En route to a meeting this morning, I found myself listening to CBC Radio One’s The Current and a discussion of flu preventation/pandemic preparedness. Today’s discussion explored mandating flu vaccines for health care workers. One expert, Dr. Alison McGeer, the Director of Infection Control at Mount Sinai hospital in Toronto, makes the very general comment, “Nobody likes to be told what to do.” As it turns out, this may be the biggest issue in play for this particular discussion.
Complementing Dr. McGeer’s insight, was New York State Health Commissioner, Dr. Richard Daines, whose state has adopted mandatory flu vaccinations for those in the system who come in regular contact with patients. The scientific evidence appears to be compelling, and demonstrates the correlation between vaccinated health care workers and reduced impact of flu on society. Neither doctor relied solely on the scientific evidence because both, I assume, realize they are up against a less rational “you can’t make me” reaction to the word “mandatory” (or “forced,” if you want stronger reactions).
Their counter arguments were excellent, and I am curious whether or not this came through media training, or simply understanding how to diffuse a particular line of questioning. Here are two examples of note (paraphrased):
Dr. McGeer, in response to concerns about limiting freedom of choice: “If you are a pilot with a heart condition, you are not given the choice to continue to fly.” (Score more points for the analogy!)
Dr. Baines, in response to concerns about over applying the rules: “We have reasonable people in our institutions; they will implement this in a reasonable way.”
In contrast, I think that the support given by Linda Haslam-Stroud is the President of the Ontario Nurses Association was very weak, suggesting the idea is good, but stressing that choice is important without much support. I am not sure if this was a lack of media training/preparation, or if it is simply much more difficult to support the “you can’t make me” side of this argument.
Interestingly, in New York and other areas that adopt this practice wholeheartedly, the people can retain their right to choose, with the choices being (1) get a vaccine and keep working, or (2) don’t get a vaccine and take some unpaid time off. So, you see, “you can’t make me” is indeed correct!
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