The vaccination controversy has bubbled into the blogosphere via McCain and his comments supporting anti-vaccination parents recently. While the usual raft of ‘freethinkers’ and ‘skeptics’ were to be expected, there was also some serious negative attention paid by McArdle and Reynolds. With McArdle deliberately calling parents who refuse vaccinations ‘sociopaths’ amd Reynolds being marginally more kind, but still quite negative overall, I had to throw in my two cents.
Off the bat, I am not anti-vaccination, per se. The Airborne Philosophy Squad (Aristotlean) all have vaccinations against measles, mumps, polio, whooping cough, and other life-threatening diseases. But they do not need a vaccination vs. Hepatitis B, so they do not have one. The odds of chicken pox being lethal are vanishingly small, natural immunity from actually contracting chickenpox lasts much longer (thus reducing the odds of developing shingles later in life) so they don’t have that, either.
Does that make me a sociopath (per McArdle)? Am I ‘marginally educated’ (per Dr. George Milonas)? Am I stupid (per Reynolds)?
Of course, I do not agree with any of these assessments of my decision making. But I am also, perhaps, a bit more aware of what is actually going on with the many people like me that choose to avoid vaccines unless we decide they are truly needed. It’s a little something called risk assessment.
Parents do not have the time or access to carefully evaluate the scientific merits of various claims and counter-claims made by people with the medical establishment and their critics. As a matter of fact, parents that did that the time to do so wouldn’t have much time left to parent. Indeed, the details of medical research are so large and complicated that doctors cannot keep track of everything; why else would groups like the American Academy of Pediatrics feel the need to issue summaries for doctors to use as a sort of ‘cheat sheet’ of current medical knowledge?
Supporters of ‘vaccinate according to the AAP vaccine schedule or you are a Bad Parent’ are doing so because they conclude that doctors and medical claims from doctors are knowledge-based assessments – meaning a belief that the things told to us by research papers and medical professionals are only objective statements of fact. This is the largely-traditional view that medical research and doctors are objective sources of fact that are very cautious in their determination of fact.
Unfortunately, many people have serious problems viewing medical statements as objectively true. Thalidomide is often seen as an initial hammer-blow to the image of the doctor as being the most trustworthy of professions. After all, a widely-prescribed drug had truly horrific effects upon the most vulnerable people in society. As a result, the FDA’s ability to oversee drug safety was increased.
Of course, since then the widely-prescribed Vioxx was withdrawn for causing long-term heart damage; its successor, Prexige, was withdrawn from the market for causing liver damage. Both of these drugs were the subject of medical research, risk assessment, and testing trials before being approved by a number of governmental drug safety review groups around the world. Other drugs approved as ‘safe’ and later withdrawn include the combo called Fen-phen, cerivastatin, indoprofen, Raxar, Raplon, and a host of other drugs have all been approved for use within the last 20 years (usually much more recently), prescribed, and then withdrawn due to serious, often lethal, side effects. And, just to really ice the cake, as the vaccination/anti-vaccination debate was really getting into full swing in the late 1990’s the FDA (and others) approved RotaShield, a vaccine that was withdrawn because of its potentially serious side-effects.
I haven’t even discussed how Thiomerisol has been approved as safe, then withdrawn as potentially dangerous, and then re-approved as safe during the debate over how dangerous it may or may not be as an element of many vaccines.There is also the issue of whether transfats are good for you (as consumers were told for decades) or bad for you (as initial and current research state); what a healthy diet really consists of; whether beta carotene should be used as a supplement or not; indeed, the number of times medical professionals and groups (not to mention agencies like the FDA) have made claims to objective truth only to reverse themselves in the face of new evidence are legion.
As a result, no one should be surprised that the small but certainly non-zero chance that a drug prescribed by your doctor after many research papers and the FDA pronounce it safe has led a fair number of people to conclude that medical claims are not knowledge-based but are, instead, authority-based assessments – meaning claims that are evaluated by your trust of the people or groups making them. In short, the repeated failures of medical claims to represent objective truths force parents to evaluate all medical claims as subjective, not objective; this includes the claims of no link between vaccinations and autism.
Do some parents go overboard? Absolutely; of course, so do some medical professionals. But for the majority of parents the decision to forgo as many vaccinations as they consider prudent is, indeed, a rational decision.