> Other nations would do well to follow Japan’s lead [...]. This policy appropriately places the responsibility for this healthcare decision with the individual or family.
It's supposed to work in America, one of the freest countries in the world that prides itself in personal liberty. After all, it's a country where anyone can say just about anything and also carry a gun. (If we fix our stance on drugs, stop interfering with women's rights, and get our policing in check, we'll be pretty much on track for being a perfect place for the individualist.)
The far left and far right are both out of balance, and social media has fed a radicalization of both sides.
I'm a liberal, but there's a disease in the left right now where many think that censorship is a good thing and that individual liberty should be suppressed for the greater whole. While it's great to imagine the outcomes for your world view, these new powers will not be used in the ways you anticipate. When the next political party comes to bat, they'll use your newfound disregard for liberty to strip you of yours.
I'm pro-vaccination, but the way far left liberals are talking to conservatives is not going to win any allies. You're mocking their dead and calling for them to all lose their jobs. It's like Richard Dawkins trying to convert religious folks to atheism - do you seriously think this approach is going to work? These are supposed to be your neighbors. Please learn how to talk to them as human beings without sounding superior.
We need to do some serious soul searching. We have to stop hating each other and turning literally everything into a political matter. We're not all that different for fuck's sake.
The voices and apparent influence of the hyper-online (in general) has been amplified by the social isolation imposed by pandemic response. People spend less time with others "in meatspace" and a substantial portion of their online socialization is on social media platforms where the hyper-online dominate.
Voluntary measures tend to work well in places where people have a reasonable trust in their government, scientific and medical authorities etc.
When the government of Japan says "Please get vaccinated of your own decision, understanding both the effectiveness in preventing infectious diseases and the risk of side effects. No vaccination will be given without consent.", they can be confident that the people of Japan will take rational, sensible, well-informed action. A large proportion will get vaccinated purely because the government recommend it.
Look me in the eye and tell me you believe the same about the US populace.
That's putting things pretty charitably for a society that pushes conformity to the point of it being fairly unhealthy.
Japanese peoples' trust in govt for 2020 was actually less than that of the US's. Their vaccination rates are more likely due to their community-oriented culture rather than their trust in government officials.
Thanks for that link, though I find it a little bit ambiguous that the measure is trust but the question asked is "In this country, do you have confidence in… national government?", which I think is slightly different to what I was alluding to which is trust in the motives of government.
For instance I trust the motives of the health establishment in the UK, but I have considerably less confidence that I will get the best outcomes from it.
Does that make sense? I wonder if it applies here and people in Japan are not confident in the ability of their government to deliver good outcomes. Whereas in the US a significant number question the motives.
Or I could just be wrong :)
Always worth entertaining that possibility.
Yes, the community-oriented culture thing seems like a great explanation.
They look at peoples' opinion on specifically covid related policy, although they still don't address how this relates to opinion on health outcomes. At the same time I'm not sure if useful conclusions on vaccine policy can be drawn from these stats. Largely because the above numbers are from right before the Olympics, which would have politicized covid policy the same way it has been politicized in the US. However, while that politicization would have ended with the Olympics, the US is still stuck in the stupidity of politicizing a disease.
Perhaps a key difference between the two is that we in the US have a problem where political affiliation seemingly trumps everything. A vaccine must be rushed and risky if a republican is in charge or it must be an attempt to take away basic freedoms if a democrat is in charge etc.
Maybe if we didn't have that issue, the so-called individualists would actually act like individualists and look at all the evidence for the safety and efficacy of the vaccine.
I did before the CDC waffled on mask guidance. I know why they did it, but it seriously hurt credibility for a whole lot of folks and will have long term ramifications. It became something to latch onto, and it was obvious almost immediately as it happened.
If the Republicans were pro-vaccination, the numbers would change overnight. The reason they're not is because the establishment threatened the ego of Trump, and he couldn't have any group challenge his ego.
I was pretty horrified, watching from overseas, as a lot of the covid stuff turned into a partisan R/D points-scoring exercise.
