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A shot in the arm

A modest proposal ahead:

We as a society provide childhood vaccinations to rich and poor alike, without charge when need be for the good of everyone simply because it’s the right thing to do. Our grandparents suffered greatly but by the grace of God, our children don’t need to.

The old DPT shot is now the DTaP: diptheria, tetanus and acellular rather than whole-virus pertussis, just as effective but with no side effects, whereas the pertussis part was the biggest source of fevers and aches in the old version.

I chose to be a part of that change. My son was a newborn at Stanford when a researcher came to my bedside and told me that two million Japanese two-year-olds had been given a new DTaP vaccine with not. one. single. case. of reaction, and they hoped to be able to replace the old DPT entirely with this improved version that was so much easier on the children but that still clearly worked. It might require an extra booster later; they did not know yet. She offered me access to any information I might want about her team’s work.

But to be able to get that version in the US at any age would require finding parents willing to have their babies given this shot while it was still in study, Level III, if I remember right. It had not been given to anyone younger than those two-year-0lds. She explained the level of monitoring they would do and the care they would take to make sure my baby was okay and they would immediately discontinue it across the board if any problems surfaced whatsoever among the infants.

Of which there would be none. And so the FDA would later approve it and it would become the standard.

My oldest is allergic to the old DPT and, having reacted, cannot be fully immunized even with the new shot for all the wishing in the world.

So there was that, and, I pictured possibly millions of people spared a long night awake with a crying, unhappy baby in pain–my husband and I signed those papers. Which is why our youngest is part of why your children and my grandchildren have a safer, easier version of their shots now. There’s definitely an amount of pride in that.

Some don’t want vaccines for their kids. They haven’t seen their baby struggling for breath from pertussis or deaf from measles or paralyzed by tetanus so they don’t believe it could ever happen, and they put every immunocompromised person at risk too and don’t see it and don’t think it matters. They don’t know or they don’t want to know that the man who started the anti-vaccination fad had, by very many accounts, a huge financial stake in doing so.

I have an elegant, simple solution. A conservative solution, even.

Pass a law.  Aim it at any parent whose child does not have a valid medical reason and yet who knowingly outright refuses to immunize their child with the DTaP and MMR shots–the basic childhood shots, I’m not talking about Gardasil–any parent who cannot empathize with nor want to protect their own child from the harm these diseases could do to them, well, okay then, that’s their choice, even if I would want to argue with them that my real-world worst-case scenario, that their child dies, beats their imagined worst-case scenario, that their child becomes autistic.

But they should then be on the hook financially for the outcome of that choice. Hospitalizations, medications, therapies, hearing aids, doctors, nursing care, we can’t make them not risk their children’s suffering life-threatening or simply life-crummying illnesses but we can choose not to take the burden off those parents of the financial costs they expect to impose across the rest of us for it. Society already offered, they refused, they need to own it.

All we have to do to make this happen is to say that the insurance companies are, as of some date in the near future, not required to cover any costs incurred by a child’s illness of these specific and preventable types if this is why they were left susceptible and got sick.

The insurance companies will quite gleefully do the rest.

(Edited 5/18 to add: No, I certainly don’t think children should go without medical care. I do think we must speak out more about the costs, of every kind, of this terrible fad. See my comment below about friends of mine who dealt with a major medical debt and how it got worked out; another thought might be to, rather than withhold all coverage, impose a huge co-pay with, if needed, long payoff terms.)

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