FROLITICKS

Satirical commentary on Canadian and American current political issues

Politicization of Health Issues in North America

The last few decades have seen a greater politicization of a number of issues related to health.  The clear division among pro-vaccine and anti-vaccine proponents during the COVID pandemic was a major indication of such politicization, with even public officials taking up one side or another.  The pandemic raised a number of health issues in both the U.S. and Canada, forcing governments and medical practitioners to support one side or the other.  However, the science was clear and supported the need for a vaccine and the various societal restrictions introduced to protect peoples’ lives.  The high number of COVID-related deaths, particularly in the first year of the pandemic, confirmed the urgency for action in order to minimize the terrible impact of the virus on the population at large.  Results indicated that where individuals were not immunized, the probability of serious health consequences and even death was that much higher.  Many ended up placing an extreme hardship on the health care system and communities.

In the U.S., the recent Supreme Court’s decision which overturned Roe vs. Wade — a 1973 landmark decision establishing a constitutional right to abortion — opened up the door to reviving the whole issue surrounding abortion, another primarily health issue.  Again, pro-life and pro-choice groups became more politically active in many states, with some state governments enacting laws introducing all kinds of restrictions on abortion, sometimes leading in practice to an outright ban.  This placed medical practitioners in a difficult situation, often putting a woman’s health in jeopardy as a result of the loss of the abortion option. 

More recently, governments in Canada and the U.S. have or plan to introduce legislation to support planned policy changes affecting transgender and non-binary youth and adults.  Often under the banner of “parental rights”, the laws aim to restrict health-care options for such youth and inform parents of any name and gender identity changes students request at school.  Age limits are being prescribed for the use by medical practitioners of puberty blockers and hormone therapies for gender affirmation.  As a result, medical experts and patients are weighing in on gender-affirming care and the potential impact of such laws on affected youth.  They believe that limiting their access to care will put some kids at risk of self-harm, especially with respect to their mental health.  Psychiatrists who see gender-diverse youth and adult patients believe that to outlaw access to puberty blockers ignores best practices, guidelines and international standards of care endorsed by major medical associations.  Such laws are an unnecessary and unconstitutional political intrusion into the personal health choices of children, their parents and their doctors.  What is difficult to understand is that it appears to be the policy equivalent to hitting a fly with a hammer, given that the issue affects a very tiny portion of the population, often depicted as representing well less than one percent of children and adolescents.

When it comes to personal health matters, I believe that the majority of people would prefer that the government stay out of the equation.  In Canada, we saw a similar political split during past debates on the issue of medical assistance in dying (referred to as MAiD).  There were those that opposed MAiD primarily on religious beliefs, compared to the medical profession and civil rights groups who argued in favour of assisting those with terminal diseases, living with pain, in anguish, and with no hope for a cure.  In the six years since assisted dying was decriminalized by the Canadian Parliament in 2016, more patients are seeking MAiD year over year as this option becomes more widely known and available.  Since the introduction of this practice into the Canadian healthcare system, over 40,000 Canadians have taken advantage of the option. Decisions for assisted dying are left to the individual, his or her family and their medical practitioners, using several prescribed guidelines developed under the program.

I don’t know about you, but I want to make decisions about my health with the least amount of government interference or that of politically motivated groups.  I want decisions to be based on the best science at the time and the experience and input of medical practitioners.  There has been far too much politicization of health issues, driven by motives that most likely have nothing to do with the freedom to determine what is right for each person.  Our beliefs are our own.  As long as one is not harming anyone else, our health-related choices are our business. 

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How ‘Denial Syndrome’ Plays Out In COVID- 19 And Climate Change Debates

Just what is ‘denial syndrome’?  Psychologists define denial as the psychological process by which a painful truth is pushed out of an individual’s consciousness.  We use denial as a defense mechanism, to protect ourselves from the force of a truth we imagine will be too shattering for us to cope with.  Some current issues such as climate change and the global pandemic have made us feel deeply insecure about the present and the future.  This is where denial comes into its own as a way out.  It’s a lot easier than thinking up a series of individual excuses — just simply deny the whole problem exists.  Unfortunately, despite the best scientific evidence and explanation, there are health-care professionals who claimed the pandemic was all a hoax and environmentalists who deny that climate change exists.  This has led to a barrage of misinformation being put out and the emergence of conspiracy theories.

