"Science" And "Follow The Science" Have Been Subverted By Punitive Political Partisans

mises |  In an op-ed for the Washington Post last week, Marty Makary of the Johns Hopkins School of Medicine argues that the medical profession has hurt its credibility in pretending that natural immunity is virtually irrelevant to the covid equation. Moreover, the dogmatic "get vaccinated" position constitutes a lack of honesty about the data. Rather, Makary concludes:

[W]e can encourage all Americans to get vaccinated while still being honest about the data. In my clinical experience, I have found patients to be extremely forgiving with evolving data if you are honest and transparent with them. Yet, when asked the common question, “I’ve recovered from covid, is it absolutely essential that I get vaccinated?” many public health officials have put aside the data and responded with a synchronized “yes,” even as studies have shown that reinfections are rare and often asymptomatic or mild when they do occur.

And what are these studies? Makary continues:

More than 15 studies have demonstrated the power of immunity acquired by previously having the virus. A 700,000-person study from Israel two weeks ago found that those who had experienced prior infections were 27 times less likely to get a second symptomatic covid infection than those who were vaccinated. This affirmed a June Cleveland Clinic study of health-care workers (who are often exposed to the virus), in which none who had previously tested positive for the coronavirus got reinfected. The study authors concluded that “individuals who have had SARS-CoV-2 infection are unlikely to benefit from covid-19 vaccination.” And in May, a Washington University study found that even a mild covid infection resulted in long-lasting immunity.

The policy bias in favor of vaccines ignores many other facts as well, such as the relative risks of vaccines, especially for the young:

The current Centers for Disease Control and Prevention position about vaccinating children also dismisses the benefits of natural immunity. The Los Angeles County School District recently mandated vaccines for students ages 12 and up who want to learn in person. But young people are less likely to suffer severe or long-lasting symptoms from covid-19 than adults, and have experienced rare heart complications from the vaccines. In Israel, heart inflammation has been observed in between 1 in 3,000 and 1 in 6,000 males age 16 to 24; the CDC has confirmed 854 reports nationally in people age 30 and younger who got the vaccine.

A second dose of the two-shot mRNA vaccine like that produced by Pfizer and Moderna may not even be necessary in children who had covid. Since February, Israel’s Health Ministry has been recommending that anyone, adult or adolescent, who has recovered from covid-19 receive a only single mRNA vaccine dose, instead of two. Even though the risk of severe illness during a reinfection is exceedingly low, some data has demonstrated a slight benefit to one dose in this situation. Other countries use a similar approach. The United States could adopt this strategy now as a reasonable next step in transitioning from an overly rigid to a more flexible vaccine requirement policy. For comparison, the CDC has long recommended that kids do not get the chickenpox vaccine if they had chickenpox infection in the past.

The nonscientific, ideology-induced blind spot for natural immunity also prompted The BMJ  (the journal of the British Medical Association) to note that "[w]hen the vaccine rollout began in mid-December 2020, more than one quarter of Americans—91 million—had been infected with SARS-CoV-2…. As of this May, that proportion had risen to more than a third of the population, including 44% of adults aged 18–59."

And yet, the authors note this fact doesn't appear to be a part of any policy discussion at all: 

The substantial number of infections, coupled with the increasing scientific evidence that natural immunity was durable, led some medical observers to ask why natural immunity didn’t seem to be factored into decisions about prioritising vaccination.

This problem is reflected in the Biden administration’s drive for booster shots—announced in mid-August—even before there was any clinical research on booster shots at all. Even by mid-September, as one hospital’s chief medical officer put it, “the data is not compelling one way or another.”

But those sorts of details don’t trouble federal “public health” officials, and the Biden administration quickly moved toward pushing booster shots for everyone.