Star Parker attempts to explain "
Why our health-care system is out of control by complaining about vaccinations against HPV:
A few days ago, pharmaceutical giant Merck announced that it was pulling the plug on its nationwide lobbying campaign to get state legislatures to mandate that preteen schoolgirls receive its vaccine, Gardasil. It protects against some strains of HPV that may lead to cervical cancer.
Company officials stopped the campaign because of a nationwide backlash fueled by concerns that it is premature to mandate a new vaccine that has many unresolved questions regarding efficacy and safety; and that, in any event, it should not be mandated because the virus is transmitted through sex and not through casual contact, and that parental rights were being violated.
If it has "many unresolved questions regarding efficacy and safety", why is it not under review by the FDA, which has in fact approved it for use?
What does the mode of transmission have to do with anything? Whether or not to mandate a vaccination is a public health decision, and morality isn't at issue.
And what parental rights are being violated? Is it a violation of parental rights to mandate tetanus shots for children? If so, why isn't Ms. Parker protesting that? If not, how is HPV vaccination any different?
Merck's answers here are simple. Regarding cost, as much as it can charge. In this case, about $400, or about eight times the cost of a measles vaccine.
Yes, $400 is a lot of money for a vaccine. I would hope our governments would negotiate a bulk discount. But that said, I'm sure it's trivial compared to the cost of treating a case of cervical cancer, or worse, compared to the suffering of the grieving family of a woman who dies of it.
Ms. Parker opines about HPV:
Furthermore, the risk of exposure can be reduced to the realm of the remote simply by avoiding sexual promiscuity.
However, this fails to account for the fact that as a sexually transmitted disease, there are two people involved with its transmission. If a woman is monogamous for her entire life, and only ever has sex with her husband, she can still get HPV if he ever had sex with a previous girlfriend or spouse (even once!), or if he cheats on her and doesn't tell her. Does Ms. Parker believe that a woman should get cancer because her husband cheated, or because he had a previous relationship?
Given this picture, anyone who wants to pay Merck $400 and vaccinate a daughter should be free to do so. But, does it make any kind of economic sense for the government to mandate that every girl must be vaccinated, regardless of who she is, how she behaves, who her parents are and what they can afford and prefer?
Yes, it does, because
her behavior is only half of the risk factors, and viruses don't care
who she is or whether or not her parents can
afford a vaccine, and the fact that people are stupid enough to want their daughters to be exposed to additional risk of cancer in the name of their concept of sexual morality is proof enough for me that for a girl's protection she needs the government to intervene to prevent her from dying for her parents' stupidity.
Ms. Parker is trying to make out that government-mandated health care expendatures are what's wrong with our health care system. Yet,
according to the National Institute of Health:
Thirty percent of Medicare costs cover care for the sickest 5% of patients, and 70% of overall health care costs cover care for the sickest 10% of the population. Of the $242 billion in Medicare expenditures in 2001, 26%, or $63 billion, was spent during the last 12 months of life, and 14%, or $34 billion, was spent in the last 2 months of life.
So, clearly a much bigger problem than government mandated health expendatures is the fact that we're spending vast amounts of money on people who are about to die anyway. Would it not be better to learn, as a culture and as individuals, to face when death is inevitable and to accept it with dignity, rather than to spend vast sums trying to stay alive only to suffer for a few more days? To save that money, which will do no real good for us in our dying days, to pay for the health care of our descendants?
Ms. Parker opines:
This is what is wrong with our system. And this is the universal health care that Hillary Rodham Clinton and Barack Obama have in store for us.
No, thanks.
I don't think things like government mandated vaccines are what's wrong with our system, when they're such a drop in the bucket compared to the cost of end-of-life care. Actually, I believe that by exercising bulk purchasing power, the government has the capacity to
reduce the costs of our medications and care. And while many people, including Ms. Parker, have tried to make the idea of universal health care seem scary, no one is talking about taking away citizens' rights to purchase health care above and beyond that which is offered by any government program. Finally, I can't imagine how government-provided health care is going to be worse than the "no health care" program that so many Americans have had to suffer with for so many years.
I am a young highly trained white collar computer professional, but in part due to instability in my professional field and in part due to today's corporate culture of laying off valued and productive workers at the slightest economic downturn, I've suffered many periods of unemployment or employment that doesn't include medical insurance and doesn't pay me enough to afford it. I know what it's like to go without medical insurance for years at a time. I know what it's like to live in fear that if I fall down and break an arm I will face economic ruin, or that if I have an asthma attack I may die for lack of treatment I can't afford. Frankly, even a poorly run government-provided medical program would have done me a lot more good than the nothing at all that I had, and I believe the millions of Americans who can't afford any health care will agree.
Labels: health care, hpv, insurance, std, vaccination