Take for example, the fact that several physicians in Canada have had their medical licences suspended by professional bodies for providing misinformation to patients about COVID vaccines, masking and available treatments.  Without any scientific evidence or studies, some have even made public assertions such as that COVID vaccines are more dangerous than the virus itself.  Some of these doctors taken to task by their regulator have challenged the discipline actions, arguing that they violate their right to free expression.  Earlier this month, the head the American Board of Internal Medicine (ABIM), one of the biggest U.S. licensing bodies, commented on the free speech argument for doctors.  He stressed that if physicians want to keep their credentials, the concept of free speech does not extend to communicating misinformation, especially when such information can potentially harm their patients or pose a potential risk to public health.

When it comes to climate change, despite all of the scientific evidence that climatologists and other experts have gathered over decades, there are still some who would deny that it is an actual global issue.  Climate change science has been settled for decades, yet policymakers have yet to take sweeping action, and greenhouse gas emissions continue to climb to record highs.  There are some politicians who still believe that humans have nothing to do with what is happening to our climate.  The resulting inaction is driving some scientists to engage in civil disobedience.  A global campaign by Scientist Rebellion (SR) has begun.  SR is a climate network of scientists of all stripes and degrees aimed at partaking in non-violent civil disobedience and demanding climate action.  This past April, the group mobilized an estimated 1,000 scientists in 26 countries in protest.

Climate change denial is all around us.  Just today, I read a letter to the local newspaper by someone commenting on the recent U.K. heat wave which got a lot of attention for reaching a “record-breaking” 40 C in July.  The writer even had to go back as far as 1936 to note that London had reached 43.7 degrees centigrade during a two-day heat wave.  On top of which, he claims that so-called ‘eco-anxiety’ is rising because of the number of media stories that focus on extreme weather and blame it on climate change.  It certainly appeared to be the use of unsubstantiated arguments about biased reporting and ‘fake news’ as a denial tool.

Among conservative groups and political parties in both the U.S. and Canada, there are plenty of deniers to go around when it comes to these two issues.  Amazingly, they can produce their own experts and conspiracy theories in defence of their positions.  Why not just ignore the facts, much as former U.S. president Donald Trump did!  Incredibly, in the name of freedom of expression, some Republican politicians in the U.S., such as in Tennessee, have even gone further by introducing legislation to prohibit state medical boards from disciplining doctors who spread COVID falsehoods or prescribe unproven treatments.  Interestingly, with just 55 percent of its population double-vaccinated, Tennessee has suffered more than four times as many COVID deaths per 100,000 as the province of Ontario.

Whether personal or organizational, denial has real consequences.  No better examples are applicable to those related to climate change and the pandemic.

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How Extremist Groups Spread Misinformation And Build Support Using Social Media

For some time now, observers, including myself, have been warning of the growth of right-wing extremist groups in Canada, many influenced by parallel groups in the U.S.  With the prevalent use of social media, the border remains porous to the influx of misinformation and propaganda originating with these American groups.  Their content is easily accessible through social media platforms, and their ideas are amplified on websites such as 4chan and Gab.  YouTube, in particular, has been described as a breeding ground for the alt-right.  They are seeking to recruit more followers, promote conspiracy theories, use provocative and sensational actions to gain news and social media coverage and spread misinformation that supports their views.  At the outset, these groups claimed that COVID-19 was all a hoax, perpetuated by governments and big pharmaceutical companies.  Once they could no longer argue the point as COVID-related hospitalization rates stressed the health care sector and hundreds of thousands of deaths occurred, they moved on to attacking vaccination programs and other public health measures.  As a result of vaccines and other COVID-related mandates implemented in Canada and the U.S., they turned to what they now claim to have been an infringement on our liberties. 

In the case of the current protests under the guise of a so-called Freedom Convoy, groups of Canadians have attacked the governments’ COVID-related public health measures.  Initially, thought to be a reaction of a small group of truckers to U.S. and Canadian vaccine mandates at the border, the protest was easily overtaken by a radical fringe.  At the outset, the convoy was started by Canada Unity, a group that has been extremely critical of all COVID-related mandates.  One simply has to look at the supposed spokespersons for the Convoy, none of whom are truckers, and examine their tactics.  You have several leaders who have participated in past movements, such as Tamara Lich, Dave Steenburg, Patrick King and B.J. Dichter.  They are known for promoting extremist messages and civil disobedience.  The resulting protest tactics include the three-week long occupation of the Canadian capital, Ottawa, and blockades at border crossings in several provinces.  These are anything but “peaceful.”

