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Defense against dangerous epidemic outbreaks requires constant vigilance. With Robert F. Kennedy Jr. and Donald Trump headed to Washington, D.C., we are entering very troubling territory.
Elvis Presley hardly seems a likely candidate for the pantheon of public health heroes. But in October 1956 the ascending rock idol lent his considerable stardom to helping save lives.
His little remembered role is a cautionary tale as incoming President Trump advances a series of farright and unqualified appointees to major public agencies. The most dangerous is likely to be conspiracy theorist Robert Kennedy Jr. as Secretary of Health and Human Services, augmented by like-minded, perilous public health heads of the Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), National Institutes of Health (NIH), Federal Drug Administration (FDA), and his choice for Surgeon General.
For a century, polio epidemics made it one of the world’s most terrifying diseases. A 1916 outbreak in New York City killed over 2,000 people; another in the U.S. in 1952 claimed over 3,000. Children were especially targeted, over 60,000 infected yearly, facing lifelong severe spinal injuries requiring braces, crutches, and wheelchairs, and the dreaded iron lung, an artificial respirator, or premature death.
Wealth and status proved no barrier, as evidenced by President Franklin Roosevelt who was diagnosed at age 39 in 1921 with polio and endured it the rest of his life. What was a safeguard was the first vaccine, developed by virologist/medical researcher Jonas Salk. The announcement on April 12, 1955 by University of Michigan School of Public Health scientist Thomas Francis, Jr., who declared it “safe, effective, and potent,” was greeted as a national celebration, spread rapidly over radio, television, and wire services.
Parents lined up to vaccinate their young children, plenty did not. Teen immunization levels stagnated at just 0.6 percent. Enter Elvis. He agreed to go on the popular Ed Sullivan TV show, not to sing, but to get publicly vaccinated, viewed by millions. Vaccination rates among American youth soared to 80 percent in just six months. Overall annual cases of polio plummeted within a year from 58,000 to 5,600. By 1961, only 161 cases remained. After an oral vaccine followed, polio disappeared in the U.S. completely.
Yet polio never vanished globally, especially in underdeveloped nations, as in Africa, and in war zones, including in Gaza today—driven by Israel’s decimation of public health protections during its catastrophic and ongoing assault. In 2022, the first U.S. case in decades was reported by the New York State Department of Health.
Defense against dangerous epidemic outbreaks requires constant vigilance, and public support for full embrace of public health safety measures, including vaccinations. The experience of Trump’s first tenure is far from reassuring, especially his abominable failure in the face of Covid-19, the worst global pandemic in a century which ultimately cost the lives of over 1.2 million Americans.
Initial skepticism over the polio vaccine has a long antecedent in the U.S., described early in the Covid pandemic by what Los Angeles Times writer Carolina Miranda aptly termed “toxic individualism” and rugged individualism. It is traceable to a virulent brew of misguided notions of individual liberty that undermine and sabotage the public good, or a commons of national and community interest. Much of its roots are linked to structural racism, as in the resistance to Civil Rights Movement measures, and continuing today in white opposition to reforms such as expansion of health care and other public programs, immigration rights, and other societal benefits.
That history provides context for the eruption of the anti-vax, anti-public health measures that exacerbated and prolonged Covid suffering and death and seeded the ground for opposition to other essential vaccines. It’s true, as medical ethicist Arthur Caplan writes, that much of “the damage to getting Americans to vaccinate has already been done… There are almost no serious state mandates for childhood vaccines. Parents who want to opt out are easily doing so, as can be seen by the resurgence in measles and whooping cough. Nearly 40% of teenagers are not up to date on the HPV vaccine even as Australia and Scotland are on the verge of eliminating cervical cancer thanks to serious immunization campaigns.”
Further, he adds “Democrats avoided vaccination as an issue this election year because they knew that, post Covid, vaccination has become something of a political third rail. Could Kennedy and [CMS nominee Dr. Mehmet] Oz make things worse—absolutely. But are matters already bad—sadly, yes.”
The Kennedy-Trump threat
Yet Kennedy and his coterie of other department heads can make matters much worse. With the imprimatur of a President-elect already lionized by an often-fawning base will likely discourage more resistance to vaccines that can turn schools into major disease vectors and hasten the spread of new epidemics sure to come.
Even in the wake of Covid, Kennedy, with his power as HHS Secretary has said he would pause NIH’s drug development and infectious disease research and shift its focus to chronic diseases that do need attention but not at the expense of combating global epidemics.
Kennedy has also indicated a desire to shutter “entire” FDA departments, which oversee safety and effectiveness of prescription drugs and vaccines. And he has threatened to purge FDA staff for “aggressive suppression” of unsafe products and therapies, such as raw milk, and discredited COVID treatments, including hydroxychloroquine.
There’s his lurid, scientifically refuted linkage of vaccines to autism and other conspiracies, such as his claim that Covid was bioengineered to exempt Chinese people, already targeted by Trump rhetoric that fueled hate crimes, and Ashkenazi Jews of Eastern Europe origin, reinforcing right-wing antisemitic bigotry.
And that’s not including his attack on fluoride in drinking water which promotes oral health, as cited in a letter by 77 Nobel Prize winners opposing Kennedy, or his speculated doubt that HIV causes AIDS and the effectiveness of AZT therapy.
Anti-vax consequences
Still, it is his fanaticism on vaccines that prompts the most alarm.
During the COVID-19 epidemic, Children’s Health Defense, a group Kennedy founded and led, petitioned the FDA to halt the use of all COVID vaccines. In a 2023 podcast, Kennedy proclaimed there is “no vaccine that is safe and effective,” and disputed CDC’s guidelines about if and when kids should get vaccinated.
The implications are alone enough for a mass movement to escalate pressure to block confirmation of Kennedy, and Trump’s nominees to lead the CDC, CMS, FDA, NIH and Surgeon General who mostly share his chilling views on vaccine safety. Multiple studies document what is at stake.
