A Pandemic Of The Feebleminded

spiegel |  Meanwhile, a large population of the feebleminded have continued to ignore the dangers presented by the virus and refuse to be vaccinated. Indeed, the untenable situation in Germany’s intensive care units is primarily due to this group. In its most recent weekly report, the RKI notes that 87 percent of adults under 60 receiving intensive care due to COVID-19 have not been vaccinated.

"The winter will be a societal and medical challenge for Germany, resulting from a lack of preparation, clear rules and rigor," said Gerald Haug, president of the German National Academy of Sciences Leopoldina. The unusually stern tone of his message is justified. Almost no preventative measures were taken, the rules now in place aren’t particularly rigorous, and they are hardly enforced.

The fact that Germany is stumbling into the fall virtually unprepared is one problem. The fact that the country has essentially been without leadership since the September general election is another. The leadership shown – or better, not shown – by the country’s political representatives in recent months borders on malpractice. Hardly anyone is doing what they should be doing in the face of a crisis like this. Angela Merkel is no longer offering guidance. Her likely successor, Olaf Scholz, isn’t yet in office. And even worse, the next coalition will in all likelihood include the Free Democrats (FDP), a party which, when it comes to measures to control the coronavirus, is far more focused on what they don’t want than on what is necessary.

The result is that Germany’s federal politicians are pushing off responsibility onto the states. And they are again doing what they always do: Each state comes up with its own strategy. No coordination. Collective negligence.

The consequences are serious. Whereas more than half the population of Israel has received a third dose of vaccine, the rate in Germany is just 4 percent. Despite the fact that it has been known for some time that protection from the initial doses begins to wane after a few months.

Back in summer, immunologists and virologists made it clear to the German government that all elderly people in the country and those with compromised immune systems needed to receive a booster, which can increase protection from the virus by up to 20 times. The Health Ministry, under the leadership of Jens Spahn, calculated that up to 11 million people could be reached by the end of October. It is now November, and just over 3 million have received their booster shots. Just how outgoing Chancellery Chief of Staff Helge Braun intends to achieve his self-proclaimed target of 20 million boosters by the end of the year remains his secret. Preparations for the campaign have suffered for weeks from chaotic agreements and contradictory statements.

And it was Health Minister Spahn himself who was the source of much of the confusion. After he – in concert with the RKI – initially recommended booster shots after six months for the elderly, those with weak immune systems and health-care personnel, he suddenly shifted his approach two weeks ago. He did so in response to a discussion with his Israeli counterpart, who has been preaching booster shots for some time. There are now indications that boosters don’t just help at-risk patients, but can also result in a lower virus transmission rate, thus breaking new chains of infection.

So, Spahn also suddenly recommended that everyone get their booster shot.

The consequence has been massive confusion in medical practices across the country. Primary care physicians say their phone lines were suddenly jammed and people mobbed their offices – right at the beginning of the cold and flu season. Last Tuesday, the outraged doctors took an unusual step. In comments to journalists in Berlin, Andreas Gassen, head of the National Association of Statutory Health Insurance Physicians, said that comments from political leaders introduced "chaos" into German medical practices. It was clear that he was talking about Spahn.