Next, one has to deal with the means by which such movements are funded.  This is where American web-based outlets such GoFundMe and the Christian fundraising site GiveSendGo come in.  Millions of dollars were raised by these mechanisms.  However, there is now a lot of concern about who are providing the funds, since the majority of funds (more than half) appear to have come from American sources.  It is believed that some of the largest contributors are probably associated with right-wing groups in the U.S.  Given that Canadian authorities have declared the Ottawa occupation and blockades as illegal, they are now working with the Biden administration to examine the nature of such on-line funding activities and whether they are legitimate or not.  Meanwhile, in light of the situation, Canadian authorities and financial institutions have moved to block the transfer of the funds to the Freedom Convoy organizers.  As a result, the organizers have now turned to collecting donations in cryptocurrency, which in itself creates causes for concern.

In the context of COVID alone, far-right movements have been sustained, and in some cases propelled into the mainstream, by co-opting vaccine anxiety and pandemic frustration.  Overall, there is little doubt that far-right extremists have hijacked the current agenda under the general banner of protecting civil liberties.  Unfortunately, waving Canadian and American flags and Trump and anti-Trudeau banners doesn’t really mesh with the reality that we are still in a pandemic.  Prior to the convoy protest, governments at all levels were in already in various planning stages to gradually ease restrictions, while ensuring that the health care system can handle hospitalization levels.  Today, with the Internet and social media, news travels fast.  The pictures and videos of protests in Canada have now led to similar protests in other countries, including the U.S., Australia, France and Austria.  The difficulty evident in the ability of Canadian police services to control the protests in Ottawa and at border crossings is no doubt lending encouragement to foreign elements, especially those associated with right-wing extremists.

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To Defeat COVID, People Must Have Trust In Their Governments

If there is one thing that the current truckers for freedom convoys in Canada illustrates, that as the pandemic has continued, certain frustrated factions of the population have loss their trust in governments.  This is really important in the war on COVID.   Following ten months of research, a peer-reviewed study recently published in the Lancet, a top medical journal, concluded that trust in government and strength of community engagement is critical to the public health response.  It noted that wealthy countries with more robust health systems, including the U.S. and much of Europe, struggled with tackling COVID through public health measures.  The study noted that the U.S., for example, had the second-worst standardized infection rate of any high-income country.  Starting with President Trump, the messaging has often been confusing and had hampered to work of local and public health officials in implementing vaccination programs and restriction policies.  Frequently, lack of initial public trust in governments and the health care system prevented the more effective implementation of such measures. In this case, the pandemic has furthered eroded trust in the government among certain groups.  Thus, the high rates of COVID-related cases, hospitalizations and deaths in the U.S.

Canada is not immune to the diminishing trust level of certain groups, as evidenced by the current truckers’ protests across the country.  Unfortunately, this lack of trust on the part of these groups has opened up the door for extremist fringe groups to attach themselves to such demonstrations.  Originally, the purpose of the so-called Freedom Convoy was to protest the implementation of a vaccine mandate for truckers entering Canada from the U.S.  The same mandate applies to Canadian truckers entering the U.S.  As the protest grew in numbers, led by Canada Unity, the group behind the convoy, the protest morphed into a call for the end of all anti-COVID restrictions.  The participation of extremist fringe groups became increasingly apparent with the display of swastikas, Nazi and Confederate flags, and the yellow star of David left over from the yellow vest movement which was known for its racist conspiracy theories.  Indeed, one of the convoy’s organizers is controversial right-wing figure Patrick King, who has stated that the truckers currently occupying the capital’s downtown core will not be leaving Ottawa any time soon, and are planning to stay until all COVID-19 public health measures are eliminated.