Our politicians in the UK are pretty damned incompetent, arrogant and nakedly self-interested. But to their credit they didn't turn much of it into a party-political exercise.
They f*cked it up in so many other ways though!
(I am now resident elsewhere and glad to be off plague island)
Liberalism is an economically right-wing, pro-capitalist ideology (this part is incompatible with leftism!), that is socially liberal (this part isn't).
In the US, due to the two-party system, liberals and leftists are forced to share a party, but that doesn't mean they want the same things.
I understand that and as a leftist I find it unfortunate that my label is being used to describe people that believe in things I oppose, hence the correction.
I used to refer to people who behave poorly on the left and right as "extremists" but people then assume I oppose socialist policies, rather than me attempting to reign in behavior. I'm not sure there's better words in a contextual language like English.
This ‘two-siding’ approach is exactly what the media does and normalizes radical actions as a ruse for freedom. But there is no equivalent, one side is on the side of public health, the other is promoting practices that put people in danger under the disguise of freedoms. History will not treat those who forgo science kindly. To claim we are to stop hating implies the left must forgo science to appease the radical right. That is a false choice. Japan is able to do this because their people are considerate, mask wearing, public health followers… they don’t question science, or paint public health mandates as political theater. There is no scientific consensus that backs the anti masking, anti vax approach. The political theater created by the right is just plain stupidity and has no basis or consideration for the public health. Bending our policies to appease an approach that endangers all is not American. What’s next? Unban dangerous pesticides or start putting lead in our water because of a stupid political view? GTFAH
That's not my point. By treating them as "the other side", we've closed their ears to our message. I can't help but think that a different strategy would have left far fewer dead.
We're not just winning for science. We're winning for people. Their thoughts, minds, intentions, and health. The long term direction for this country. There's a meta game, and the far left and far right are both ruining it.
There is no ‘coming together’ with the denial of facts. The ‘left’ did not create ‘sides’. I believe the leaders on the ‘right’ created a public health crisis by fanning the flames of anti-science to fill their donation coffers and put people at risk. There definitely could have been more lives saved, and it’s not by denying facts but by accepting facts as facts and not demonizing our public health officials such as Dr Fauci. The ‘right’ is clearly in the wrong (as our hospitals are filled now with the unvaccinated) and bending our policies to make the stupid happy is not only inhumane, but not a rationale approach in governance. The approach should be to attack the misinformation, ban and penalize public voices that advocate mistruths, and remove funds from public officials using misinformation to fill their coffers. As the ‘right’ loved to portray: Facts don’t care about your feelings
You have really met the essence of this issue. There's aspects of conforming that will be long lasting and change the way politicians wield the federal bureaucracy. It is immensely important to keep perspective on the long term. Consider the impact of forcing the skeptical out of the military and from almost all federal positions. That is what we have just accomplished. No not 'skeptics', but skeptical people who will challenge a directive. People who believe that, possibly, an order might be unlawful even if it comes from a superior.
Yes, the UK in general is not forcing anything, and for a lot of purposes a negative test is as good as a vaccine passport.
And in general it seems to have worked pretty well in the UK, as the country is now around 85% double vaccinated and 60% triple vaccinated (in people over 12).
This could be down to the fact that while we British love to complain about the NHS, people trust the motives those who work for it and the motives of the health system as a whole, even if we don't always trust the way the system is set up or that it will always give the best outcomes.
Likely because there is a clear separation, and you have more of the Civil Servant boost going on.
The U.S. has shit canned any semblance of trust with it's medical apparatus in my opinion. When you have War on Drugs policies being back door enforced through manufacturers, insurers, etc... (wasn't long ago that FDA was considering tainting ADHD drugs with additives for "anti-abuse" purposes, granting a new patent on an existing treatment, literally giving an official stamp to poison people like they did with cough syrup);
Make no mistake. The language is flowery, it sounds good. Insurers use it because it doesn't sound like what it really is: adding complicating factors to treatment regimens that hardly anyone checks in on overtime in order to leverage a political ask (War on Drugs) as an ongoing business opportunity rather than keeping overall complexity down.