The World Health Organization estimates vaccines have protected 150 million lives over the past 50 years, and that 100 million were infants. About 4 million deaths worldwide are prevented by childhood vaccination every year. More than 50 million deaths can be prevented through immunization between 2021 and 2030. By 2030, it is estimated that measles vaccination alone can save nearly 19 million lives.
In November 2013, University of Pittsburgh researchers issued a similar study. It documented that about 103 million cases of disease had been prevented by vaccination since 1924. The disease with the most cases prevented was diphtheria, 40 million cases. Second was measles, 35 million cases.
Globally, reported Scientific American, measles vaccines, preserved 94 million lives over the past 50 years. It cited a 2024 Lancet study published in October that vaccines against 14 common pathogens protected 154 million people over the past five decades—that's a rate of six lives every minute. They have cut infant mortality by 40 percent globally and by more than 50 percent in Africa. Throughout history vaccines secured more lives than almost any other intervention.
Lancet found that each life defended through immunization contributed to 66 years of full health, without long-term linked to disease. Vaccines impact nearly every measurement of health equity, from improving access to care, to reducing disability and long-term morbidity, to preventing loss of labor and the death of caretakers.
Writing in Forbes, hardly a left-wing Trump critic, earlier this year, ER doctor/health researcher Arthur Kellerman also cited the Pittsburgh study, as well as Johns Hopkins data of nearly 88 million cases of illness. In 1900, he wrote, 30 percent of deaths in the U.S. occurred in children under 5 years of age. In 1999, they accounted for only 1.4 percent. "Vaccines," he concluded, "played a vital role in this progress.”
Measles, a highly contagious childhood disease that can lead to pneumonia and fatal brain swelling, declined rapidly after the first measles vaccine was introduced in 1963. But, the CDC cites 16 measles outbreaks in 2024. Kennedy’s alleged role in promoting vaccine misinformation during a deadly measles outbreak in American Samoa in 2019, which he denies, has also been widely reported. Unvaccinated families, writes Kellerman, “tend to cluster in communities defined by faith, culture or political ideology. When a highly contagious disease gets into such a community, an outbreak can occur. We’ve already seen localized outbreaks of measles, rubella, mumps, and pertussis.”
In 2022, Kennedy’s attorney and close advisor Aaron Siri petitioned the FDA to revoke approval of the polio vaccine for further study despite its long history of success.
Republican Senate Majority Leader Mitch McConnell, who endured polio as a child, has denounced the push “to undermine public confidence in proven cures” like the polio vaccine. Only a “miraculous combination of modern medicine and a mother’s love” saved him from paralysis he said in a statement. “The polio vaccine has saved millions of lives and held out the promise of eradicating a terrible disease. Efforts to undermine public confidence in proven cures are not just uninformed—they’re dangerous,” McConnell said.
Yet McConnell, and similar Republican critics have yet to publicly oppose Kennedy and his similar malefactors of health (to borrow FDR’s “malefactors of wealth” frame).
We can no longer count on Elvis to protect our children, families and communities. It is up to the rest of us.
"In 1959, the BBC asked [Bertrand] Russell, [public intellectual, historian, social critic, political activist and Nobel laureate] what advice he would give future generations. He answered: 'When you are studying any matter or considering any philosophy, ask yourself only what are the facts and what is the truth that the facts bear out. Never let yourself be diverted either by what you wish to believe or by what you think would have beneficent social effects if it were believed, but look only and solely at the facts." -- Humankind: A Hopeful History, by Roger Bregman, p. 253
This advice from Bertrand Russell, one of the 20th century's most prominent progressive intellectuals, toward the end of his long life is very sound. It resonated with me when I recently read it. I've been thinking for a while about how and why intelligent, well-meaning people sometimes hold onto beliefs or a particular ideology even when new information, or just the basic facts, should lead to a different view of things.
Unfortunately, my life experience has led me to realize that though most people do generally agree that an approach of facts and the truth of things, actual reality, must always come before ideology, this is too often not the way some human beings function, particularly when it comes to politics. And this very big problem transcends political ideology. It's true on the political right, center, and left and always has been.
As far as progressives, the biggest, most recent example is the Covid-19 anti-vaccination campaigns--not just individual points of view but public campaigns--of people like Robert Kennedy, Jr., Gary Null, and others. Despite over a year of successful experience with vaccines dramatically reducing deaths, hospitalizations, and total cases of the virus, these vaccine deniers, not just clinging to their general anti-vaccine ideology but actively campaigning against people getting vaccinated, have almost certainly increased the numbers in all three categories. It is shameful.
Then there's the public political position of the national Green Party--which I was a part of for many years, though no longer--that there was no difference between Hillary Clinton and Trump in 2016 or between Joe Biden and Trump in 2020. Jill Stein and Howie Hawkins, the GP Presidential candidates, took that position over and over, which turned out to be very unpopular on the left. Most people on the left did the right thing and put facts over ideology: Stein got 1.1% of the vote and Hawkins got about 0.4%.
I am fully aware that on too many issues, particularly the appalling US military budget, US foreign policy. and acceptance of corporate/big money domination of our society, there are similar approaches between Republicans and the usually dominant corporate wing of the Democratic Party. But if you think that overt racism, denial of women's and LGBTQ rights, denial of labor rights, poverty, and neo-fascism are very big issues, the common sense approach to take when voting for President under the existing US electoral system (it needs to be changed!), particularly if you are in a swing state where the vote is usually very close, is to vote for, yes, the lesser evil. Practically, that makes sense.
We're seeing a similar thing right now as far as the political left and the Ukraine war. Despite the plain-as-the-nose-on-your-face reality that this war is happening because Putin invaded Ukraine with 150,000 or so well-armed troops, with no provocation by Ukraine, a small percentage of those on the left who see themselves as part of the US peace movement are letting their particular brand of leftist ideology guide the positions they take on this huge issue.
