Mandatory vaccinations vs. right to choose
POSTED BY: canttakesky
UPDATED: Thursday, December 7, 2006 07:56
VIEWED: 21145
PAGE 5 of 21
Quote:Most people who choose not to vaccinate do not regularly patronize the conventional health care system. They go to alternative practitioners and pay out of pocket. Moreover, most vaccine-prescribed childhood diseases have no treatment or have inexpensive treatments. It is probably equally rare to get a serious disease complication (with high costs) as getting a serious vaccine complication (with high costs).
Originally posted by FutureMrsFIllion:
get sick and then cost ME money by making MY health co-pays increase,
Quote:How can "we" start an epidemic if most of "you" are immunized and protected? At worst, all unimmunized people will get sick, but that would hardly constitute an epidemic, since there are so few of "us."
or worse if a whole bunch or you get together and start an epidemic because you were too "educated" to get the vaccination.
Can't Take My Gorram Sky

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It is dangerous to be right when the government is wrong.
--Voltaire (1694 - 1778)
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Quote:
Originally posted by FutureMrsFIllion:
Dude take a chill pill. It IS the business of everyone else if you choose NOT to vaccinate your children or yourself, get sick and then cost ME money by making MY health co-pays increase...
Actually, you can thank frivilous malpractice lawsuits and rampant illegal immigration into this country for your copays going up. It has little or nothing to do with people not getting vaccintated. Thanks for trying though.
Quote:
Originally posted by FutureMrsFIllion:
...or worse if a whole bunch or you get together and start an epidemic because you were too "educated" to get the vaccination.
As I, and several others have said, you, me and the next guy that have gotten vaccines (I have for everything, as I said, because of my military service) will be protectid by any 'epidemic' that may happen because of those that chose not to get innoculated. And if we aren't protected and get sick anyway, well then it seems the vaccines that were forced upon us weren't as good as the so called 'experts' purported them to be.
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I'll be in my bunk.
http://www.myspace.com/babywiththepower
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To continue explaining my position, I will write in pieces as I have time. The next segment will focus on vaccine effectiveness.
Vaccine Effectiveness in Question
Prochoice activists question whether the effectiveness of vaccination has been exaggerated. It is not the first time someone exaggerates benefits of a product in order to sell it. If vaccines are not as effective as believed by authorities, herd immunity issues and public health threats blamed on the unvaccinated become less compelling.
Part 1: Polio
The polio vaccine is one of the main success stories of mass vaccination. Or is it?
Ninety-nine percent of polio causes no symptoms/flu symptoms (90%) and non-paralytic symptoms (9%). Of the remaining 1% that get paralysis, half recover fully within days or weeks. Only 0.5% of those who get polio die or remain with prolonged/permanent paralysis. Polio is mostly a benign disease, with even half the paralytic cases resolving themselves within days or weeks. Severe sequelae occurs in a very small fraction of sufferers.
In the 1950's, the normal incidence rate was around 20,000 a year. One year before the introduction of the vaccine, the incidence rates went up to 58,000 in 1952, and 35,000 in 1953. In 1953, Salk tested his vaccine, and mass vaccination was launched in 1955. By 1957, the incidence rate had gone down to 5600 cases. http://en.wikipedia.org/wiki/Polio
Pretty impressive, right? Until you find out the definition of polio changed after the vaccine was introduced. Before the vaccine, anyone with non-paralytic symptoms and anyone with paralysis lasting at least 24 hours was diagnosed with polio. After the vaccine was introduced in 1955, the diagnosis was changed to only paralytic cases lasting at least 30 days. The good majority of polio cases, those with nonparalytic symptoms, were renamed something else. A big fraction of paralytic cases recover within days to 2 weeks, so this subset was automatically eliminated as polio cases as well.
People who would have been diagnosed with polio before 1995 were now labeled with Coxsackie virus or aseptic meningitis. Data available from a Los Angeles county during that period showed about an increase in aseptic meningitis very roughly matching the decrease in polio cases. http://www.thinktwice.com/Polio.pdf (pg 242)
When diagnostic criteria change, either people were misdiagnosed before, or misdiagnosed afterwards. Was the incidence of polio inflated before the vaccine because of misdiagnosis? Much of the acute flaccid paralysis cases (primary symptom of paralytic polio) is shown today to be not related to the poliovirus. Were they also not related back then, but was mistakenly attributed to polio, then was corrected after the vaccine? http://www.chronicillnet.org/articles/paralyticpolio.html
Was the success of the polio vaccine exaggerated by renaming the disease?