When you have for profit hospitals getting federal kickbacks for case reporting;
Caution: Lede is buried in the first part of the article, I'll quote the important bit here, but feel free to read it as a whole: TLDR was no one is getting put on ventilators to get paid more; point I'm more concerned on is I've got immediate people I know who've got relatives going into hospitals and getting reported as COVID, or getting poorer care for not being vaccinated.
>It is true, however, that the government will pay more to hospitals for COVID-19 cases in two senses: By paying an additional 20% on top of traditional Medicare rates for COVID-19 patients during the public health emergency, and by reimbursing hospitals for treating the uninsured patients with the disease (at that enhanced Medicare rate).
>Both of those provisions stem from the Coronavirus Aid, Relief, and Economic Security Act, or CARES Act.
Where the above is the accountant/MBA's incentive, and the understandable frustration of medical practitioner's not being listened to due to most normal people's implicit awareness of the monetary incentive misalignment.
When your medical education apparatus is tuned specifically to act as an artificial supply limiter that ensures that massive fee extraction is assured. See AMA and statutory limits on Doctors "blessed" to begin practice a year.
When your drug approval process is so rife with controversy, 3 of 11 of your non-bureaucratic advisory panel resigns out of frustration because you fast tracked approval of a drug where you had two contraindications studies. (See Aduhelm).
This is a field where even the appearance of impropriety costs lives in the long run. Every actor in the space should be cognizant of and acting as such. There is far too little appreciation and value paid to this fact. Honestly...
Wrong. Facts don’t care about counties, politics, or culture. Japan is following the facts, most others are following fear and or corruption. Every country needs to adopt Japan’s policy and attitude towards covid, full stop.
How many people in Japan voluntarily used masks before Covid again?
How many cases of people protesting the use of them in Japan has there been?
Personal responsibility works well in countries where people don't think a virus has a political leaning and where people have a modicum of consideration for their fellow citizens.
Common sense works everywhere regardless of culture, politics, or anything else. Facts don’t care about a culture or political view. Japan is following facts, most other countries are following fear and or corruption.
encouragement rather than mandates were, are, and will always always be better and more effective than the threat of force. it’s the most pro-social option as well as the most ethical, in direct contradiction of the cries of ‘selfishness’ emanating from the mediopolitical apparatus.
We rarely see this approach (and not just related to vaccines) because no power can be derived from it. Imagine what people at all levels and branches of government would be giving up if they let people just think for themselves
I recently heard a practicing cardiologist say that he felt it was unethical to encourage any medical procedure. Instead it was up to him to give the patient the best information he could, and then let them decide without any cheer leading. My last doctor treated me that way, and I appreciate it.
You get weighed and measured every year as part of the medical but there are no consequences for being fat. There may be a few notes on the report if your BMI is abnormal (by Japanese standards) but these are for you alone.
I just read there are indirect consequences. The employers and regional governments are financially penalized if their employees or citizens are too fat. Is that true?
While it is true, we cannot compare Japan with socialist countries like Cuba or China where social conformity is forced much stronger.
Japan had problems with HPV vaccine uptake which shows that social conformity is not enough and many Japanese can refuse vaccine.
With covid vaccines they even delayed vaccination until their local safety studies were completed. It is clear that the government had learned from HPV vaccination failure and cared a lot about public perception.
The UK is not so different from the US culturally. If the UK could do it without vaccine mandates (with the exception of medical professionals but that's understandable) why not the US?
I am even more surprised about Germany and Austria? They are not exactly and anarchist hotbeds. They could have convinced population about vaccine effectiveness and safety without any mandates. It appears that they dropped the ball when getting proper information to the people and misinformation reached people instead.
>They are declining the vaccine because of misinformation and tribalism.
I know this is anecdotal, but my experience has been that many people are waiting until long term testing is complete. Remember that the FDA Approval letter for Pfizer indicated that they would need until June 2025[1] to complete testing on the myocarditis and pericarditis upticks in the young males who have taken it.
