The End of the Common Good
image by Gopal Vijayaraghavan on flickr, CC-BY-2.0
Anita Sreedhar and Anand Gopal, a doctor and a journalist, have been researching vaccine hesitancy for decades. In a recent NYT article they offered this remarkable perspective on it:
Over the past four decades, governments have slashed budgets and privatized basic services. This has two important consequences for public health. First, people are unlikely to trust institutions that do little for them. And second, public health is no longer viewed as a collective endeavor, based on the principle of social solidarity and mutual obligation. People are conditioned to believe they’re on their own and responsible only for themselves. That means an important source of vaccine hesitancy is the erosion of the idea of a common good.
One of the most striking examples of this transformation is in the United States, where anti-vaccination attitudes have been growing for decades. For Covid-19, commentators have chalked up vaccine distrust to everything from online misinformation campaigns, to our tribal political culture, to a fear of needles. Race has been highlighted in particular: In the early months of the vaccine rollout, white Americans were twice as likely as Black Americans to get vaccinated. Dr. Anthony Fauci pointed to the long shadow of racism on our country’s medical institutions, like the notorious Tuskegee syphilis trials, while others emphasized the negative experiences of Black and Latinos in the examination room. These views are not wrong; compared to white Americans, communities of color do experience the American health care system differently. But a closer look at the data reveals a more complicated picture.
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