Vaccines and Nazis

 In the wake of a Tennessee school board banning the graphic novel "Maus" a friend posted a meme 

"FUN FACT: Kids who read Maus don't grow into adults who constantly compare minor inconveniences to the Holocaust". 

One of their friends responded with:

"Those who have read Maus I & Maus II realize the steps to genocide and become aware much earlier than those who haven’t, that what appears to be minor inconveniences to someone who they are manipulated into “othering” is much more significant than that and is one of the first steps to much worse. I TA’d a class on the Shoah/Holocaust at UCLA in which we carefully analyzed the beginnings of the Holocaust, which most did not recognize. They looked at propaganda about Jewish people, political dissidents, gypsies and LGBTQ people as a minor inconvenience. They saw it, as is happening to some disabled and religious minorities today with the current drug mandates, to be a minor inconvenience that they couldn’t go to the movie theater or a play or dtudy or work anymore. They saw it as a minor inconvenience that they were forced to publically identify themselves as other. Often it was mistakenly justified as they can choose-a different political

ideology, sexual orientation, religion- and nowadays to take the offered drugs. It requires empathy to step into another’s shoes and realize that not being able to work, travel, or study is not a minor inconvenience. Not being able to go to cultural events, museums, the theater, restaurants or other public places like trains is not a minor inconvenience. At least not for those being othered. Did the author of this meme really study the Holocaust, including the couple of years before the camps? Did they sit and watch the propaganda videos and read Wiesel and Primo Levi? The Nazi propaganda is eerily similar to much of the big pharma propaganda played on corporate news nowadays. Very little facts, much obsession with a monolithic view of what science and facts are, which does not allow for critical thought or inquiry. Intensive censorship."

There is a lot to unpack here. Before I start, so it doesn't get lost in the rest of this little essay, I want to be clear. I view the facebook response to be a clear instance of "comparing minor inconveniences to the holocaust". But... the response is complex and makes some interesting points, so I think it's worth a discussion. References to support my statements are available upon request.

This as a slippery slope argument. I think the basic point that moving into the Holocaust was a step by step process of dehumanization is true and valid. It is also true that part of the process is a gradual separation of us and them, with "them" being restricted in activities. At first the restrictions seemed relatively innocuous, like explicit identification, but then moved rapidly to eliminating necessities like education, work, and property.

It is also true that these tactics are not novel and this can happen in any society, including our own. The target can be foreigners; look at the English treatment of the Irish before, during, and after the great famine. Sometimes they are used to oppress subcultures like the  Uyghurs in China. Sometimes it is appearance, like black people in the United States. As with the Nazis the playbook is often used in conjunction with other techniques to establish an oppressive dictatorship. Dictatorships are usually created with the support of a substantial portion of the population. Garnering support is easier in the face of an identified threat from within: communists, Jews, homosexuals, elitists... 

We know from past experience that there is a slippery slope. But not every government action that separates "us" from "them" leads down that slope. A counter example is the Americans with Disabilities Act, the ADA. It identifies a class, disabled people, that has historically been a group that is shunned and discriminated against. The ADA does exactly the opposite. It forces the rest of us, under force of law, to make accommodations for the disabled. Each of us must park farther from the door of the store, must make curb cuts when we put in sidewalks. When I built my coffee shop I had to install a section of counter that was low enough so that a person in a wheelchair could easily sign a credit card slip. In other words, for the protection of a particular class of people, my freedoms are restricted and I am forced to act in ways that are sometimes expensive and inconvenient. 

In fact, a defining characteristic of humans is our ability to band together and subsume our personal interests to the groups to which we belong. This is one of the characteristics that makes our species so powerful. It is also the double edged sword I have described. On the one hand it allows us to create cruel and dictatorial societies. On the other hand it allows us to band together and make the lives of everyone better.

We band together with different groups of different sizes. The most universal is the family, but we also create a societies with friends, work groups, and legal entities (city, county, state, nation...).

Because the subject of the facebook response is really the societal attempt to get everyone vaccinated for Covid, it is worth looking at vaccination in general. I think the most popular vaccination in the U.S. was for polio. Smallpox vaccination had shown people that vaccinations could be safe and effective. Polio was severe and widespread. Even today, there are people who do not have full use of their limbs because of polio. The polio vaccine was partially funded by voluntary public contributions. When the vaccine became available it was eagerly accepted and there was little protest.

When the Europeans came to the "new world" they brought disease, most notably smallpox, with them. Within a generation or two as much as 90% of the native population was dead from disease. This makes the Black Death in Europe look like a Sunday picnic.

Benjamin Franklin wrote: “In 1736, I lost one of my sons, a fine boy of four years old, by the small-pox, taken in the common way. I long regretted bitterly, and still regret that I had not given it to him by inoculation. This I mention for the sake of parents who omit that operation, on the supposition that they should never forgive themselves if the child died under it: my example showing that the regret may be the same either way, and that, therefore, the safer should be chosen.”

Franklin's son died in 1736, but he had been a supporter of smallpox vaccination since at least 1721. Why wasn't his son vaccinated? Franklin blamed himself, but there is a school of thought that it was his wife Deborah who resisted and Franklin resented her for it. It is known that he found excuses to be away from his wife for years at a time. If the speculation is true, it is a case where Franklin sacrificed his own desire to vaccinate to that of his family group (his wife), and it cost him his son.