The primary example is the United National Antiwar Coalition. What are their main demands, as listed on their website? No War With Russia. No to NATO. No Sanctions.
Contrast this with the demands of CodePink, one of the leading organizations on the left organizing mass demonstrations against the war: Stop the War in Ukraine. Russian Troops Out. No to NATO Expansion.
Both agree that NATO's expansion over the last few decades, since the Soviet Union dissolved, is an underlying reason why Putin took the action that he did. From a geopolitics standpoint, it is understandable why not just Putin but many Russians would be upset about having NATO military bases and missiles 100 miles or so from their western border, just as the United States 60 years ago was upset about having Soviet bases and missiles 90 miles away in Cuba.
CodePink, however, in its first two demands, addresses the fact that the reason for this war is Putin/the Russian government's unprovoked decision to invade Ukraine militarily, and Russian troops must leave if there is to be peace and national self-determination for Ukraine.
UNAC's "No War With Russia" demand completely obfuscates the fact of who started this war. There's nothing about Ukraine. Indeed, if you look at their three demands in their totality, there's nothing there that Putin disagrees with. He doesn't want the US or European countries to get involved in this war, he wants Ukrainians and their supporters to stand down or be defeated so he can seize their land. He's obviously against NATO. And he obviously doesn't want any sanctions on anybody in Russia, in general or on the oligarchs.
Ideology is not a bad thing. It's of value, very important really. Each of us as individuals should have a fact-based and justice-seeking worldview which guides us as we go through life, day by day. But when that worldview doesn't fit with the facts, as history and our lives develop, it's time to make some practical and ideological adjustments, look at things more closely. Ideology grounded in facts, not blind ideology, is what we must strive for.
The Covid-19 pandemic is a global health emergency that requires a coordinated and mobilized medical response, one based not only on public health expertise but also principles of social cooperation and solidarity. But in the United States cooperation and solidarity are almost alien values in a nation rent by growing political divisions and more substantively defined by extremes of wealth and class inequality.
In the hyper-capitalist United States, a threadbare social safety net is the norm and even people's health needs are commodified for financial profit.
In the hyper-capitalist United States, a threadbare social safety net is the norm and even people's health needs are commodified for financial profit. The culture of solidarity required to meet the challenges of a public health emergency is not exactly the default setting for a social system dominated by financial and political elites.
But it's worse than that. Today, the Republican Party operates as open saboteurs of public health. Across the nation, elected Republicans at every level of government display a callous disregard for the health and lives of the American people, sowing disinformation and resistance to public health efforts to contain and defeat the pandemic. In place of a united front of preventive community health action, Americans instead must contend with endless propaganda and nonsense from a far-right circus of liars and science deniers.
Far-Right Political Demagoguery
From the first days of the pandemic, when the spotlight of a public health emergency put President Trump's sociopathic misleadership on full display, the Republican Party was forcefully revealed as an entrenched lobby of billionaire lovers and public health defeatists. This is less a political party than a Trumpian cult of unabashed opportunists and far-right ideologues, willful traders in people's lives and health for whatever scraps of power and largesse they can hoard for themselves. Even basic public health measures to contain the spread of Covid-19, such as mask requirements for indoor settings, temporary restrictions on indoor gatherings, and more recently encouraging use of effective vaccines, have been demagogically politicized and resisted by Republicans.
To the extent his public health pronouncements run counter to the Republican agenda, even Anthony Fauci, MD, director of the National Institute of Allergy and Infectious Diseases, has had to endure slanders and threats from the malodorous swamps of the Trump milieu. In fact, harassment and abuse of scientists who give media interviews or otherwise comment on the pandemic is now common, according to a survey by Nature. This is actually a global phenomenon, thanks to the rise of far-right extremism in multiple countries.
Indeed, inspired by former President Trump's contempt for science, many among his base of supporters have come to view the scientific community as just another interest group out to promote its own self-serving agendas. The scientific consensus of the threat posed by anthropogenic climate change, for example, is viewed by many right-wing climate change skeptics as just one opinion among many. And since everyone is entitled to their opinion, take your pick which one you like!
The public health Covid-19 vaccination campaign is now under assault by many Republicans, motivated less by reasonable health concerns than just politically charged scare tactics and propaganda. Its source is the same far-right political milieu that perpetuates the lie that Donald Trump won the last presidential election. It's no wonder this same political milieu considers it a priority to force women to give birth against their will, promoting highly restrictive abortion bans in Texas and other states regardless of their harmful impact on women's health. These dissemblers of knowledge and justice have become the norm in the Republican Party.
The hypocrisy in all this reaches particularly stunning heights at Fox News, where masks, vaccines, and science expertise are regularly impugned by right-wing hosts out to discredit the current public health campaign. The hypocritical rot at the core of Fox News is evident in the fact that the media company actually requires all of its employees to be vaccinated against Covid-19, or undergo daily testing. While many among Trump's base of supporters express a kind of casual skepticism on social media and elsewhere toward use of face masks to reduce the spread of Covid-19, indoor masking in the Fox News offices is strictly enforced. Of course, this doesn't stop media propagandists like FoxNews host Tucker Carlson from ridiculing the "cult of mask-wearing" as pointless. You just have to wonder if these posturing media cynics think medical masks are used in surgical settings just for dramatic affect?
What's next? Will Fox News eventually come up with an expose of Ignaz Semmelweis, the 19th Century German-Hungarian physician who in the 1840s championed hand-washing to prevent the spread of infectious disease, as a secret communist friend of Karl Marx? Dr. Semmelweis originally developed his ideas about hand-washing based on clinical practice and observation, before the germ-theory of disease could clearly establish the value of preventative hygiene measures.
