Ask the Chief: is public health, like national security, a responsibility of Government?

It is the summer of 2022 and our household managed to stave off COVID until early July. In spite of the furor of a pandemic since late 2019, we maintained a ‘common sense’ approach to wearing masks and being vaccinated. Small measures to mitigate the effect to our business, employees and clients. Since we perform services for a large number of people, requiring all parties to wear masks has also helped us dodge cold and flu viruses. But not entirely safe. Catching the latest strain of COVID was both annoying and caused breathing difficulty that lingered long after we tested negative for COVID. Were we not vaccinated I can only imagine how severe it might have been?

Whether the issues are public safety, the economy, food and product safety, or infrastructure (transportation, roads, etc), most citizens and most consumers are supportive of oversight that leads to “life, liberty and the pursuit of happiness”. But are government mandates to mitigate the spread of a virulent disease appropriate? Is public health in the purview of a constitutional government? And if so, which is the most appropriate agent – each local community, county, state or federal? Volumes could and have been written on these topics. Social media is overflowing with commentary on rights, wrongs, opinions, and conspiracies on these things.

As a military veteran, we were required to submit to vaccinations for everything from tuberculosis to anthrax. This was one of the measures to maintain a disease-resistant fighting force in areas our forces operated. And our nation was a party to international agreements on a whole host of topics that benefited one another. More than seventy years ago, the international community made health one of its responsibilities. Every few years a disease like the Swine Flu or Bird Flu, Ebola or SARS COVID-II, and infestations of insects, parasites, plants and animals are transmitted globally through international travelers and trade. Without governmental oversight, the response to an outbreak of disease, parasites, or organisms affecting local populations would neither have the resources nor experience to respond appropriately.

freedom of choice

I make bad decisions often enough. I often regret those decisions, such as eating too much of something tasty, or smoking too many cigars. Sometimes my decisions affect others. When I am driving somewhere with my wife but unfamiliar of the route, I am often adamant I know where I am going. (Worse, I tend to blame my spouse in not giving me good directions.) Yet I try not to make bad decisions on the basis of some jingoist (that is, extreme patriotic or excessive bias in judging one’s own associations, party, or group as superior to others) vision of America.

Constitutionally-protected “rights” and public health responsibilities

Anyone who has a basic understanding of the history and governance of the United States should recognize we are a representative democracy. Framed by our Constitution, the three-branch organization of an executive, legislative and judicial body, depends on knowledgeable citizens who elect representatives to make policy and govern in our collective best interest. Most glaring, given our recent history, the people we elect to public office, and they staff, in all three branches of government are flawed men and women. But so are the people they are supposed to represent. And policies that are implemented are just as flawed.

Public health is everyone’s responsibility

Looking only at decisions that affect the public health of a nation, the last eighteen months of a COVID-19 global pandemic have created confusion, fear, anger, and suspicion that increases the dis-United States. While bureaucrats, politicians and “experts” often find their actions in times of crisis have supporters or opponents, inaction is generally worse for their constituencies. However, in 2020 and continuing in 2021, a large minority of people within the United States demonstrate their freedom by treating public health mandates as akin to tyranny.

Studies prove that people tend to believe others whom they view as authorities (whether or not they actually are such experts). It naturally predisposes us to support those we believe and distrust those we view as opponents. Deciding to refuse basic protection, in the form of masks, or to decline vaccination against COVID-19 based on hearsay, political rhetoric, or Internet-stoked conspiracies, is a bad decision. The majority of those who are refusing masks, or vaccinations, or social-distancing, DO NOT deliberately want to harm their relatives, friends, co-workers or First Responders. But many have been harmed anyway.

The consequences of such behavior have resulted in millions with permanently-altered health and the loss of people who otherwise would be alive today. If Jonas Salk and others had faced such backlash today, millions would still be debilitated by polio, measles, tetanus, Hepatitis A and B, or whooping cough (CDC). That we have forgotten what these illness did is due to the availability of vaccines.

For just a few dollars a dose, vaccines save lives and help reduce poverty. Unlike medical treatment, they provide a lifetime of protection from deadly and debilitating disease. They are safe and effective. They cut healthcare and treatment costs, reduce the number of hospital visits, and ensure healthier children, families and communities.

Seth Berkley, epidemiologist

Consensus in a free society

An online dictionary defines freedom as. (1) the power or right to act, speak, or think as one wants without hindrance or restraint. (2)   (f. from): the state of not being subject to or affected by (a particular undesirable thing). One of the tenets of living in a free society is that consensus achieves the best outcome for citizens. The first step toward consensus is hold reasoned debate on such things as public health policy, voter-directed oversight of our legislators, tighter control of bureaucrats, and what policies should be left up to local or state oversight.  Just as some see conspiracies between certain plutocrats, elected officials, and foreign entities, when any group deems public health concerns and their remedy (i.e. COVID vaccination) are politically-motivated, these dissenting voices are as selfish and unpatriotic – as those whose views they claim to oppose. The solution to each of a nation’s divisive issues is reasoned dialogue and consensus. Or Abraham Lincoln’s words will ring true. “A house divided against itself cannot stand.”  .