Critical care workers insert an endotracheal tube into a coronavirus patient

The age distribution of COVID-19 cases reported to the Minnesota Department of Health in the most recent full week of data, the first week of June, shows that people of all ages are still getting COVID-19.
[image_credit]REUTERS/Shannon Stapleton[/image_credit][image_caption]On a recent hospital visit, I got up close and personal with Unvaccinated America. An America also, as it were, calling for health care rationing.[/image_caption]
News that the delta variant of SARS-CoV-2 is swamping hospitals nationwide has made me think of some of the difficult days I spent in a hospital as a University of Minnesota medical center spokesperson.

And until I became my mother’s caregiver when she had a stroke in June 2014, I was able to avoid hospitals, save for visiting healthy friends and their newborns.

photo of article author
[image_credit]Photo by Aaron Fahrmann[/image_credit][image_caption]Mary Stanik[/image_caption]
After five years of stable health, my mother embarked on a serious decline after my brother’s May 2019 death. Earlier this month, she was in emergency for the first time since her stroke. On her second visit the other week, and after my remaining brother and I learned she has advanced congestive heart failure and we subsequently decided to put her into hospice, I got up close and personal with this variant. Or, as many would put it, my encounter was with Unvaccinated America. An America also, as it were, calling for health care rationing.

While letting my brother take a turn with my mother in emergency, I sat outside the hospital on a very early morning, looking to the nearby Catalina Foothills for reassurance from family gone to the other side that I was doing the right thing. A couple who appeared to be in their late 30s sat at a distance from me and asked if I was with “the really elderly lady” they saw being wheeled into one of the department’s private rooms. I said they probably were speaking about my mother. I expected to hear a perfunctory “sorry to hear your mom is sick” sort of response. Oh no.

I soon was subjected to something between a diatribe and a cri de coeur about their presence at the hospital, that being because the man’s sister was in with a very serious case of COVID-19. And that her illness shouldn’t have happened at all because she was healthier “than most fat Americans, because she is a competitive athlete.” They added that she shouldn’t have needed any vaccines because vaccines (allegedly) are tools of Big Corporate Healthcare, and that “if someone we could believe had only told us” the virus could sicken “really athletic people like us,” well, they could have tried homeopathy. I thought for a few seconds about the piece I did for MinnPost in January about no longer engaging in arguments with those for whom reason is confused with season. But I was tired and distraught and I entered the joust. After all, I am an opinion writer and a former high school debater.

I started by telling them my mother and I had been fully vaccinated and that my mother was not in the hospital because of the coronavirus. Then I explained I was no genius but that it seemed clear they believed enough in hospitals and conventional medicine to entrust their sister’s life to such care. And then I asked if they decided the prep their sister was undergoing for a very invasive ventilator was worth their anti-vaccination position. The woman said, “Well, I guess we’re going to have to get vaccinated now. But we still don’t believe in it.” The man then asked if I felt “justified” in having my mother take up “valuable medical resources” when “people like my sister who have more of a right to live are in the hospital.”

Now, some might think I would have been livid at this impertinence. But I wasn’t. Not entirely. I don’t know if it’s because I’m of a certain age or because I witnessed so many questions of appropriate medical resource use come into play when I was at the university that I kept most of my powder dry. I told them in as Rod Serling-calm of a voice as I could that I didn’t disagree with their position about wise use of medical care that is certain to become even more scarce as this variant and others spike their way throughout the nation.

I told them the only reason my mother was in the hospital was because hospice had not yet delivered the equipment needed to keep her out of hospital and that I brought her there because, while I know her time here is likely not long, I didn’t want her to die while choking for breath. I told them that once she was stabilized later that day, I’d be taking her home. I also said their sister’s medical resource-intensive hospitalization was, to be blunt, almost certainly avoidable. Then I thought about how many other similar discussions might be going on outside hospitals at that very moment, given reports about non-urgent treatments and surgeries being postponed due to the variant’s surge.

The man glared at me awhile and said, “You might be right. We’re just angry. Life isn’t supposed to be this hard.”

I wanted to say, well, welcome to reality, young one. But I only wished their sister well and said that most of us don’t get out of this life without experiencing difficulty.