These questions are not to say the vaccine is ineffective. They simply cast reasonable doubt that the vaccine was as effective as it claimed. If the vaccine is less effective than purported, parents should be allowed to decide exactly what the benefits are and if they are worth the risks.
-------References below--------
Definition change in the USA:
Quote:
Prior to 1954 any physician who reported paralytic poliomyelitis was doing his patient a service by way of subsidizing the cost of hospitalization and was being community-minded in reporting a communicable disease. The criterion of diagnosis at that time in most health departments followed the World Health Organization definition: "Spinal paralytic poliomyelitis: signs and symptoms of nonparalytic poliomyelitis with the addition of partial or complete paralysis of one or more muscle groups, detected on two examinations at least 24 hours apart." Note that "two examinations at least 24 hours apart" was all that was required. Laboratory confirmation and presence of residual paralysis was not required.
In 1955 the criteria were changed to conform more closely tNOTIFY: Y | REPLY | REPLY WITH QUOTE | PERMALINK | TOP | HOME
Why is it that I suddenly feel trapped between a Klan lynch mob and a Panthers meeting ?
What I see here, is two sides of an issue, both with less than complete facts, with serious philosophical axes to grind, not willing to listen to a damned bit of evidence that contradicts their entrenched viewpoint.
I tell folks to do their own homework because the information is easy enough to obtain if you're interested, and mainly because I don't see the need to waste hours of time digging up stuff that's mostly dismissed out of hand by folks unwilling to re-examine positions they've held for a long time.
So, I ask you, what logical reason do you give me to bother to spend hours digging this stuff up, to show a point any rational being would instantly see, when it's simply dismissed out of hand anyway ? and for what ? a disagreement with folks who's opinions I have little interest in to begin with ?
The fact is, that there is simply NOT enough proper research on the topic, both sides have shovelled slapdash, unscientific studies to "prove their point" and loaded misinformation on top of that - and that alone tells me that maybe I should take a look and use my own damned judgement.
And that's the salient point of the matter, it's not whether you agree, or disagree, it's in the RIGHT to use ones own damned judgement.
I see this issue very much like mandatory helment laws.
Is it a good idea to wear a helmet ? sure.
Do I choose to wear one ? yep.
Should there be a LAW forcing people to ? no.
Look at the abuse of mandatory seat belt laws, as an example of a "safety" measure exploited for profit, or even in many cases, used for downright harrassment of the populace by the blue suited gang - or when redlight cameras become an avenue of income rather than a safety measure ?
http://www.autoblog.com/2006/04/05/maryland-countys-red-light-cameras-
net-2-85-million-increase/
And you would ask me to put my trust in people (collectively, as Govt) who have time and time again proven to be untrustworthy ?
Now, is there iron-clad, totally conclusive evidence linking MMR to Autism ?
Being that any real investigation has been "strongly discouraged", I could not say.
Is there SOME evidence that such a link exists ? Yes.
Is that evidence enough to warrant investigation ? HELL Yes.
Should that investigation be run by vaccine companies, or trial lawyers looking to class action those companies ? Hell no.
So, where's the independant, peer reviewed, proper scientific method study ?
Would that there was one, and in light of that lack, and the actions of both sides towards the matter, one would think there's a right to use one's own judgement.
Doctor Dave Weldon, M.D. made an excellent statement on why more research is needed, and how evidence leans toward the MMR being dangerous to susceptible people, and he quotes quite a few related studies that you'll just have to look up for yourself, because there is only so much time I will waste on this soon-to-devolve imminent flamefest.
http://www.nationalautismassociation.org/pdf/Weldon.pdf
Merck (big pharma) says thier mercury is less toxic than other forms.
http://nomercury.org/science/documents/LATimes-Merck_Memo_2-8-05.pdf
But proper, scientific studies blow that utterly out of the water.
http://www.ehponline.org/members/2005/7712/7712.html
http://www.jpands.org/vol8no1/geier.pdf
There also exists some evidence, referenced through the State of California DDS, of a rather sharp drop in Autism cases *after* Thimerosal was removed from common vaccines - no scientific study exists, but the numbers are there.
http://www.dds.ca.gov/autism/autism_main.cfm
I would also be skeptical of any claims of safety when the first thought isn't how to make it safer, but ass-covering and damage control.
http://dir.salon.com/story/news/feature/2005/06/16/thimerosal/index_np
.html
(4 pages, written from an initally skeptical viewpoint, and rather enlightening, also full of it's own sourced references.)