Understanding Vaccine Hesitancy
Certainly not everyone who avoids Covid-19 vaccination is an "anti-vaxxer" opposed in principle to all vaccines. Nor are they necessarily right-wing malcontents who reflexively oppose any public health measures supported by liberals or Democrats. There are actually many reasons why so-called vaccine hesitancy influences a segment of the U.S. population. First, as has long been true, some people worry about the safety or side effects of vaccines. These legitimate concerns deserve to be addressed, not ridiculed. In fact, there's research to suggest large numbers of the currently unvaccinated are more "confused and concerned" than "absolutely opposed" to vaccines," as New York Times columnist Zeynep Tufekci notes in a recent commentary.
Interestingly, Tufekci cites research from the Kaiser Family Foundation (KFF) that shows lack of health insurance is the single most powerful predictor for who remains unvaccinated. But Covid-19 vaccines are provided free to the public, so why would that be? For one, lack of insurance is also a likely indicator of a more tenuous social relationship to the health care system. The uninsured are more likely to be among the 25% of the U.S. population who lack a primary health care provider to turn to for advice or information.
This shouldn't come as much of a surprise. The United States is one of the few modern nations that does not have some type of non-profit single-payer or national health care system. As a result, an everyday lack of access to affordable health care, especially in poor and minority communities, is a familiar aspect of American life.
The lack of access to affordable care is indeed a major failing of the U.S. health care system, experts note. "Some 30 million Americans are uninsured, and mostly shunned by doctors and hospitals," write physicians David Himmelstein, Steffi Woolhandler, and Adam Gaffney in a recent British Medical Journal (BMJ) commentary on vaccine hesitancy. "Even those with insurance encounter ever-larger out-of-pocket costs. Having disciplined patients for decades to expect financial roadblocks, we now expect them to suddenly understand that covid-19 vaccination is different--a fact many apparently doubt." Indeed, they observe, vaccination rates are lowest in the states with the highest uninsurance rates and among those most excluded from access to care.
Vaccine hesitancy may also express historic distrust among racial and ethnic minorities who have experienced a legacy of discriminatory treatment in the health system. Some people may be concerned, despite reassurance from public health authorities, that Covid-19 vaccines, initially approved for emergency use, were developed so quickly. Tufeckci also reminds us that there exists a surprisingly large sector of the population who have a fear of needles.
To be clear, people have the right to ask questions and seek assurances about vaccine safety and policies. The antidote to "anti-vaxxer" opposition isn't just blind faith in vaccine science. Medicine doesn't need uncritical "pro-science" sycophants constantly shouting its praises any more than it needs its imprudent deniers. Actually, it is in society's interest for the general public to be as informed and educated as possible--to think critically--about the science behind public health guidelines and recommendations. In turn, medicine also works best when health care practitioners value and respect their patients' input and perspectives.
At this juncture, the consistent right-wing Republican opposition in the United States to public health measures is less absurd than it is just deeply tragic. In the United States, the Johns Hopkins Coronavirus Resource Center reports 751,349 Covid-related deaths as of November 4. Worldwide, 5,027,964 deaths have been reported. Notably, the United States fares poorly in global comparisons of Covid-19 morbidity and mortality rates.
Nor is the Democratic Party establishment without blame in all this. For decades, neo-liberal austerity policies supported by both major political parties have taken their toll on the public health infrastructure. In fact, pre-pandemic spending on public health has been in decline for years, reports the BMJ, more recently constituting only 2.6% of total health spending. Driven by corporate profit, hospital bed capacity and stockpiles of available medical resources have been gradually reduced over the past four decades.
What does a fractured public health infrastructure look like in practice? Here's one example: the Centers for Disease Control and Prevention (CDC) currently reports only "breakthrough" cases of infection among vaccinated populations that involve hospitalization, according to Johns Hopkins. The more complete data reporting necessary to track the virus is left to state health departments, many of which fail to report all the data necessary to track surges, variants, and vaccine effectiveness. In fact, 14 states do not report any data on breakthrough infections.
A Vision for Social Justice and Health
Rich in technology and wealth, but poor in leadership, equality, and justice, the United States is a dysfunctional outlier compared to other rich nations when it comes to providing basic social infrastructure and a robust social safety net for its citizens.
None of the public health shortcomings or current political divisiveness over even the most basic public health measures should come as a surprise. Rich in technology and wealth, but poor in leadership, equality, and justice, the United States is a dysfunctional outlier compared to other rich nations when it comes to providing basic social infrastructure and a robust social safety net for its citizens. This is a society that expects to spend $8 trillion on military spending over the next 10 years, but somehow can't manage to pass a $1.75 trillion social spending bill that would mandate even modest expansions in Medicare or establish for the first time national policy on paid family and medical leave for working families, without a contentious and likely losing political battle in Congress.
"The covid-19 pandemic casts a harsh light on America's lethal inequalities, but also illuminates a path forward," conclude single-payer advocates Himmelstein, Woolhandler, and Gaffney in their BMJ commentary. "Contending with tomorrow's health emergencies will require reversing austerity and adequately funding public health agencies. We must go further to democratize care: implement universal coverage and abolish out-of-pocket costs; equalize the distribution of health infrastructure; and reverse the privatization and commodification of medical services."
These are dangerous times. In the United States, millions of Americans are under the sway of a megalomanic ex-president Trump, a corrupt, inveterate right-wing liar described by his own niece as an "instinctive fascist." While many Republican leaders continue to bow down to this malignant anti-democratic menace, a majority of Republican voters in their political stupor continue to deny this scourge of a leader even lost the election.
These are the agitated know-nothings who want to ban mask mandates, criminalize abortions, ban teaching in schools on the history of racism, and undermine the democratic right to vote. They are crawling in a muddy trench with their dystopian visions of authoritarian repression and ever harsher specter of social and class injustice. The expectation that the cautious elites of the Democratic Party, with their penchant for moderation in all things, can prevent this irrational base of aspiring neo-fascist Republicans from destroying what remains of democracy is not an optimistic one.
