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But there is another dynamic. Many Republican politicians and pundits have chosen to pump hostility to vaccines and public health institutions as a platform for their supporters to rally around. Some of their claims are outright false or wildly misleading, but as with such demagogy historically, sometimes they capitalize on existing failures.
All this finds a ready home on online platforms designed to optimize for how much time and effort we spend on them. Even before the pandemic, doctors were begging tech platforms like Facebook and YouTube to take action about the rampant vaccine misinformation on their sites that not only existed but thrived. Leaked internal documents show that Facebook’s own researchers were worried about how rampant vaccine misinformation was on the platform during the pandemic. The public has even less insight into YouTube, but it only recently pledged to ban all vaccine misinformation on its platform — a step taken almost two years into the pandemic. This information environment fuels tribalization and demagogy the way warm water intensifies a hurricane. This, in turn, further degrades the capacity for mending our dysfunctional governance.
Given all the missteps and whiplash, it’s no wonder so many Americans are frustrated and confused — even the ones who have been doing their best to follow official guidelines.
So what now?
In the absence of trust in their leaders and peers, people will likely continue to deal with the virus the way they have been, by keeping themselves bubbled or ignoring it altogether. Even within my social circle, which is fully vaccinated, some people’s dispositions toward the virus remain unchanged from the summer or even before, no matter their personal risk level or changing conditions. Some remain highly cautious, while others have practically tuned out the pandemic.
Such constancy despite changing circumstances is not necessarily a good sign. While certain precautions need to remain, especially when transmission is high, it’s reasonable for fully vaccinated Americans to stop living as if they were in a prevaccine era (but also be ready to adjust if the conditions change). But such flexibility requires deep trust in timely guidance.
Meanwhile, not even a rate of 1,000 deaths a day has been enough to motivate all eligible people in high transmission areas to get vaccinated and stop arguing over simple courtesies like wearing a mask indoors in public places. More should also be done to protect employees who cannot work from home; vaccine mandates have been effective, and measures such as free workplace testing, better ventilation standards and paid sick leave can help.
I’ve made peace with the idea of getting an eventual breakthrough infection myself — my risk for severe outcomes seems low and similar to other things I do in life — but I would hate to pass Covid-19 to someone else. I’ve been using rapid tests, especially before meeting people to spend time with them indoors, despite their outrageous price of around $12 or more a pop. I’ve urged everyone I know who is higher risk to get a booster. My workplace mandates vaccines for everyone working in the office without an exemption, and masks indoors where social distancing is not possible. I wear surgical masks in offices, stores and restaurants nowadays, but if I felt spooked about conditions somewhere, I’d put on my N95.