Unfortunately, humans were always like this. What's kept us in check has always been (1) a perception that it's in our self-interest to support the group (which is why more folks didn't steal the shoes of sleeping ppl in concentration camps - though some did) & (2) institutional
2/ constraints. (That's why we have an EPA, FDA/USDA, DoE, etc.)
In the current case, the PH institutional contraints started to slip b/c those in charge were more concerned w/ the voting power of the worst among us than w/ protecting the health of all of us. That led ppl to
4/ start questioning whether they *really* needed to follow rules that protect the group at a perceived cost to their own individual self-interest, after all. (Like the therapeutic myth or that of heaven & hell, the myth of a civil society only affects behavior for as long as ppl
5/ agree to believe in it.) And when society’s buy-in to our institutions (social constructs, all) starts to fray, then, to paraphrase Yeats, "things fall apart - the centre cannot hold."
So when the woman in the thread above said she sent her kid w/ RSV to daycare b/c the other
6/ kids who might be harmed weren't *her* kid, she was voicing what a majority of people probably often think - but until now, haven't acted on, b/c the potential costs to them were (until now) so high.
But now we've become a no-holds-barred society where the sociopaths
7/ make the rules & the primary concern of our governmental institutions (which were designed to protect our welfare) is just trying to get out of the line of fire.
This is a downward spiral. Things will most def. fall apart, & we'll see what unregulated human nature really is.
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"Building effective national health infrastructure will require confronting pervasive distortions of public health
and remaking the leadership appointment systems that have left US public health agencies captive to partisan interests."
2/ First, when people's behavior may affect others, folks don't wanna know:
"Across the studies, the researchers found that when given an option, 40% of people chose not to learn the consequences of their actions."
3/ Second, knowing (or not knowing) is associated w/ doing (how people choose to behave):
"willful ignorance was correlated with less altruism: People were 15.6 percentage points more likely to be generous to someone else when they were told the consequences of their choice...
Remember that ophthalmology appointment I was supposed to have last Dec b/c I had suddenly lost a lot of vision in one eye? They had agreed to ADA accommodations (first of day; both I & the HCWs with me wearing N95s; letting me wait in my car or empty rooms; allowing my HEPA), &
2/ seemed very polite about it. But then, the night before the appt., they called & asked me to switch to another MD in the practice, b/c they said he did surgery in the hospital, whereas the doc I'd had before only did it in surgical centers. I agreed, even though it meant a
3/ long wait before the appointment could happen; they told me they didn't think the wait would be problematic, medically/in terms of my sight.
Well: the appointment was supposed to happen this week, but b/c I needed to be attending to the cat's medical care at that time of day,
1/ "Syphilis, once nearly eliminated in the United States, continues to resurge, reaching the highest rate of new infections recorded since 1950, the [CDC] said on Tuesday." nytimes.com/2024/01/30/hea…
2/ "With better prevention and treatment for H.I.V., condom use has fallen out of vogue."
This is what happens when people are encouraged to view risk reduction as a temporary adjustment rather than a long-term adaptation.
So glad I spent years of my life on that one. (/s)
3/ "And, crucially, there are far fewer sexual health clinics, along with the disease-intervention specialists and nurses who staffed them."
A person for whom I used to serve as Conservator just noted that this Chesterfield Hospital debacle (where they reinstated masking, infection rates declined, & so they removed masking) is very similar to cases of psychotic pts discontinuing their meds b/c they "feel better." /1
2/ This certainly isn't an issue exlcusive to people with severe mental health issues - it was endlessly frustrating in the early years of HIV: we'd convince ppl to use condoms, the rate of new cases would go down, & the condoms would come off. Another example that many folks are
3/ familiar w/ is "yo-yo dieting." We all know healthy weight is about lifestyle, not short-term diets.
But all too often, ppl view behavioral adaptation as a "just for now" plan - & even worse, once they've "been good" for awhile, they view recidivism (relapse) as their...
Tonight's 60 Minutes segment included a pretty big pitch to workplace facilities: upgrade your IAQ to encourage bldg rental; wkrs want to spend wk hrs breathing cleaner air & will be at work + if you improve IAQ to keep them healthy.
2/ This was an appeal to capitalist agendas: for employers to get wkrs back to the office to benefit nearby retail; for bldg owners to rent properties, etc. That the show put so much emphasis on work settings suggests things aren't as "back to normal" as policy makers would have
3/ us believe.
But it also hints at something interesting about how people think. Looking around at unmasked holiday revelers, you might assume that almost everyone believes pandemic threats have completely passed.