Here's a hint, I don't have an axe to grind, nor am I guessing, when I
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Quote:What you mean folks like you? You told me I didn't have the decency to back up your argument. You attacked my very character for no reason other than I called for people to take responsibility for their own choices.
Originally Posted by Fremdfirma:
I tell folks to do their own homework because the information is easy enough to obtain if you're interested, and mainly because I don't see the need to waste hours of time digging up stuff that's mostly dismissed out of hand by folks unwilling to re-examine positions they've held for a long time.
Quote:If that's the way you feel why should I read your post, in fact what pray tell are you doing here? No one's holding a gun to your head making you read the FireFlyFans.net RWED.
So, I ask you, what logical reason do you give me to bother to spend hours digging this stuff up, to show a point any rational being would instantly see, when it's simply dismissed out of hand anyway ? and for what ? a disagreement with folks who's opinions I have little interest in to begin with ?
How about you tell me, logically, how you came to the conclusion that I don't know what I'm talking about because I disagree with you.
Quote:Maybe you need to read my post again. To sum up what I said:
And that's the salient point of the matter, it's not whether you agree, or disagree, it's in the RIGHT to use ones own damned judgement.
Sure no mandatory vaccinations, but if YOUR choice leads to YOU getting that disease your health service or medical insurer is under no obligation to pay for your treatment. If a vaccination is provided I see no reason why other people should foot the bill for your decision. Maybe you can provide me with a reason why they should?
Quote:There's no evidence that MMR causes Autism. All there is are parents of Autistic Children looking for someone to blame and finding MMR. I'm not saying there isn't a link, I think there should be research into it, but anyone saying there is SOME evidence is merely following a post hoc analysis.
Now, is there iron-clad, totally conclusive evidence linking MMR to Autism ?
Being that any real investigation has been "strongly discouraged", I could not say.
Is there SOME evidence that such a link exists ? Yes.
Is that evidence enough to warrant investigation ? HELL Yes.
Should that investigation be run by vaccine companies, or trial lawyers looking to class action those companies ? Hell no.
Quote:
So, where's the independant, peer reviewed, proper scientific method study ?
http://www.healthwatch-uk.org/mmr.pdf
http://www.immunize.org/mmrautism/
Just to clarify my position some, although I realise you don't care (something I suspected when you couldn't even be bothered to read properly through my somewhat short initial post) I thought parents should have the right to choose to have single vaccinations rather than MMR if they wished, but that since MMR was offered by the NHS they should pay for the single injections themselves. If they make the choice, they pay for it.
Quote:You turn up and immediately question my decency because you've decided what you want my position to be and you've decided that I don't know what I'm talking about and you think you have a right to talk about “wasting your time on this imminent flamefest”? You're playing more than your part in creating it.
he quotes quite a few related studies that you'll just have to look up for yourself, because there is only so much time I will waste on this soon-to-devolve imminent flamefest.
Quote:No, of course not, where would anyone get that idea?
Here's a hint, I don't have an axe to grind,
Quote:But of course I must be.
nor am I guessing,
Quote:Though of course if I do, for once, bother to think for myself and come to a different conclusion its because
when I make blunt statements, I just expect people to actually do their own investigation and make their own judgement calls - if you come to a different conclusion, that's you.
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I don't have the common Human Decency not to double post, evidently.
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Quote:You think *I* am trying to ram my beliefs down the other side's throat? I have to admit I feel a bit hurt.
Originally posted by Fremdfirma:
Watching you people try to ram your beliefs down each others throats completely validates (to me) that in such a case, I must trust to my own judgement and investigation rather than simply accept the word of folks with an obvious axe to grind.
I must not be making myself clear.
I favor choice. Because you ARE absolutely right, Frem. There has been no good scientific research on vaccines. There is a lot of disinformation on both sides. (What would you get if all tobacco research were conducted or funded by tobacco companies? And all other literature were written by lung cancer patients' attorneys.) So we don't have the data to know what EXACTLY the benefits and risks are. Parents have to muddle through unknown benefits and unknown risks to arrive at a choice they can live with. No one else can or should do it for them.
Can't Take My Gorram Sky

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Freedom defined is freedom denied.
