If your point is that there would be benefit in being more nuanced in saying who should be vaccinated, you are right. In an idealistic world, you’d be able to do that. Just like how in an ideal world, I shouldn’t have to run my PFA if I ran a half marathon the week prior. But realistic employment of idealistic policy runs into several issues, and that’s why there is no way I can tell the PT monitor to accept my 1:27 half as a passing score. I still have to run the 6 laps.
1) How does the government assess if you’re not at risk to say that you probably don’t need the vaccine? You don’t even tell the flight doc the actual amount of whiskey you drink each week; how will big government know if a random 40 year old is actually an unhealthy risk factor that’s going to clog up a hospital? First, the government would have to get everyone’s health records, which would be seen as a gigantic breach of privacy, I am sure. There is no government mandated health screening. There is no government oversight of your medical records.
Lets go down this path further. The gov mandates that all people over the age of 50 get the vaccine, because they can tell age with the SSA. I’m sure there’s still be bitching and moaning, but let’s pretend that this was popularly accepted. Okay, that solves this pandemic for a giant group that is at risk.
Now they have to cover everyone under 50 that is high risk. They try to figure out how to mandate high risk under 50s to get the vaccine. They realize that 42% of Americans are Obese. 75% of Americans are overweight. And they can’t tell anything else about these humans individually based on privacy. Almost impossible to assess cardiovascular health by looking at someone. You can’t ask everyone to send in their BMI. People won’t tel you if they are smokers or drinkers. They also realize humans are notoriously bad at self reporting their health, especially if it’s about something they don’t want. The only way to capture a sufficient amount of the at risk population is to have everyone be vaccinated. Which it turns out makes sense anyways because the vast majority of Americans actually have risk factors because we are an extremely unhealthy nation.
2) This virus spreads quickly and in a shitty way that is not easy to control. It has an R0 value of 5-9. Yes, I wanted to say 6-9, but I feel that would have been nit picked. That means that if you send your healthy, not at risk, kids to school sick, they’re gonna end up getting a looooot of other people sick through secondary infections.
You ever played the six degrees of Kevin Bacon? Where it almost always proves that we are way more interconnected as a society than you would ever assume? Well apply that to this scenario. Your kids - who won’t interact with any old people or at risk folks directly (other than tons of teachers, but we’ll ignore that) - will get kids of at risk people infected. They will get kids of caregivers infected. They will get people who work in critical industry infected. And it only takes 2-4 jumps to hit a huge percentage of a specific subset of society.
It doesn’t have to just be kids. It can be young fighter pilots. They spreads it to an enlisted maintainer, who spreads it to the entire MXG. One of you is going to hit the commissary or the gym, which will open up the whole base. And everyone’s spouse and their place of work is now at risk. It quickly becomes unmanageable, exposing tons of high risk folks to the illness even though the first person was not “at risk.”
Additionally, it spreads both asymptomatically and before symptoms emerge. So there is no real way you can stop this effect, no matter how well intentioned you are to keep your sick kids - or your sick self - at home.
You cannot insulate the effects of spread via good intentions.
3) Human beings, whether you like it or not, are not as well intentioned as we wish. There is a natural range of support for individualism vs the collective across Americans, leaning more heavily on individualism than almost any other country.
Here’s an anecdote. My parents, who are old, are at high risk for COVID. They aren’t healthy, they don’t take precautions, and they meet many other risk factors. Due to the politicization of this virus, instead of getting vaccinated, they have paid for fake vaccine cards. They may die for their insistence on listening to idiots on talk radio, and I think about that a lot, but the point is that folks don’t want to tell the government anything. They will go as far as intentionally obscuring truthful data if they think that it will give them a shred of liberty. Some people will do it just to give the democrats/republicans a middle finger. Doesn’t help public policy.
How many people would lie about if they were actually at risk if we tried to implement a nuanced policy?
The gods honest truth is that this disease is not easy to detect. It’s not easy to find symptoms. It has lasting health effects that are significantly worse than the vaccine. It randomly hits some demographics that we could not predict. And we don’t know everything about it.
The worst part about this whole thing is that the vaccine didn’t end up providing nearly the protection from spread we were hoping it would.
The only reasonable public policy decision is to include everyone, or the vast majority of society, because we have no realistic way for the government to comb through your records to say that you aren’t at risk based on limitations of privacy and manpower. Not to mention the exponential increase in work for almost no population benefit.
Idealism is no reason to nitpick public policy that, by and large, does good for the public. Just like how I shouldn’t waste everyone’s time signing a waiver for my PFA to get my half marathon to count - I should just run it.