Professor Reiss writes extensively in law journals about the social and legal policies of vaccination. Additionally, Reiss is also a member of the Parent Advisory Board of Voices for Vaccines, a parent-led organization that supports and advocates for on-time vaccination and the reduction of vaccine-preventable disease. She is also a member of the Vaccines Working Group on Ethics and Policy.
Over the past weeks, several courts around the country have stayed the Medicare and Medicaid vaccine mandates. As of today, December 20, 2021, the mandate is stayed in 25 states, and in force in 25.
Staying this mandate is more surprising than staying the OSHA mandate we have discussed before because while a vaccine mandate is new (but not other broad workplace regulations), and OSHA Emergency Temporary Standards require a high bar rarely met, there is a long history of extensive, broad funding conditions under Medicaid and Medicare.
I have decided to do this as an overview rather than a full analysis of each of the Medicare and Medicaid vaccine mandates decisions, simply because I want to get it out promptly. I will say that my view is that the strongest argument against the rule is that it was enacted without notice and comment, and that, itself, is not a very strong argument.
As I’ve written before, there are precious few ways to prevent cancer. But one of the best cancer prevention strategies is the HPV vaccine, which can prevent numerous cancers such as cervical, oral, penile and anal, all serious, and all dangerous. Maybe we should just rename Gardasil to “HPV cancer vaccine,” which could make everyone sit up and notice.
The HPV vaccination rate remains depressingly low in the USA. According to recent research, 39.7% of adolescent girls aged 13-17 received all three doses of the vaccine in 2014 up from 37.6% in 2013. HPV vaccination rates among teen boys are much lower than for girls, 21.6% in 2014 up from 13.4% in 2013.
There are probably a lot of reasons for the low HPV cancer vaccine uptake rate, so I thought I’d go through the most “popular” ones, debunking them one by one.
Hopefully, the reader can use this article as a checklist of the tropes and myths of the anti-Gardasil crowd with quick answers to them. Maybe you’ll convince one person to get their son or daughter vaccinated against HPV related cancers.
You’ve probably seen their commercials spread over all of the major TV networks. Beautiful scenes. Well-kept hospitals which often to appear to be near empty. And an anecdote or two or three from presumably real patients who describe their experience at Cancer Treatment Centers of America (CTCA), a private, for-profit operator of cancer treatment hospitals and outpatient clinics which provide both conventional and alternative medical treatments. Included in their treatment plans are chiropractic and naturopathy, neither of which have any evidence whatsoever in providing any healthcare benefit to patients, let alone those suffering from cancer.
Reuters recently published an in-depth report on the validity of the claims that are made by CTCA in its advertising. Here are some of the ones specifically mentioned:
For breast cancer, CTCA claims that its survival rate after 3.5 years post-diagnosis is about 42%, compared to the National Cancer Institute’s SEER (Surveillance Epidemiology and End Results) Program result (more or less a nationwide average) of about 29%. That’s a 13% improvement.
Healthcare workers should be obligated to receive influenza vaccinations, mainly because they can be a nexus of spreading of the disease. I personally don’t get why a healthcare worker should invent non-evidence based excuses for not getting the vaccine (I’ve heard them all), but it happens.