If there is a public health lesson here, it is that no one is safe until everyone is safe. The dangerous dynamic of the pandemic is that the longer it lasts, the more likely even more dangerous variants of Covid-19 will emerge. Worldwide equality in access to affordable medical care, including vaccine equity, is in the interest of the whole planet. Worldwide solidarity, scientific internationalism, democracy in everything and social and climate justice for everyone, including mass resistance to the growing far-right threats to our future, has never been more urgently needed.
A quote often attributed to Groucho Marx before he was born and after he died goes like this: "These are my principles. If you don't like them, I have others."
Whether the famed comedian really said it or not, it feels vaguely "Marxist"--as in the Groucho variety. Principles, like sponges, can be fungible in the wrong hands.
A laissez-faire attitude toward vaccination during a pandemic that has killed 700,000 Americans is not admirable.
But that's life, isn't it? One day, you're Kyrie Irving of the Boston Celtics defending his right to protest police brutality; the next, you're Kyrie Irving of the Brooklyn Nets refusing to obey New York's mandate to get vaccinated to keep your multimillion-dollar annual salary.
Same guy, different days generating furious push back and praise. It reminds you of what Groucho Marx probably didn't say: "These are my principles..."
Fox News' Laura Ingraham famously scolded LeBron James for daring to express political opinions--especially those that were contrary to her own. "Shut up and dribble," she screeched at James, who was then with the Cleveland Cavaliers. It was an update of her acidic comment "shut up and sing" aimed at the Dixie Chicks years earlier after they criticized then-President George W. Bush's decision to invade Iraq.
She singled out James for being "barely intelligible" and "ungrammatical" because he insisted on being outspoken about Colin Kaepernick while also criticizing Donald Trump.
"It's always unwise to seek political advice from someone who gets paid $100 million a year to bounce a ball," Ingraham said, sneering at the notion an athlete's opinion was worth anything.
Irving called Ingraham out for attempting to marginalize his colleagues for expressing opinions that she felt Americans weren't obligated to respect.
The more Irving and his colleagues insisted that professional athletes had the right to be heard on the most important issues of the day because they were citizens, too, the more they were mocked on social media as "semi-literate millionaires."
It was also around that same time that Kyrie Irving took a detour from defending every athlete's First Amendment rights to testing it in the most absurd way imaginable: questioning whether the Earth was round.
"This is not even a conspiracy theory," Irving said on a podcast. "The Earth is flat. ... It's right in front of our faces. I'm telling you, it's right in front of our faces. They lie to us."
Presumably, Irving has flown on enough luxury planes and commercial airliners to know better than to take Flat Earth Society notions seriously, but there he was, a Duke University alum, espousing pre-scientific gibberish because he'd fallen down some rabbit hole on YouTube.
This time, the ridicule he got was bipartisan, even though he said his comments were only meant to generate discussion. In June 2018, he backed away from his flat Earth fundamentalism a bit to say he wasn't entirely sure whether the Earth was flat or round. He was round Earth agnostic.
"I do research on both sides," Irving said, resorting to the strained tautology that he would fall back on during his vaccination folly a few years later. "I'm not against anyone that thinks the Earth is round. I'm not against anyone that thinks it's flat. I just love hearing the debate."
Just to be clear--there has been no serious debate about whether the Earth is round since the Greek mathematician Pythagorus settled the matter over 2,000 years ago. Irving had simply fallen under the influence of a persistent conspiracy theory that has continued to flourish wherever "open minds" unbothered by thousands of years of science congregate.
Though millions continue to believe it, it's a dumb American myth that Christopher Columbus and his crew ever believed there was a possibility the world was flat when they set sail in search of new maritime trade routes to Asia.
Acknowledging the fact that he's a role model to minority kids already at an academic disadvantage in this country, Irving apologized eventually for entertaining flat Earth theories, but the jocular way in which he did it made people think his heart wasn't in it.
"To all the science teachers, everybody coming up to me like, 'You know, I've got to reteach my whole curriculum?' I'm sorry," he said in a press session intended to clear the air. "I apologize. I apologize."
Suspicion of Irving's sincerity is reinforced by something he said during the height of the controversy when he was trying to deflect from his lack of intellectual seriousness:
"Even if you believe in that [Earth is flat], don't come out and say that stuff," he said. "That's for intimate conversations, because perception and how you're received, it changes."
Fast forward to these sad, pathetic pandemic times, when more than 3 billion people worldwide have gotten at least one COVID-19 vaccination and billions more are clamoring for it. Here in America, where it is most accessible, COVID-19 vaccination has become a political litmus test.
There are a variety of reasons for this obstructionism, ranging from fear of being injected with a "tracker" by billionaire Microsoft founder Bill Gates to the belief that COVID-19's deadliness is being exaggerated for political reasons. Before YouTube cracked down on anti-vax videos, it was full of "testimonies" that the shots "magnetize" recipients and "change" their DNA.
Another persistent conspiracy theory that many of the refusenik NBA players who are following Irving's lead may have bought into is that vaccines are part of an elaborate plot to sterilize and kill Black people who have allegedly failed to learn from the lessons of the Tuskegee Experiment.
LeBron is vaccinated but refuses to use the same leadership capital he expended on supporting Kaepernick and protesting police brutality to influence his fellow players or the millions of vulnerable, gullible Black Americans who believe the conspiracy theories.
James says that getting vaccinated is "a personal decision" best left to the individual. There's no hint of any understanding that there is a larger social dimension to the decision.
By refusing the vaccine, Irving is forgoing as much as $15 million in salary this year now that he has been cut from practicing or playing with the Brooklyn Nets.
For separating himself from his team and his livelihood, Irving has been applauded by Sen. Ted Cruz of Texas, Donald Trump Jr. on Twitter, and Tucker Carlson and Brian Kilmeade on Fox.
