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A Somewhat Charitable View Of Vaccine Refusers

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In my last three posts I examined David Brooks’s theory that vaccine refusal is is one result of the rejection of his version of the epistemic regime of the his version of the creative class, and with it the expertise and knowledge claimed by scientists, academics and other experts. He relies in part on Jonathan Rauch’s book The Construction Of Knowledge. Brooks is just wrong; here’s what Rauch actually says.

I don’t think people reject the scientific method or the epistemic regime under which it operates. I don’t see anyone saying physicists are wrong about quantum mechanics, or that antibiotics don’t work. People go to the doctor when they’re sick in the same numbers as always.

I think the actual problem with vaccine resisters is that they think that whether or not to take a Covid vaccine is a political issue or a social issue about which they are entitled to have an opinion, instead of public health problems firmly in the realm of professional expertise.

To explain this further, here are some of the factors that governed my decision to get the vaccine. I did my own research. I knew most vaccines are made from attenuated viruses or inactivated viruses. Covid vaccines use a different technique. Here’s the New York Times description of the mechanism. Here’s the Wikipedia entry for mRNA vaccines. Here’s a comprehensive description of the construction of the Pfizer-BioNTech vaccine. Here’s a comprehensive description of the manufacturing process for the mRNA vaccines.

This research raised questions I cannot answer. For example, are there proteins in a normal body shaped like the spike protein and is that a problem? I have to rely on experts on that question. But is the FDA so politicized it would approve a dangerous vaccine because Trump interfered?

I talked to a friend, a health care journalist, about the issue of politicization of the FDA. He seemed confident that the FDA was safely independent. One of my brothers has worked on getting FDA approval for drugs for serious diseases, and he explained their procedures. He was also confident about FDA independence.

In the Fall of 2020, my extended family got into an email discussion of the vaccines. One of my nieces is a virologist who is working on a monoclonal antibody treatment for Covid. She told us to take whatever vaccine we could get the day we could first get it.

I knew I wouldn’t be in the first wave of people getting vaccinated. That maeant there was an even bigger trial out there, all those people ahead of me.

In sum, I did my own research, but other factors were vastly more important than my understanding of the vaccine. I have no way to assess the accumulated stores of scientific knowledge that led to the vaccine, or any way to evaluate the clinical trials or the data they generated. All I can hope to do is come to a rough understanding, and perhaps come up with a question about the applicability to my personal situation.

This is true of all scientific matters. Mostly it doesn’t matter. My computer works. I don’t have to understand it. I just have to learn how to use it for my own ends. I use a several drugs to protect my eyes from further damage. I checked, and I can vaguely understand how the experts think they work, but really, I just take my doctor’s advice.

So far I’ve only looked at knowledge about the physical world. The problem is different in the social world. For example, I pay attention to politics, and I think I have a reasonable set of principles and priorities that govern my political views. I can evaluate political issues by comparing them to what I personally observe, what I see in the media, and my principles and priorities. But I’m fully aware that most of my thinking comes from reading the views of other people, and trying to incorporate them into a coherent picture with other things I think.

In my last post I quoted Rauch talking about the importance of family and tribe in making decisions. I agree with him that on a wide range of life issues the decisive factors are our family, our tribe, and the people and groups with which we generally agree. One of the very few exceptions is our specific efforts to increase human knowledge, where we stick closely to Rauch’s reality-based epistemic regime. We all depend on others in making decisions about everything, not just our layman’s understanding of scientific matters.

I assume other people operate about like I do. They listen to family, tribe, trusted people, and read stuff on the internet. Then they test that information against some internal standard, and either accept or reject it. Most people across all divides in our society think they are capable of doing this accurately. This idea has its roots in a view of human beings and in the ideology of individualism. It’s at the heart of neoliberalism, which says we can always figure out what we want and need. I don’t think so. I agree with C.S. Perice that all we really want to do is avoid the unpleasant feeling of doubt by coming to any firm belief.

So what we have with the vaccine refusers is a category error. If this were a straight issue of scientific knowledge, most people would realize they cannot evaluate it and are dependent on professionals.

The Trumpified Republicans and their media and armed wings amplified the idea that the pandemic and Covid are political issues. Because the government and politicians were out front in dealing with Covid, people were primed to think of Covid as a political issue. Too many people tried to evaluate vaccines and public health measures as political issues, which led them to listen to their usual political sources, right-wing media and politicians, and their friends and trusted groups.

Their confidence was buoyed by the availability of information from the internet. But they weren’t looking at the information in the links I put above. They were listening to intentional liars, Qrazies and anti-vaxxers. Social media algorithms probably amplified this disinformation.

People tried to construct a mental picture taking their new information into account without upsetting too much of their general world view. That didn’t work, because there was too intense a conflict between the reality of the pandemic and the views they were getting from their preferred sources. So we hear people denying that Covid is a real thing and constructing detailed theories about conspiracies between Doctors and Big Pharma to make tons of money. We get theories that vaccines and masks are government efforts to control our lives. For the larger number of people who don’t follow closely, this becomes confusing and vaguely scary. In the end, we as a nation are no where near the necessary number of vaccinations.

This explanation doesn’t justify anything or anyone. You have to be sunk in stupidity to think that a vaccine is a political or social issue. You have to be a piece of human garbage to encourage people to reject vaccines against a dangerous disease. But it’s hard to blame low-information people for being worried about this ginned-up controversy.

It’s really maddening.

The Danger Of Stupidity

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In the first post in this series, I quoted Charles Sanders Peirce for the proposition that the only reason we think is to relieve doubt by coming to a belief. We don’t necessarily seek the best belief, or some objectively correct belief (if there is one), though we might, and it might be best if we did. All we really want to do is to relieve doubt.