If the FDA says testing isn't complete on long term issues, why is it crazy that some people would rather wait until it is? Especially with all of the recent deaths of young healthy male athletes in 2021.[2]
China didn't mandate vaccine, neither. (I know you have read many English articles from the legacy media, just wait...)
Try Google translate this page from the Central government official website:
National Health Commission: The introduction of restrictive measures violates the principle of vaccination
(http://www.gov.cn/xinwen/2021-09/07/content_5636053.htm)
"""
Many paragons of Covid strategy, such as New Zealand and Vietnam, used tough measures including closing borders, tight lockdowns, large-scale testing and strict quarantines - but Japan did none of that.
Yet, five months after the first Covid case was reported here, Japan has fewer than 20,000 confirmed cases and fewer than 1,000 deaths. The state of emergency has been lifted, and life is rapidly returning to normal.
But there is no doubt that many Japanese, and some scientists, think there is something about Japan that is different - a so called "Factor X" that is protecting the population from Covid-19.
Tokyo University professor Tatsuhiko Kodama - who studies how Japanese patients react to the virus - believes Japan may have had Covid before. Not Covid-19, but something similar that could have left behind "historical immunity".
He thinks it is possible a Sars-like virus has circulated in the region before, which may account for the low death rate, not just in Japan, but in much of China, South Korea, Taiwan, Hong Kong and South East Asia.
"""
64 comments
[ 2.9 ms ] story [ 115 ms ] threadI'm sorry, no.
This only works in countries like Japan.
Step 2: Implement this policy.
Where do I apply?
Great country, highly recommend moving to Japan if the culture and environment appeals to you.
The far left and far right are both out of balance, and social media has fed a radicalization of both sides.
I'm a liberal, but there's a disease in the left right now where many think that censorship is a good thing and that individual liberty should be suppressed for the greater whole. While it's great to imagine the outcomes for your world view, these new powers will not be used in the ways you anticipate. When the next political party comes to bat, they'll use your newfound disregard for liberty to strip you of yours.
I'm pro-vaccination, but the way far left liberals are talking to conservatives is not going to win any allies. You're mocking their dead and calling for them to all lose their jobs. It's like Richard Dawkins trying to convert religious folks to atheism - do you seriously think this approach is going to work? These are supposed to be your neighbors. Please learn how to talk to them as human beings without sounding superior.
We need to do some serious soul searching. We have to stop hating each other and turning literally everything into a political matter. We're not all that different for fuck's sake.
Voluntary measures tend to work well in places where people have a reasonable trust in their government, scientific and medical authorities etc.
When the government of Japan says "Please get vaccinated of your own decision, understanding both the effectiveness in preventing infectious diseases and the risk of side effects. No vaccination will be given without consent.", they can be confident that the people of Japan will take rational, sensible, well-informed action. A large proportion will get vaccinated purely because the government recommend it.
Look me in the eye and tell me you believe the same about the US populace.
Japanese peoples' trust in govt for 2020 was actually less than that of the US's. Their vaccination rates are more likely due to their community-oriented culture rather than their trust in government officials.
https://data.oecd.org/gga/trust-in-government.htm
Thanks for that link, though I find it a little bit ambiguous that the measure is trust but the question asked is "In this country, do you have confidence in… national government?", which I think is slightly different to what I was alluding to which is trust in the motives of government.
For instance I trust the motives of the health establishment in the UK, but I have considerably less confidence that I will get the best outcomes from it.
Does that make sense? I wonder if it applies here and people in Japan are not confident in the ability of their government to deliver good outcomes. Whereas in the US a significant number question the motives.
Or I could just be wrong :) Always worth entertaining that possibility.
Yes, the community-oriented culture thing seems like a great explanation.
Perhaps this is a slightly more useful analysis: https://www.pewresearch.org/fact-tank/2021/07/20/tokyo-olymp...