Irving is now beloved in conservative places where he was once scorned because he refuses to do something that would potentially spare him from a horrible death if he were to contract the coronavirus.
After surrogates insisted that Irving wasn't an anti-vaxxer, despite refusing to get a shot that would make it possible for him to continue making millions, he spoke for himself this week.
"Do what's best for you, but I am not an advocate for either side," Irving said in a statement. "I am doing what's best for me. I know the consequences here, and if it means that I'm judged and demonized for that, that's just what it is. That's the role I play."
Irving told skeptics and admirers that he wants to be a "voice for the voiceless." The voiceless are apparently those who will lose their jobs because they refuse to follow either government or private sector mandates to get vaccinated. He insists he's neither for or against vaccines and that he's only "pro-freedom."
A laissez-faire attitude toward vaccination during a pandemic that has killed 700,000 Americans is not admirable. It is morally incoherent, especially when Black people are disproportionately victims of this kind of selfishness and irrationality.
Irving once "researched" whether the Earth was flat and remained skeptical of its roundness as recently as 2018. That is not an impressive track record--even if Laura Ingraham finally approves.
I'm feeling like a sitting duck these days, as are the other members of my family. For my son at Flagler Palm Coast High School, for my wife with the strings program she runs, they're convinced it's a matter of time before they get infected with Covid despite their vaccines, despite their masks, which can't do much against those around them who think masks are the biggest threat to their freedom since Tojo bombed Pearl Harbor.
So we go about our business waiting to see what kind of casualties we'll be in this biological civil war that's claiming more lives much faster than did the more conventional one a century and a half ago. I don't think it's ironic that the two wars at this point follow the same North-South boundaries. It's more like a replay by other means. It's the divide between the maskers and anti-maskers, the vaccine states and the anti-vaxxer confederacy, the scientific north and the social media South, where misinformation has the weight of gospel, and where even elected officials abuse their position to corrupt truth and amplify fabrications.
We have nearly 100 people hospitalized with Covid at AdventHealth Palm Coast. At least 40 Flagler County residents have died of the disease just in the last four weeks. We've had more infections since July in Flagler than we had all of last year combined. When the latest numbers are posted today and tomorrow, Flagler County schools in less than three weeks will have exceeded the number of student infections it had in 10 months of school last year, when we didn't even have the vaccine.
For all that, what took up 90 minutes of the school board's time before the chamber had to be cleared last week were fanatical arguments against masking and a bogus story about an Indian Trails Middle School student. It was a hothouse of Covid deniers exactly four miles down the road from the morgue at the hospital, where bodies are piled up as if the Black Death were resurrected. Then came a school board vote turning down a temporary mask rule.
The county is in the worst public health crisis it has known in its history. Our physicians and health care workers are understaffed, overrun and exhausted. They are pleading for help beyond the public bromides about health care heroes, words and drive-bys that mean nothing if not backed up by actions that help cut down the body count. Our neighbors and friends and family members in the prime of their lives are dying at a rate of more than 10 a week. But we're still debating masks and sniffing at vaccines (Flagler only last week crossed past the 50 percent vaccination threshold). The settled science of masks and vaccines, I should say. It's as if the population of London would argue with Churchill against taking shelter in the underground during Nazi air raids because it interfered with tea time. It's that incomprehensible.
Mask-wearing is not a black and white panacea. No one would ever claim it is. Like vaccines, it's not a guarantee against harm. But neither are seat belts. Neither are car seats for children. Neither are motorcycle helmets (at least for minors in Florida). Neither are no-smoking rules. But we not only take all those precautions. We concede that they are and should be mandatory. We don't argue about them. We know they greatly diminish risk because we have the data. Somehow, that data is acceptable but the data on masks is not to be trusted, while the blares of social media memes and demagogues are.
But smoking rules aside, even these analogies fall short, because they focus on benefits to the individual rather than on the communal benefit of slowing and stopping the spread of a disease. Fighting Covid is more like the Observer's Brian McMillan's analogy the other week about every property along the ocean doing its part to allow the government to build protective dunes against rising seas. Even if one or two property owners were to refuse, the project fails (Flagler's very nearly did so), and everyone behind the dunes is at risk of flooding. It's an existential choice that has less to do with freedom and more to do with survival. It's not about property rights, which aren't even infringed. It's about communal responsibility. So it is with Covid.
I could understand the argument about personal choice, and ultimately it's never been anything other than personal choice, since every mandate has its opt-outs. But there's no connection between that choice and freedom as properly understood-as defined by John Stuart Mill, for example: my freedom ends where your harm begins. As opt-outs go, even hurricane-evacuation orders don't mean residents who don't want to go will be dragged out of their homes. They won't. But paramedics will not risk their lives during a hurricane to rescue someone who refused to evacuate. Freedom has its limits, as does government's responsibility to ensure those freedoms. Intransigeance, recklessness and harm to others shape those limits.
The mayor of Anchorage the other day tried to speak of masks as freedom of choice by comparing it to wearing a tie or not wearing a tie, as if an aesthetic accessory had anything to do with protecting somebody else's health. Or else we hear about masks causing harm, as if surgeons who spend their days operating on patients were somehow compromised by wearing the mask that protects patients from infection. This isn't politicizing the pandemic. It's inventing a mythology of logic, an absolution of lies divorced from reality. It's chauvinism masked as freedom, with flags and slogans as accessories.
The extreme of that prejudice is embodied in Gov. DeSantis and his bellicose assault on precautions-those orders banning mask mandates, banning vaccine checks, undermining schools that take too many precautions, threatening to cut off their funding. The assault from a governor more concerned about errant migrants than 21 million Floridians speaks more of vengeful defiance than looking out for public safety. It isn't about choice, because there is no choice when the difference is life and death. It's about giving one side the right to infect while placing the burden of protection on the other side. It's as if DeSantis banned air bags or seat belts as standard requirements and said: if you want them, you pay for them, and if you drive on state and county roads, they're restricted anyway. That's what he's done with masks. It's that simple. It's that depraved.
