then) potential Republican candidates, expressed less than solid support for vaccination.

Donald Trump has believed, since at least 2007, that childhood vaccinations cause autism. The issue was raised in the second Republican primary debate earlier this week.



Ben Carson gently and correctly noted that studies have not found any connection between autism and vaccines. Unfortunately, he and Rand Paul, the other physician in the debate, ultimately indulged Trump's idea of spreading vaccinations out. This led the New Yorker's Jon Chait to complain,

It is depressing that a presidential field with two doctors cannot even produce sensible views on medicine, let alone anything else. The party’s decades-long flight from empiricism and reason shows no sign of abating.

But in the Washington Post two graduate students of political science write that CNN should not have raised the question at all.
We fear that if party elites continue to polarize, the cues present in the press could begin to undermine the societal consensus on childhood vaccinations. Why are we reasonably sure this is the case? Because we have seen this movie before, with global warming....

We fear we may begin to witness a similar dynamic on vaccines. Republican elites are increasingly voicing skepticism of the medical science consensus. The media sees this as fitting a pre-established narrative that Republicans are hostile to science, and thus CNN asked the GOP field a question about vaccines in front of a record breaking national audience of 23 million people.

It would not be surprising if Democratic elites leap at this opportunity to solidify their own science-based credentials and make it a campaign issue, particularly if someone like Donald Trump wins the Republican nomination. These cues are then communicated to the public through the press, and we may be off to the polarization races.

I'm not sure what to make of this. On the one hand, the public ought to be informed that a leading contender for the U.S. presidency has crackpot views about vaccination. In normal times such views would bring a chorus of condemnation that would endanger presidential ambitions, as seen with Bachmann in the previous cycle. However, Donald Trump has shown himself to be impervious to shame. Apparently he cannot say anything ridiculous enough that would cause his supporters to abandon him, and attempts of the media--even Fox News(!)--to hold him accountable for his antics are, in the minds of supporters, more evidence that elitists are trying to manipulate the masses and keep a bold truth-teller from succeeding. Thus, whether they wanted to or not, Carson and Paul soft-peddled their criticism of Trump and ended up legitimizing his views.

I have a hard time seeing why CNN is responsible for that...other than the way the debate questions were constantly framed around Trump's views. If the media avoided this and other topics for fear of politicization, well wouldn't that just be interpreted as another manifestation of media elitism (i.e. that the simpletons of America are too dumb to risk discussing an issue in a political context)?

I do not think that vaccination will ever be as polarizing as climate change. Whereas addressing climate change is perceived by many as a threat to prosperity, vaccination is generally viewed as an enabler of prosperity. And whereas the consequences of error in judgment for climate change are delayed or almost imperceptibly gradual, the consequences for error in vaccination are more immediate and severe. However, vaccination is more sensitive to dissent; successful vaccination policies require a high degree of compliance.

Ultimately, if vaccination becomes a politicized issue Republicans will have nobody else to truly blame but themselves. If they and their outlets will give full support to vaccination, then by definition it won't be a political issue--at least between Republicans and Democrats. But if they voice skepticism, I don't think you can blame CNN for reporting it.


10 comments:

Last Lemming,  9/18/2015 10:37:00 PM  

As long as you have RFK Jr. and (maybe) Bill Maher on the anti-vax side, it is unlikely that the movement will be associated solely with the Republican party.

http://www.thedailybeast.com/articles/2015/04/24/bill-maher-anti-vaxxer-the-real-time-host-sides-with-robert-f-kennedy-jr-during-bizarre-interview.html

Jared* 9/19/2015 11:03:00 AM  

That's a good point. And it's possible that this is a passing fad within the Republican presidential cycle--kind of like cap-and-trade was during the McCain/Palin run. On the other hand, are there any leading Democrat politicians expressing vaccine skepticism? If they are, from what I have seen they seem to be flying under the radar.

Unknown 9/20/2015 01:59:00 PM  

Jared,
Apparently you are unaware of the recent scandal where a CDC scientist has remorsefully admitted to omitting data that links vaccines and autism especially in black boys. Please Google it, I would leave a link but I'm currently in a rural part of Africa with very limited wifi.

Jared* 9/20/2015 04:21:00 PM  

Howard,

I was not aware, and I did Google it. The top result was a Snopes article that judges the accusation as false. I also found an ABC news article explaining the episode. The story is strange, but unlikely to be scientifically meaningful. Perceptions are another matter.

Unknown 9/21/2015 04:58:00 AM  

There is a bigger story as well, the Chief Editors of the Lancet and the American Medical Journal are credited with very similar quotes that half or less of today's medical studies can be trusted, implying a very dark day is upon us regarding the quality of our published science.

Also there appears to be big problems with Gardisil the HPV vaccine damaging young women and gilrs. The basic problem appears to be government capture by big pharma and the libility shield that reduces their insintive to make safer products.

Really I believe this topic deserves more research on your part, it us far more that partisan politics or superstition vs. science.

Unknown 9/22/2015 12:29:00 AM  

Jared,
The Snopes article doesn't refute Dr. Thompson's "confession rather it skirts around it in tepid support of big pharma. This is also typical of the obscuration we see from main stream media 90% of which is now owned and controlled by just 6 corporations. We have moved into a world where our impressions are manipulated and even totally created by the media, the government and by corporate capture of the the government and media.

Take look at this short video by Naomi Wolf a former political advisor to Al Gore and Bill Clinton:
https://www.youtube.com/watch?v=K7LmxyZXMw0

Jared* 9/22/2015 09:51:00 PM  

Howard,

You are quite a bit farther in the weeds of government-media-pharma conspiracy than I am willing to go without better evidence. The medical literature may have problems in terms of low-quality material being published (which connects directly to the story about Dr. Thompson--i.e the Hooker paper that was retracted), but to say that the industry has captured the CDC, FDA, National Academies of Science, academic scientists/physicians, and equivalent authorities of other countries is a tall order. (Though there may be some of that kind of thing here and there on the margins.)

Clearly vaccines can have side effects--usually quite mild. More serious side effects (that couldn't be accounted for by a known underlying medical issue) are usually either so rare that they are difficult to discover (which is to say, the association between the vaccine and side effect is difficult to establish), or the vaccine never makes it to market in the first place. And occasionally a vaccine is pulled from the market because a safety issue arises (see RotaShield).

Childhood vaccination is a pillar of public health. Unfortunately, people who chronically distrust the institutions that maintain public health are unlikely to be assuaged by evidence produced by those institutions.

Unknown 9/23/2015 03:40:00 AM  

Nice to see your eyes openin Jared. Pillar of public health? Certainly that case can be made for a few childhood vaccines but do some research on the number of vaccines, the number of injections and the earler age the vaccines are given as compared to the boomers when they were growing up. It's a very startling difference!!!

Jared* 9/23/2015 08:19:00 PM  

Yes, as is the difference between now and my grandparents. That's a good thing.

Unknown 9/26/2015 10:34:00 AM  

No, that's a bad thing because prophet motive get's quickly out of control when is isn't opposed by liability.

  © Blogger templates The Professional Template by Ourblogtemplates.com 2008

Back to TOP