-- Illuminatus
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Then let's look at the facts, since there has been a lot of disinformation, as you say:
FACT 1:
Vaccines produce immunity to the disease for which they are intended in the vast majority of those vaccinated.
There are no other facts, because the research is so poor, but we do know this:
Vaccines are given to the vast majority of American children.
In this case, we have to do some simple cost-benefit analysis to determine whether or not vaccines are good. First, let's define some variables:
a = negative utility of a vaccine (this is what you might call "side effects")
b = negative utility of a disease
c = likelihood of contracting a disease when not vaccinated.
The utility of getting the vaccine, U, therefore, is described by:
U = cb - a
Now, here's the part where it gets more complicated. c is actually a function of another variable, x. So we say c(x)= what? Well, the likelihood of getting the disease is directly related to the number of people in the population who have the disease, or are susceptible to getting it.
So, for diseases that are very widespread or spread very quickly, it makes a lot of sense to get a vaccine.
However, this is what we might call a "self-interested" calculation. It doesn't consider the utility of getting the vaccine for others in the population. The more people who have the vaccine, the less likely others are to get the disease. C goes down. In the case of polio, this is illustrated quite clearly; the epidemic stopped when the vaccine was made, because c went down by an amazing degree. This is also the case with smallpox. Getting a vaccine, in either of these cases, is helpful to the entire population because it reduces the effectiveness of the disease. This remains true as long as the disease exists.
So, unless there is an epidemic currently active, a self-interested person (or "defector") will be willing to avoid taking the vaccine for philosophical reasons. A cooperator, who cares about the rest of the population, will get the vaccine despite their views. I prefer to be concerned about the greater good.
Now, you may not view yourself as being self-interested, but if you're taking your own philosophy as being better than the greater good, you're self-interested. It's how an economist would classify you. The aim of the law for mandatory vaccination is to prevent the population share of defectors from being so high that the value of C(x) becomes a problem again.
Of course, religious objections often force people to be defectors when they wouldn't otherwise be. Given that the USA guarantees religious freedom except in cases of "clear and present danger," I would argue that these people should be given a choice except when an epidemic is active (this being a rather clear and present danger).
From an economic perspective, the law, which is for the greater good, achieves its goal, so I think it's good how it is- unless philosophical objections are allowed.
"See, morbid and creepifying, I got no problem with, long as she does it quiet-like."
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Quote:This "fact" is not undisputed. Studies showing that vaccines produce "immunity" in the "vast majority" have been challenged as methodologically flawed.
Originally posted by freeradical42:
FACT 1:
Vaccines produce immunity to the disease for which they are intended in the vast majority of those vaccinated.
I have to date seen no studies proving vaccines to be either effective or safe in the "vast majority" of recipients. (Doesn't mean they aren't, but there is no proof. Therefore it is not as factual as you might believe.)
Can't Take My Gorram Sky

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Politics is supposed to be the second oldest profession. I have come to realize that it bears a very close resemblance to the first.
--Ronald Reagan (1911 - 2004)
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Quote:
Originally posted by canttakesky:Quote:This "fact" is not undisputed. Studies showing that vaccines produce "immunity" in the "vast majority" have been challenged as methodologically flawed.
Originally posted by freeradical42:
FACT 1:
Vaccines produce immunity to the disease for which they are intended in the vast majority of those vaccinated.
I have to date seen no studies proving vaccines to be either effective or safe in the "vast majority" of recipients. (Doesn't mean they aren't, but there is no proof. Therefore it is not as factual as you might believe.)
Can't Take My Gorram Sky
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Politics is supposed to be the second oldest profession. I have come to realize that it bears a very close resemblance to the first.
--Ronald Reagan (1911 - 2004)
I didn't say anything about safe. I said effective. And the FDA doesn't approve vaccines that aren't effective. There *is* research on that, and if you haven't seen it, that's your own fault. Go to the NCBI's PubMed database and search for studies on vaccine effectiveness. They're published, peer-reviewed, and a heck of a lot better than idle speculation. I don't mean to sound agitated, but there is science out there on this and it bothers me that you're ignoring it.
You don't want to go toe-to-toe with a biomedical engineer on this. ;)
Either way, we can rewrite the equation to consider how effective the vaccine is and objecting to the vaccine is *still* a self-interested decision in cases where it has more than zero effectiveness.
"See, morbid and creepifying, I got no problem with, long as she does it quiet-like."
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