My sense is that the administration in Flagler schools would prefer masking rules, if only because the sheer number of students getting Covid and those having to quarantine because of exposure is making it difficult to maintain the pretense of a normal school year. At this rate the district is gambling it'll be spared a child fatality, as Leon County again had this week. Ten school districts have imposed mandates so far. It would have been more reassuring to have a board willing to risk its hide if it meant living up to its claim, spoken in one way or another by every board member: "We're here for the children." Based on last week's vote, I'm not so sure.
On Friday a Leon County judge may well strike down DeSantis's ban on school mandates, though if he does-a big if-even that seems temporary. The case will make its way to the state Supreme Court, itself a hothouse of DeSantis appointees, each more of a sophist than Gorgias. That lift for DeSantis is as solid as the one in his cowboy boots. He knows no masking mandate will survive in this state. So do we all. Not in this graveyard of science and human ethics. Of sitting ducks.
On Sunday, New York Times journalists Sheera Frenkel and Tiffany Hsu wrote on a topic that's gone underreported: the role that local radio and television stations play in spreading lies about COVID vaccines.
While Facebook and YouTube deserve a lot of the heat they've been getting for business models that amplify such lies, they're not the only media that profit from popularizing disinformation about COVID-19. Local broadcast outlets that rely on often sketchy syndicated programming have helped fuel the vaccine hesitancy that's prolonging the pandemic and costing us many thousands of lives.
While it's easy to blame Facebook and YouTube for business models that thrive on the spread of mis- and disinformation, we can't ignore the legacy of broadcast consolidation.
"One radio show that appears to have been part of that effect is Coast to Coast AM, which is syndicated on 640 local stations and reaches nearly three million weekly listeners," write Frenkel and Hsu. "Its host, George Noory, has in recent years interviewed Dr. Tenpenny, Robert Kennedy Jr., a lawyer and anti-vaccine activist, and Erin Elizabeth, the founder of the website Health Nut News and a vaccine skeptic."
The Center for Countering Digital Hate recently identified Tenpenny, Kennedy Jr., and Elizabeth as members of the "Disinformation Dozen," the 12 people responsible for up to 65 percent of anti-vaccine content on Facebook and Twitter.
Unfortunately, the Times doesn't devote much space to reveal the forces that make it possible for a radio program like Coast to Coast AM to become so widely syndicated. Those forces include rampant media consolidation and the ensuing loss of local reporting due to widespread layoffs.
Laying the ground for disinformation
For decades, the Federal Communications Commission has failed to fulfill its central mandates: to promote localism, diversity and competition on the public airwaves through the allocation of broadcast licenses.
The resulting industry consolidation and its related economies of scale have created an enormous decline in the number of people working to gather and distribute in-depth local news.
The local newspaper industry has suffered even greater losses. Over the past twenty years, print outlets were often loaded up with debt as their owners--including but not limited to predatory hedge funds like Alden Global Capital--went on consolidation binges. And their struggles have been compounded by the migration of local-ad spending to cheaper and more targeted placements online.
To fill the local-news gap, conglomerated broadcast owners have turned to syndicated content. So instead of those 640 local AM stations featuring reporting from local journalists, these outlets--many of which are owned by the same company--instead rely on syndicated content.
For example, the vaccine deniers at Coast to Coast AM benefit from having their program carried by multiple local radio stations owned by iHeartMedia, the nationwide radio conglomerate formerly known as Clear Channel Communications. For years, the FCC and Congress buckled to pressure from powerful broadcast-industry lobbyists and relaxed broadcast-media-ownership limits.
The colossus that was Clear Channel (which once owned and operated more than 1,200 stations) was a direct result of this deregulation. Prior to the Telecommunications Act of 1996--which permitted radio and television broadcasters to own more stations than previously allowed--Clear Channel owned just 43 radio stations.
The "synergies" of such runaway consolidation have been wholesale layoffs in local newsrooms and--to fill the news holes left behind--the syndication of cheap content across conglomerates' networks of hundreds of local stations.
Coast to Coast AM's vaccine misinformation is the spawn of the FCC's historical failure to do its job. The agency has allowed local stations to become overrun by corporate giants that have little interest in vetting the syndicated disinformation they pump out over our airwaves.
So while it's easy to blame Facebook and YouTube for business models that thrive on the spread of mis- and disinformation, we can't ignore the legacy of broadcast consolidation that has built a media system that puts lives at risk.
As the anti-vaccine movement joins right-wing protests against coronavirus social distancing measures and concerns are rising around the world over a potential decline in vaccinations for measles and polio, a little-noticed report from an FBI-affiliated group in June 2019 on the danger of "anti-vaxxers" in the time of a pandemic is receiving new attention.
"The biggest threat in controlling an outbreak comes from those who categorically reject vaccination," wrote the report's co-authors, Norwell Health senior vice president Mark Jarrett and healthcare cybersecurity consultant Christine Sublett.
The authors are both members of the Department of Health and Human Services' Public Health Emergency Health Care Industry Cybersecurity Task Force.
"The Anti-Vaxxers Movement and National Security" (pdf) was published last year in InfraGard, the journal of a national security analysis non-profit tied to the FBI. The Guardian reported on the study Monday, citing its eerie applicability to the coronavirus outbreak and the behavior of the anti-vaxxer movement amid the pandemic.
According to The Guardian:
It lays out a pandemic scenario remarkably similar to the one now afflicting the US along with most of the world, including that "social distancing and isolation have impacts that include loss of manufactured goods, reduced food supply, and other disruptions to the supply chain."
The article then turns to the anti-vaccine movement, arguing that sufficient resistance to vaccination would hobble the chances of reaching herd immunity to a highly infectious pathogen.
