13 September 2011

Rick Perry’s Gardasil problem

Rick Perry got some deserved heavy fire for something he attempted as governor of Texas.  That is, he attempted to mandate a vaccine for sixth grade girls designed to help prevent cervical cancer.  

Last night Michelle Bachman, trying to revive her flagging campaign, lit into the Texas governor for attempting to establish the mandate by executive order:

"To have innocent little 12-year-old girls be forced to have a government injection through an executive order is just wrong," Bachmann said. "Little girls who have a negative reaction to this potentially dangerous drug don't get a mulligan."

Two points here that need to be considered.  One, as some defending Perry are saying, we mandate shots for kids right now before they can attend school and there are some who suffer adverse effects.

True.  But here's the difference – they're for communicable diseases that can spread quickly in schools and cause all sorts of problems up to and including death.  Most Americans realize the difference between a program designed to prevent the spread of a communicable disease and one that isn't.  They accept the need for the shots to prevent communicable diseases among children as well as the risk associated with them.

The HPV vaccine is designed to help prevent a non-communicable disease.  It isn't a "public health" matter or threat the same way the communicable diseases are.  So the vaccine should be optional in terms of whether or not a person decides to chose to be vaccinated.  

Additionally there are some pretty bad side effects if a child has a negative reaction.

Guillain-Barré Syndrome (GBS)

Guillain-Barré syndrome (GBS) has been reported after vaccination with Gardasil® . GBS is a rare neurologic disorder that causes muscle weakness. It occurs in 1-2 out of every 100,000 people in their teens. A number of infections have been associated with GBS. There has been no indication that Gardasil® increases the rate of GBS above the rate expected in the general population, whether or not they were vaccinated.

Blood Clots

There have been some reports of blood clots in females after receiving Gardasil®. These clots have occurred in the heart, lungs, and legs. Most of these people had a risk of getting blood clots, such as taking oral contraceptives (the birth control pill), smoking, obesity, and other risk factors.

Deaths

As of June 22, 2011 there have been a total 68 VAERS reports of death among those who have received Gardasil® . There were 54 reports among females, 3 were among males, and 11 were reports of unknown gender. Thirty two of the total death reports have been confirmed and 36 remain unconfirmed due to no identifiable patient information in the report such as a name and contact information to confirm the report. A death report is confirmed (verified) after a medical doctor reviews the report and any associated records. In the 32 reports confirmed, there was no unusual pattern or clustering to the deaths that would suggest that they were caused by the vaccine and some reports indicated a cause of death unrelated to vaccination.

It is obviously unclear if Gardasil was the culprit here, but then it's also unclear it wasn't.  However, it does seem rather interesting that 68 youngsters died after its administration.  That many young people dying in close relation to the administration of the vaccine is at least highly suspicious.

You could write it off to bad screening … why was it administered to those people who had risks of getting blood clots.  But that's irrelevant if it is mandated, isn't it?

Unless the mandate specifically states such exceptions, everyone, to include those with the risks outlined, are going to get the vaccine and health care workers aren't going to bother to screen, are they?

And of course that brings us to the real problem.  The mandate.  Sort of hard to be outraged about ObamaCare's mandate when you've been mandating things yourself, and without even a legislative okay – not that that would justify a mandate.  However, the point is Perry decided to do this with an executive order, thereby placing the entire fiasco squarely on his shoulders.

The point, of course, is what he did is not exactly in keeping with what he claims he wants to do as president, i.e. "get Washington (government) out of our lives".  His action in this case was exactly the opposite.  And while, as he claims, his intentions were good, we all know the road to hell – and serfdom – are paved with good intentions.

"At the end of the day, this was about trying to stop a cancer," Perry said. "At the end of the day, I am always going to err on the side of life."

Not your job, Governor, at least in this context.  And especially by executive order mandate.

Compound this mess with the fact that also a hint of political cronyism involved:

"There was a big drug company that made millions of dollars because of this mandate," Bachmann said. "The governor's former chief of staff was the chief lobbyist for this drug company."

The company in question is Merck and his former chief of staff was indeed it's chief lobbyist.  And we know that sort of former relationship buys access in political circles.   And we also know that fosters cronyism.  None of that may be the case here, but politicians running for president can't really afford that sort of implication, can they?

Perry shot back that he was offended that anyone would think, after raising $30 million dollars that he could be bought off by a $5,000 campaign contribution.  Well he wasn't running for president then was he?

Lots of questions.  Less than satisfactory answers to this point.

Oh, and in case you're wondering, "Romneycare" still stands as my answer to any question Mitt Romney might ask.  If you think Perry's answer was unsatisfactory about the HPV vaccine, I've still yet to hear one from Romney about his mandated health care for MA.

~McQ

Twitter: @McQandO






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