They look at peoples' opinion on specifically covid related policy, although they still don't address how this relates to opinion on health outcomes. At the same time I'm not sure if useful conclusions on vaccine policy can be drawn from these stats. Largely because the above numbers are from right before the Olympics, which would have politicized covid policy the same way it has been politicized in the US. However, while that politicization would have ended with the Olympics, the US is still stuck in the stupidity of politicizing a disease.
Perhaps a key difference between the two is that we in the US have a problem where political affiliation seemingly trumps everything. A vaccine must be rushed and risky if a republican is in charge or it must be an attempt to take away basic freedoms if a democrat is in charge etc.
Maybe if we didn't have that issue, the so-called individualists would actually act like individualists and look at all the evidence for the safety and efficacy of the vaccine.
If the Republicans were pro-vaccination, the numbers would change overnight. The reason they're not is because the establishment threatened the ego of Trump, and he couldn't have any group challenge his ego.
This is all political fighting, and it's stupid.
Our politicians in the UK are pretty damned incompetent, arrogant and nakedly self-interested. But to their credit they didn't turn much of it into a party-political exercise.
They f*cked it up in so many other ways though!
(I am now resident elsewhere and glad to be off plague island)
Liberalism is an economically right-wing, pro-capitalist ideology (this part is incompatible with leftism!), that is socially liberal (this part isn't).
In the US, due to the two-party system, liberals and leftists are forced to share a party, but that doesn't mean they want the same things.
We're not just winning for science. We're winning for people. Their thoughts, minds, intentions, and health. The long term direction for this country. There's a meta game, and the far left and far right are both ruining it.
And in general it seems to have worked pretty well in the UK, as the country is now around 85% double vaccinated and 60% triple vaccinated (in people over 12).
This could be down to the fact that while we British love to complain about the NHS, people trust the motives those who work for it and the motives of the health system as a whole, even if we don't always trust the way the system is set up or that it will always give the best outcomes.
The U.S. has shit canned any semblance of trust with it's medical apparatus in my opinion. When you have War on Drugs policies being back door enforced through manufacturers, insurers, etc... (wasn't long ago that FDA was considering tainting ADHD drugs with additives for "anti-abuse" purposes, granting a new patent on an existing treatment, literally giving an official stamp to poison people like they did with cough syrup);
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4406920/
Make no mistake. The language is flowery, it sounds good. Insurers use it because it doesn't sound like what it really is: adding complicating factors to treatment regimens that hardly anyone checks in on overtime in order to leverage a political ask (War on Drugs) as an ongoing business opportunity rather than keeping overall complexity down.
When you have for profit hospitals getting federal kickbacks for case reporting;
Caution: Lede is buried in the first part of the article, I'll quote the important bit here, but feel free to read it as a whole: TLDR was no one is getting put on ventilators to get paid more; point I'm more concerned on is I've got immediate people I know who've got relatives going into hospitals and getting reported as COVID, or getting poorer care for not being vaccinated.
https://www.factcheck.org/2020/04/hospital-payments-and-the-...
>It is true, however, that the government will pay more to hospitals for COVID-19 cases in two senses: By paying an additional 20% on top of traditional Medicare rates for COVID-19 patients during the public health emergency, and by reimbursing hospitals for treating the uninsured patients with the disease (at that enhanced Medicare rate).
>Both of those provisions stem from the Coronavirus Aid, Relief, and Economic Security Act, or CARES Act.
Where the above is the accountant/MBA's incentive, and the understandable frustration of medical practitioner's not being listened to due to most normal people's implicit awareness of the monetary incentive misalignment.
When your medical education apparatus is tuned specifically to act as an artificial supply limiter that ensures that massive fee extraction is assured. See AMA and statutory limits on Doctors "blessed" to begin practice a year.
https://skeptics.stackexchange.com/questions/4561/does-the-a...
When your drug approval process is so rife with controversy, 3 of 11 of your non-bureaucratic advisory panel resigns out of frustration because you fast tracked approval of a drug where you had two contraindications studies. (See Aduhelm).
https://www.npr.org/2021/06/11/1005567149/3-experts-have-res...