Anti-vaccine propaganda, the study noted, has led in recent years to outbreaks of previously-eradicated diseases like measles and polio in the U.S. and other developed nations due to "vaccine hesitancy."
In the context of the coronavirus, or Covid-19, pandemic, University of New South Wales professor of medicine Ben Fort Harris-Roxas told The Guardian, the danger of that hesitancy could become an even graver menace to public health.
"Vaccine hesitancy represents a significant threat," said Harris-Roxas, "not just for any Covid-19 vaccine that might be developed, but also to measures that might assist people and health services now, such as people getting flu vaccinations."
More broadly, the threat of the pandemic to worldwide vaccination programs could be threatening to global health, with UNICEF reporting that up to 117 million children worldwide could miss out on measles vaccinations due to loss of healthcare capacity in the face of the coronavirus.
"Children younger than 12 months of age are more likely to die from measles complications, and if the circulation of measles virus is not stopped, their risk of exposure to measles will increase daily," said UNICEF UK's Joanna Rea.
The InfraGard study references the use of the anti-science movement by far-right leaders around the world and an "alignment with other conspiracy movements including the far right, and social media misinformation and propaganda campaigns by many foreign and domestic actors."
As the Los Angeles Times reported:
Many anti-vaccine activists--who have claimed that diseases such as measles aren't that serious--now contend the coronavirus isn't dangerous enough to justify staying home. They agree with President Trump that the "cure" for the pandemic could be worse than the disease itself.
"This is just a fresh coat of paint for the anti-vaccine movement in America, and an exploitative means for them to try to remain relevant," Baylor College of Medicine professor Dr. Peter Hotez told the Times.
Former FBI agent turned Brennan Center fellow Michael German, however, said that the threat of the movement to public health in the midst of a pandemic was being overblown and paled in comparison to the government's disastrous response to the outbreak.
"The lack of proper government preparation and stockpiles of medical materials to respond to a pandemic was a much more serious problem than the influence of a relatively small group of anti-vaxxers could ever be," German told The Guardian, "but it is hard to argue with the need for a science-based policy approach."
In comment to the Times, California state senator and pediatrician Dr. Richard Pan emphasized the fact that the anti-vax movement doesn't represent the views of most Americans.
"Let's put this movement into proper context," said Pan. "They're loud, they're noisy, and they're small."
Steven Soderbergh's recent film Contagion is the most plausible experience of a global pandemic plague you're likely to see until the real thing strikes. Stark, beautiful in its own terrifying way, and all too believable, the story tracks the swift progress of a deadly airborne virus... from Hong Kong to Minneapolis... Tokyo to London... from a handful of peanuts to a credit card to the cough of strangers on a subway. Rarely does a film issue such an inescapable invitation to think, "It could happen. That could be us. What would I do?"
Perhaps because the movie had invaded my head, for several days I kept coming across stories in the news about contagious disease. And the conflict between religious beliefs and immunization. Nothing new here about the basics: All fifty states require some specific vaccinations for kids. Yet all of them grant exemptions for medical reasons - say, for a child with cancer. Almost all of them grant religious exemptions. And 20 states allow exemptions for personal, moral, or other beliefs.
Some parents still fear a link between vaccinations and autism, a possibility science has largely debunked. Some parents just want to be in charge of what's put into their children's bodies.
And some parents just don't trust science, period. So, you can see there are many loopholes. But now seven states are considering legislation to make it even easier for mothers and fathers to spare their children from vaccinations, especially on religious grounds.
In Oregon, according to a story by Jennifer Anderson in The Portland Tribune, the number of kindergartners with religious exemptions is up from 3.7 percent to 5.6 percent in just four years, and continuing to rise. This has public health officials clicking their calculators and keeping their eye on what's called "herd immunity." A certain number of any population group needs to have been vaccinated to maintain the ability of the whole population -- "the herd" -- to resist the spread of a disease. Ms. Anderson offers the example of what in my day was called "the German measles" -- rubella. All it takes are five unvaccinated kids in a class of 25 for the herd immunity to break down, creating an opportunity for the disease to spread to younger siblings and to other medically vulnerable people who can't be vaccinated. If you were traveling to Europe between 2009 and 2011, you may remember warnings about the huge outbreak of measles there -- brought on by a "failure to vaccinate susceptible populations."
Here in the U.S., several recent outbreaks of measles, have been traced to pockets of unvaccinated children in states that allow personal belief exemptions. The Reuters news service reports 13 confirmed cases of measles in central Indiana. Two of them were people who showed up for the Super Bowl in Indianapolis. Patriot and Giants fans back east have been alerted. So far, no news is good news.
But this is serious business, made more so by complacency. My generation remembers when measles killed. Killed at as many as 500 people a year before we started vaccinating against them in 1963. My wife and I both lost grandparents in the great flu pandemic of 1918 that killed as many as forty million globally. Our generation was also stalked by small pox, polio, and whooping cough before there were vaccinations. In a country where few remember those diseases, it's easy to think, "What's to worry?" But as the movie so forcefully and hauntingly reminds us, the earth is now flat. Seven billion people live on it, and our human herd moves on a conveyer belt of constant mobility, so that a virus can travel as swiftly as a voice from one cell phone to another. When and if a contagion strikes, we can't count on divine intervention to spare us. That's when you want a darn good scientist in a research lab. We'll need all the help we can get from knowledge and her offspring.
For all its many qualities, including some fine acting, Contagion was frozen out of the Oscars -- not a single nomination. In fact, none of my favorites were nominated. Nonetheless, let's go to the movies for some insights on our politics today, because when it comes to storytelling, Hollywood and Washington are co-dependents. Political conspiracies, skullduggery, and infighting have long provided solid plotlines for moviemakers. In turn, politicians try to embrace the values that movies depict as the noblest virtues of the American character: selfless courage, patriotism, sincerity and compassion. Both know that movie entertainment informs our image of what leaders should be but at the very same time capably and handily distracts us from certain grim truths.