But that leaves out people who don’t ever doubt anything. It also points to people who claim to think but who aren’t interested in the solution with the best chance of meeting their most important needs; just something that relieves them of doubt. The pandemic has produced excellent examples. Media coverage and life experience have caused many people doubt. They look for relief from the doubt. They don’t need the best answer, or a sane answer, they just need to settle whatever their doubt might be.

David Byrd

In June 2020, Tennessee State Representative David Byrd of Waynesboro, TN voted for a resolution stating that the mainstream media has sensationalized the coverage of Covid-19, and that the General Assembly

… congratulate[s] the people of Tennessee for clearly seeing that the mainstream media has sensationalized the reporting on COVID-19 in the service of political agendas.

Byrd was diagnosed with Covid November 25, went into the hospital December 5, was on a ventilator for 55 days, lost his liver and required a transplant, and came out of it urging people to get vaccinated. He got sick before the vaccine was available, and he claims never to have been anti-vax. He now thinks Covid is dangerous and urges people to get vaccinated.

It’s hard to say what goes on in people’s minds, but the statement about sensationalizing the pandemic is an important clue. Assuming that he actually believes this, what exactly was he talking about? Media coverage wasn’t bloody. I think it didn’t go far enough in showing the frightening situation of sick and dying people. TV reporters did not show actual patients, or corpses. If Byrd had seen video of people breathing by ventilator, he might not have been so blasé about his own risk. If he had listened to Covid patients trying to breathe on their own, he might have thought twice about hanging around with potential vectors, including his equally ill-informed colleagues. Did he think it was political and thus damaging to Trump? Would political fault matter to sick and dying people, or people who didn’t understand the danger? Did he feel the same way about the absurd emails and Benghazi frenzies?

No, I think we can safely analyze this in Charles Sanders Peirce’s terms as expressed in The Fixation of Belief (1877):

The irritation of doubt is the only immediate motive for the struggle to attain belief. It is certainly best for us that our beliefs should be such as may truly guide our actions so as to satisfy our desires; and this reflection will make us reject every belief which does not seem to have been so formed as to insure this result. … [T]he sole object of inquiry is the settlement of opinion. We may fancy that this is not enough for us, and that we seek, not merely an opinion, but a true opinion. But put this fancy to the test, and it proves groundless; for as soon as a firm belief is reached we are entirely satisfied, whether the belief be true or false.

Byrd had a doubt about Covid that he wanted to relieve by finding a belief that would satisfy his desires. His only desire was political, not his personal safety. So he fixed on a political belief. Sadly that was a bad guess about the best thing for him.

Phil Valentine

Phil Valentine is a conservative talk radio host on WWTN-FM in Nashville. Here’s his blog post on the vaccine dated December 17, 2020. After ranting about Hillary Clinton and the dearth of credit to Trump for getting the vaccine out there, he says:

I’m not an anti-vaxxer. I’m just using common sense. What are my odds of getting COVID? They’re pretty low. What are my odds of dying from COVID if I do get it? Probably way less than one percent. I’m doing what everyone should do and that’s my own personal health risk assessment. If you have underlying health issues you probably need to get the vaccine. If you’re not at high risk of dying from COVID then you’re probably safer not getting it. That evokes shrieks of horror from many, but it’s true. I’m weighing the known versus the unknown.

I suppose we might ask what these “unknowns” are, or whether he plans on getting the pneumonia and shingles vaccines, but that’s too picky. Maybe he’s just not very smart. Here’s his take on climate change, echoing the idiot Senator Imhofe with his dumb snowball. Valentine does his own reasoning and research on the pandemic. It might have been better to start with a question like this: scientists, including epidemiologists, virologists, and public health experts say Covid is dangerous, and that the vaccines are safe and work, so everyone should get a jab. Now how am I different from everyone else? Why isn’t that the best advice for me?

Instead, I’ll guess he read some stuff about Covid, and decided he knew best about his own body and its ability to shut down the virus. He thinks we should all make our own decisions about our health, apparently without reference to expertise. He thinks we marvelous Americans can handle the complexity of the pandemic in the same way we decide between tacos and huevos rancheros. He places no value on scientific information or conclusions, doesn’t know any statistics, doesn’t grasp the principles of epidemiology or virology, doesn’t understand and probably doesn’t believe in the principles that underlie the vaccines, and doesn’t think any of that is important. I’ll bet he can’t do his own taxes, though.

And, guess what: nearly dying has converted him to a vaccine believer.

Valentine at least recognized that the right question is his personal safety; but he doesn’t know how to think about that problem, and just happens to come out in the same place as David Byrd.

The disinterested, the ignorant, and the prejudiced

There is a large group who just ignore the problem, or believe nonsense. I won’t use names, but they’re all over: people who just couldn’t quite get around to getting vaccinated, or who are convinced that it’s a trap or a hoax. Here are some examples.

These are people who aren’t paying attention. I am grateful for the people reaching out to them. They are doing what needs to be done.

Conclusion

In the first post in this series, I hinted at my view that bad thinking is central to the success of the Oligarchy in spreading their self-aggrandizing lies. I hope this discussion helps us see how well that works.

In an earlier series I argued that democracy only works if there is a sense of community among the members. As we face the pandemic and the desperately dangerous climate disaster, we need to operate as a community. We have to operate on the principle that no one is safe unless we are all safe. We have to settle our doubts in the way that will enable us to flourish, not in ways that fit our prejudices.

[Image Source: “I Did My Own Research” by @GQPMonitor]