There are groups that should generally be ignored regardless of their sincerity, their arguments, or the depths of their belief. An example is the "flat earthers". People who believe that the earth is flat. They are interesting psychologically and sociologically, but their beliefs are simply wrong. The current scientific theories of gravity are some of the best tested theories in existence. Over all space and time scales the theories have been confirmed. The structure of the earth and the solar system are well known and described. Our models are predictive and confirmed by those predictions. We can, for example, predict eclipses, the length of the days, the precession of the North Pole, the tides caused by the moon... In contrast, the flat earth theories are a mess. They don't explain much of anything and can be disproven by anyone who has a simple knowledge of geometry. Despite this, the beliefs are remarkably resistant to change. All objections are met with an answer, incorrect, but usually in a form that has a surface coherence, and apparently raise more doubts about the scientific explanation.

The flat earthers are a case where we (individuals, educational systems, the media, government...) do not have to discuss "both sides". There are not two sides. We have well established information and we have a few people spouting nonsense.

Gravity is relatively (pun intended) simple. Many of the things in our lives are much more complicated. We have created large systems to measure, analyze, theorize... In science the system includes peer review of results to enforce honesty and reduce sloppiness. It is not perfect but, on the whole, the system works and knowledge increases. 

In economics we require large scale data collection to feed our analysis and understanding. Over the past century the government has refined the collection of economic and demographic data and put firewalls in place to reduce political manipulation of the data and its analysis. Again, it doesn't always work, but in general the data we have is roughly correct.

Medicine is another case where large scale data is needed. Data collection is difficult, but we have made progress. The insurance system requires standard diagnosis and treatment codes. All deaths are classified, which is why we know how many people died from being tangled in bed sheets. Of course no one knows that you had a cold three years ago because you did the sensible thing and waited for it to go away without seeing a doctor.

In the case of vaccines, we keep records. Each suspected side effect is tracked. This includes reports from physicians and large scale studies of correlations between vaccine recipients and reported illness. The data are not perfect, but they are not bad. For Covid, hundreds of millions of doses have been administered. There is simply no doubt that the Covid vaccines are safe and side effects are incredibly rare.

For Covid as a medical condition, we have done a terrible job of keeping track. The best data we have are for hospitalizations and death. We also have the results from PCR tests. These come from a self selected sample, but act as a reasonable indicator of prevalence. 

Two things we know about Covid pretty certainly. First, in many people the disease is severe. Second, the vaccines used in the U.S. are safe and effective. The vaccines dramatically reduce the chance of severe illness and the rate of transmission. To dispute the severity of the illness or the effectiveness of the vaccines, you have to ignore the ICU at your local hospital and the testimony of the doctors and nurses who work there. This information is easy to get and widely disseminated. To deny it is ignorance at the level of the flat earthers. 

Smallpox and polio are diseases of humans, they have no animal reservoirs. That means if we eradicate the disease in humans, it goes extinct. Through world wide societal action, we have eradicated smallpox. It is simply gone. Some of this action was governmental and coercive. Children were not allowed in school unless they were vaccinated. Another way to say that is that unvaccinated children were identified as a group, singled out for special treatment, and refused access to education. This did not create a slippery slope leading to a dictatorship in the United States or anywhere else. In my view, it was a correct societal action that allowed a scourge of mankind to be eliminated.

Polio is nearly eradicated. It still exists in pockets around the globe. Those pockets exist because ignorant and militant ideologues in those places prevent vaccination. These repressive elements sometimes assassinate health care workers traveling from village to village trying to save children by vaccinating them.

An old saying is: Your right to extend your fist ends at my nose. In the case of disease it is sometimes hard to tell what your fist is and where my nose is. In 1907 a paper was published that traced a set of typhoid fever outbreaks occurring between 1900 and 1907 to a single person, later nicknamed Typhoid Mary. Mary was asymptomatic and never accepted that she was transmitting the illness. She was forcibly quarantined and her treatment by the state was appalling. Eventually she was released on condition that she take precautions to prevent spreading the disease and not work as a cook. She tried being a lower paid laundress but eventually returned to cooking. She again transmitted the disease and again was forcibly put into quarantine where she remained for over twenty years until her death. Conservatively, at least fifty three people were infected and at least three died because of Mary. There have been other asymptomatic carriers of typhoid fever, but none so famous or as appallingly treated as "Typhoid Mary". What should be done with someone who injures those around them and refuses to stop?

I have a grandson who is medically compromised. That is, he is more likely to get disease and, if he gets sick, is more likely to have severe symptoms. His life is easily put in danger. Because of Covid, this child has spent a third of his life basically confined to his home. His parents movements and actions are constrained because they do not wish to unwittingly infect him. Visitors to the home have to quarantine for a period of time and have a negative test before being allowed in. One of the reasons this has dragged on for so long is because there are a large number of people who have dug in their heels and refused vaccination. 

I am angry about this. I believe I am justified. Do I support restrictions on people who have not been vaccinated so the damage they inflict can be limited? You bet I do. If you want to go to a public place where you can infect other people, I want some assurance that you are not a danger to those people. Instead of my grandson, I want those who put him in danger to be restricted.