Topic: Society
Texas Governor Rick
Perry
(2/22/2007)
Defying a bizarre obsession of some powerful
conservatives in Texas and elsewhere, Texas Governor Rick Perry earned an
Ethics Hero award for February by bucking his usual constituency and making
Texas the first state to require girls to get a new vaccine for a sexually
transmitted virus that causes cervical cancer. “Requiring young girls to
get vaccinated before they come into contact with HPV is responsible health
and fiscal policy that has the potential to significantly reduce cases of
cervical cancer and mitigate future medical costs,” Perry said in a news
release explaining his executive order.
Well said. Anti-vaccine activists, led by Phyllis Schafly’s neolithic
Eagle Forum but also bolstered by various conservative columnists and
talk-show hosts, have issued hysterical condemnations of the vaccine program,
often making it sound like a latter day Tuskegee syphilis experiment rather
than a breakthrough in the battle against cervical cancer. What’s their
reasoning? There are several arguments:
- Some Americans have always regarded mandatory government vaccination
as a wrongful invasion of personal rights. They feel the same way about
fluoridated water. The fact that vaccines have largely eradicated many
infectious diseases and saved millions of lives world-wide mark this
as misapplied absolutism. Your right to avoid medical treatment doesn’t
give you the right to make me or my family sick. Mandatory vaccinations
guarantee that insurance will pay for the treatment, and greatly reduce
health disparities in minority racial and ethnic populations. They are
an excellent example of well-executed utilitarianism.
- There are legitimate concerns about the small minority of vaccine
recipients who have bad reactions to the shots, and some believe that
childhood vaccinations are responsible for the increased incidence of
autism. But the HPV vaccination is to be given to 11 to 13 year olds,
so even if the autism link was proven (and it isn’t), it wouldn’t be
relevant. The tiny percentage of tragedies related to vaccinations is
dwarfed by the tragedies prevented by them. Living in a symbiotic society
involves accepting reasonable risks, and getting vaccinated is one of
them.
- Sad to say, many conservatives appear to like the existence of deadly
sexually transmitted diseases because they can be useful in frightening
teenagers out of pre-marital and promiscuous sex. Thus they argue that
the vaccine, which has been proven to be extremely effective against
the HPV responsible for about 70% of all cases of cervical cancer, will
somehow encourage sexual promiscuity. It shouldn’t be necessary to make
the case that leaving one’s child vulnerable to a fatal disease is not
a rational or defensible means of ensuring responsible sexual activity.
But for the benefit of anyone who thinks this way, the Scoreboard will
point out that this makes as much sense as parents opposing the reduction
of violent crime in their neighborhoods because it could make their
children more likely to sneak out of the house after dark. As much sense,
as in none whatsoever. Parents who want to expose their children
to cervical cancer to compensate for their own inability to teach and
persuade them should have no voice in this controversy.
- Opponents of mandatory vaccination are also claiming that the massive
lobbying effort by Merck, maker of the vaccine, suggests that the program
is motivated by cash rather than health concerns. The argument is intellectually
dishonest. The fact that a promotional campaign to educate the public
about a new method of disease control happens to serve a company’s business
interests does not make the vaccine any less effective or mandatory
vaccination worse public policy. Of course Merck will make money from
the mandatory program, and it deserves to do so: it developed the vaccine.
The impetus for the vaccination program has not come solely or even
primarily from Merck. More than anything else, it has been spurred by
the research results and the excitement of finally having a vaccine
to eradicate a common form of cancer.
The American Cancer Society, the Centers for Disease Control, the American
Academy of Pediatrics and the U.S. Advisory Committee on Immunization
Practices all recommend that girls get the HPV vaccine. The Scoreboard
salutes Governor Perry for heeding their expert opinion and disregarding
the objections of many of his political supporters, who on this issue
are playing ideological games with children’s lives.
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