A “memorandum of understanding,” posted on the Canada Unity website, says its coalition is opposed to all restrictions and mandates related to COVID-19, rules it deems are “unconstitutional, discriminatory and segregating.”  The memorandum’s goal, it says, is to form a committee with the Senate and Governor General to override all levels of Canadian government.  If parliamentarians refuse to join, the group says they should “resign their lawful positions of authority immediately.”  Otherwise, they propose to overthrow the current democratically elected Parliament and install an autocratic government.  Interestingly, a GoFundMe campaign was launched in support of the truckers convoy — to date raising almost $10 million Canadian.  However, questions have been raised about the destination of the money, particularly since some of the organizers have been involved in extremist politics.  In addition, it is believed that some of the donations have come from groups in the U.S.  For this reason, it appears to be incumbent on the federal government to investigate this GoFundMe campaign to ensure that the funds are allocated to assist the truckers with their expenses and not for other political causes.  GoFundMe has announced that it would begin releasing money only after the organizers of the fundraising campaign provided a distribution plan for the funds.  In the meantime, given some of the charges levelled by law enforcement as a result of illegal actions committed by protesters, the government may want to have the courts issue an injunction against the distribution of any GoFundMe funds until full disclosure of the processes is made public.  One owes this full disclosure to donors.

The public health battle against COVID has gone reasonably well in Canada with 90.9% of doses delivered to the provinces having been administered as of today.  The result appears to imply that the vast majority of Canadians still have a fair amount of trust in their governments and in the science, despite certain public health restrictions remaining in place.  It is expected that these restrictions will be slowly lifted when there are fewer new cases of the Omicron variant and the rate of hospitalizations decreases.  I am certain that this public trust is warranted under the circumstances.

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One Cannot Deny Anyone’s Right to Die Because of COVID

A group calling itself by the misleading name ‘Canadian Frontline Nurses’ is planning cross-country protests in Canada rejecting vaccine passports and COVID-19 public health measures.  Among them are anti-vaxxers.  Interestingly, two of the group’s primary leaders travelled to Washington last January for a rally organized by ‘Global Frontline Nurses’, an organization that claims there is no evidence that social distancing is helpful in reducing the spread of COVID-19 and that “lockdowns do not work,” both positions widely disputed by public-health experts.  Unfortunately, the planned protests are expected to occur in the vicinity of hospitals where the real frontline medical staff is having to cope with increasing COVID-19 cases, particularly involving unvaccinated patients who make up the majority of such cases.

In light of the current fourth wave created by the Delta variant, the best way to prevent more COVID-related hospitalizations and potential deaths is through having more people vaccinated.  The cold hard statistical facts are that unvaccinated individuals are 29 times more likely to be hospitalized and 9 times more likely to die.

Now that we are hearing more about vaccine mandating and vaccine passports to enter non-essential venues, those that didn’t support public health restrictions such as lockdowns, masking and social distancing have resurfaced under new slogans.  “I’m not anti-anything. I’m pro-choice and pro-freedom.”  Reminds one of: “Give me liberty or give me death”.

Think about it.  Most American states and Canadian provinces already strictly mandate vaccines, which have not drawn opposition from most elected officials.  For example, they require children to be vaccinated against measles, mumps and other diseases to attend school. Even states like Mississippi and Alabama, which reacted angrily to the coronavirus vaccine mandates President Biden recently imposed on private businesses, go a step further than most states by barring parents from claiming “religious, philosophical or conscientious” exemptions for mandated child vaccinations.  In the past, even the U.S. Supreme Court has twice upheld vaccine mandates, reasoning that a community has the right to protect itself against an epidemic of disease which threatens the safety of its members.

Let’s face it.  I would hope that conservatives and so-called libertarians care about getting beyond this pandemic every bit as much as most of us do.  Unfortunately, there are politicians and groups who are more than happy to exploit this issue for political or ideological gain.  The anti-vaxxers, including some of those among the wellness influencers, have jumped on the libertarian bandwagon.  They continue to spread misinformation about the vaccines.  Sprinkled throughout social media, there are posts to their followers that continue to question the safety of the vaccines.  For example, one study found a large cluster of Facebook groups that focused on posting and spreading COVID-19 misinformation, including anti-vaccine messages.  This is despite the fact that Facebook enacted stricter rules against coronavirus misinformation over the course of the pandemic.

Vaccine mandates are not new, nor is resistance to vaccination.  Moreover, there is a clear and established principle behind mandated vaccinations.  It is that the safety of the community supersedes personal liberty when everyone is at risk from a communicable disease.  In our struggle to contain COVID-19, these remarkable vaccines are a critical tool that community members can employ along with other preventive measures.  Each one of us has a choice, especially those of us who are parents.  To put it bluntly, no one can deny you the right to choose how you die.  What’s crucial is whether your choices could lead to the death of someone in your family or in your community?

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