When there is a CDC Advisory Committee on vaccination practices Last week, confusion filled the room.
Members did not know what they had voted, and first voted to raise funds after a few minutes of rejecting the ruthless ruthless ruthless Rubella-Chickenpox vaccine for young children. The next day, they opposed the financing.
Jim O’Neill, the Minister of Health and Welfare and the Disease Control and Prevention Center (not a doctor), must sign. Insurers and federal programs depend on them, but they are not binding, so the recommendations of the panel are important. The state can follow the recommendations.
Western, California, Duck Gun, Washington and Hawaii I joined forces at West Coast Health Alliance. Their first movement was to issue joint recommendations for covid, flu, and RSV vaccines, which went further than ACIP.
“Public health should not be a patchwork of politics,” said Sejal Hathi.
California Health Director Erica PAN described his goals as “showing unity of science and values.”
The block is also searching for adjusted laboratory tests, data sharing and group purchases. “Our intentions are to restore trust in science and protect the freedom of those who will protect themselves and their families without endless barriers.
In the northeastern part of New York and its neighbors Northeast Public Health Cooperation. Democratic Kathy Hochul Governor It was called Washington’s rebuke who retreated from DC’s science.
“All residents can access Kobid vaccine and have no exception,” she said. statement.
This group has already surpassed the vaccine. After the CDC disbanded the infection control advisory agency, the northeastern part created his return rules. The rectal group is now on vaccine, laboratory, emergency preparation and surveillance.
Connecticut’s Health Bureau, Manisha Juthani, said, “Infectious diseases do not respect the border.” We had to move in the same direction to protect the residents. “
Both blocks are in contact with regularly. Hathi said, “We communicate every day.
New York City Health Director Michelle MORSE said, “We can’t sit in the blanks.” Public health is local, we must act like that. “
The main leaders describe their unity as filling the vacuum cleaner left by Washington DC.
James McDonald, head of the New York State Health Bureau, said, “It is going to emerge as a fashion and accepted public health, but the federal government was heading in the opposite direction.”
Robbie Goldstein, Massachusetts, added: “The federal government was a group that collected all of us historically. The tradition seemed to disappear in January this year.”
Matt Motta, a professor of law at the University of Boston, summarizes the dilemma: “The state is solving the problem to solve the problem in his hands, sometimes expanding the access to the vaccine, and sometimes rolling back.
The Public Health Act has long been tilted toward the Lord.
Wendy Parmet of North Eastern University, said, “If there is a public health problem, it is for the United States.
The state has mandated the vaccine since the 1800s. Federal agencies can approve vaccine and fund programs, but they cannot force orders except for very specific situations (eg federal employees).
Dorit Reiss of UC Law-San Francisco agreed with Parmet. “Public health authorities are mainly with the state.
ACIP votes are important for voting on coverage rules and insurance obligations, but the state can be freely branched.
The difference is already expanding. Florida, led by Joseph Ladapo, a surgeon It moves to remove All vaccine requirements in childhood-the first national stage. Georgetown Law’s Larry Gostin Jacobson v. Massachusets (1905) When the Supreme Court mandated the main vaccine for public safety (1905).
Health leaders warn that competitive systems are reducing confusion and cost. “The federal silence is to create a vacuum cleaner and go up or split together.”
The fan added, “If we don’t have the trust of the federal, we will improve.”
McDonald’s warns that the party division could be sharper.
And MORSE said, “BLUE and Red STates can go their ways and further divide the public.”
Gostin said, “There is a risk of confusion, inefficiency, ultimately a risk of life.”
War is not new by this state. In the 1800s, the local health committee fought with sewers, hygiene and cholera when there was no federal authorities. In the 1950s, the state organized a mass polio clinic, and absorption was uneven until the federal fund was gently inconsistent.
During the Cobid epidemic, the White House Combat Codys DEBORAH BIRX directly saw the limitations of federal power. She visited 44 states and urged the governor to adopt a mask, closure and vaccine.
“I tried to adjust the response to the population without following a normal federation,” she recalled later.
Louis Brandeis, the Supreme Court, once said that the state was a “laboratory of democracy,” and the leaders could test new ideas without having to risk the whole country. But the disease does not follow the state line. The virus that starts at the Taler hash can spread to time square until the next morning.
Today, the Lord has become a public health experiment. Each state is experimenting. Some are expanding protection and others are cutting it back. And that choice can affect all of us better or worse.