When you have gems like: https://arstechnica.com/tech-policy/2018/04/curing-disease-n...
This is a field where even the appearance of impropriety costs lives in the long run. Every actor in the space should be cognizant of and acting as such. There is far too little appreciation and value paid to this fact. Honestly...
They don't need to force because it's unlikely people wouldn't
How many people in Japan voluntarily used masks before Covid again?
How many cases of people protesting the use of them in Japan has there been?
Personal responsibility works well in countries where people don't think a virus has a political leaning and where people have a modicum of consideration for their fellow citizens.
Yes! For the love of god yes. Finally some fucking common sense.
How does common sense work in a culture of alternative facts/alternative truth?
(look up metabo law)
Thanks for the info. I had no idea they had a metabo law. The law appears to be egosyntonic with their culture.
Japan has an 80% vaccination rate, with 1.7M total COVID cases.
The US has a 62% vaccination rate, with 59.4M total COVID cases.
0. https://www.nytimes.com/interactive/2021/us/covid-cases.html
CDC is monitoring, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/my...
2021 news reports of athlete injury, https://airtable.com/shrbaT4x8LG8EbvVG/tbl7xKsSUIOPAa7Mx
Japan had problems with HPV vaccine uptake which shows that social conformity is not enough and many Japanese can refuse vaccine.
With covid vaccines they even delayed vaccination until their local safety studies were completed. It is clear that the government had learned from HPV vaccination failure and cared a lot about public perception.
In English we have the adage, "The squeaky wheel gets the grease."
In Japan there is the adage, "The tall nail gets pounded down."
People in the US aren't declining the vaccine because they are told to. They are declining the vaccine because of misinformation and tribalism.
The UK is not so different from the US culturally. If the UK could do it without vaccine mandates (with the exception of medical professionals but that's understandable) why not the US?
I am even more surprised about Germany and Austria? They are not exactly and anarchist hotbeds. They could have convinced population about vaccine effectiveness and safety without any mandates. It appears that they dropped the ball when getting proper information to the people and misinformation reached people instead.
I know this is anecdotal, but my experience has been that many people are waiting until long term testing is complete. Remember that the FDA Approval letter for Pfizer indicated that they would need until June 2025[1] to complete testing on the myocarditis and pericarditis upticks in the young males who have taken it.
If the FDA says testing isn't complete on long term issues, why is it crazy that some people would rather wait until it is? Especially with all of the recent deaths of young healthy male athletes in 2021.[2]
[1] https://www.fda.gov/media/151710/download
[2] https://airtable.com/shrbaT4x8LG8EbvVG/tbl7xKsSUIOPAa7Mx
China didn't mandate vaccine, neither. (I know you have read many English articles from the legacy media, just wait...)
Try Google translate this page from the Central government official website: National Health Commission: The introduction of restrictive measures violates the principle of vaccination (http://www.gov.cn/xinwen/2021-09/07/content_5636053.htm)
https://www.bbc.com/news/world-asia-53188847
July 2020
""" Many paragons of Covid strategy, such as New Zealand and Vietnam, used tough measures including closing borders, tight lockdowns, large-scale testing and strict quarantines - but Japan did none of that.
Yet, five months after the first Covid case was reported here, Japan has fewer than 20,000 confirmed cases and fewer than 1,000 deaths. The state of emergency has been lifted, and life is rapidly returning to normal.
But there is no doubt that many Japanese, and some scientists, think there is something about Japan that is different - a so called "Factor X" that is protecting the population from Covid-19.
Tokyo University professor Tatsuhiko Kodama - who studies how Japanese patients react to the virus - believes Japan may have had Covid before. Not Covid-19, but something similar that could have left behind "historical immunity".
He thinks it is possible a Sars-like virus has circulated in the region before, which may account for the low death rate, not just in Japan, but in much of China, South Korea, Taiwan, Hong Kong and South East Asia. """
then does the person or the state own their body?