Still, I worry about how many encounters such as the one I had might take far more sinister turns should viral matters become more deadly. And how long any measure of peace might hold between the two Americas of vaccinated and not.

Mary Stanik, a writer and public-relations professional, recently moved from St. Paul to Arizona. She is the author of the novel “Life Erupted.”

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33 Comments

  1. Yes, avoidable. Or, approached from a slightly different angle, self-inflicted, which seems to me a fair way to describe many (though certainly not all) of the health conditions from which Americans, especially, and humans in general, suffer.

  2. Those awful people have it completely backwards. The unvaccinated Covid patients are the ones taking hospital spaces away from other patients. Their relative is only there because of their own ignorance.

    Why were they at the hospital? Why weren’t they treating with their homeopath? Isn’t there a Youtube video they could watch to treat this person?

  3. Throughout history, America’s leaders have recognized that without concern for others, without the highest tradition of cooperative national action, democracy is in peril. People who decide not to get vaccinated must understand that their actions are not just selfish, they are un-American.

    1. Amen to that. What I don’t understand is, except for a very few very rare medical cases, why would someone not get vaccinated? The chances of dying from the vaccination are extremely small, to the point of almost-irrelevance. The chances of dying or really compromising your health without a vaccine are significantly higher. Vaccinations have been proven to protect people from this particularly insidious threat. For many months medical people worked day and night to get a proper response for all of us, and this spring it became available. Halleluiah!

      But here we are again, and the very fact that Delta has thrown us back into a similar pre-vaccination restrictions boggles the mind. Who would choose that?

      So please, someone, explain how not getting vaccinated and then contributing to this resurgent pandemic is a matter of your rights. How is it that you feel like it’s a “choice”.

      Well, it IS a choice, between being civic-minded or self-centered. The fact that we are still here, or here again, in the grip of this pandemic, falls squarely on the shoulders of those not getting vaccinated. Call it what it is.

      1. “What I don’t understand is, except for a very few very rare medical cases, why would someone not get vaccinated?”

        It’s a carefully constructed “I don’t wanna!!!” argument. Yes, they take their rhetorical clues from cranky two-year olds.

  4. Unfortunately, there is no vaccine against stupid. Although if there were, those most in need would refuse to take it.

  5. I’m in pretty much complete agreement with Mary Stanik’s point. And the comments above. I deplore the attitude and the absurd resistance to getting vaccinated. On the other hand, I think we need to acknowledge some grace to that resistance if only because, as I recall, there was no small outcry from the “progressive left” when Trump announced he was seeking to obtain assistance from Pfizer and other “Big Pharma” firms to develop a rapid vaccine to counteract this virus. “What’s he up to now?” As much as I hate to credit that cretin for anything, he did get the ball rolling on the vaccines.

    We have all been wandering through this wilderness in ignorance and confusion. I think we owe it to our fellow Americans for patience and to allow some time to come to terms with their own irrational fears, as we’ve taken time to come to terms with our own.

    1. my agreement with your agreement is pretty much total, except toward the end of your post where I get a little wobbly. Some of my earlier irrational fears have come to be specious; like how many times do I have to wash my hands while I go down the hall to wash clothes in my apartment building. But allowing time for my fellow citizens to make up their minds about figuring out what’s right, dunno. Is it irrational to suspect that the prediction I made, right after Trump “got the ball rolling” for the vaccines and then only made things worse; when I predicted that a million people are going to die in America from the Trump Virus ? Heck, I must be right, look at the help towards that magic number from even Governors of places like Texas, or Arizona, or the sunshine state of Florida.
      It’ll be over a million, easy, as we just wait.

      1. I misspoke as my pique blossomed. I may buy into “The Wuhan Virus”, but It’ll always be “The Trump Pandemic”.

    2. Jon K, with due respect, you’re suffering from asymmetriphobia here. Of course no reasonable person would trust a Trump vaccine rollout. He’s a corrupt sociopath who would foist a fatal fraud on the nation in a minute if it would gain him the election or a few dollars, and his appointees, to the last one, were similarly corrupt and venal. Biden may have his failings, but he has basic integrity and is working for the public welfare as he sees it, which includes addressing a national health crisis in reliance on scientific institutions structured to produce sound public health decisions. We’re not all in our “partisan” hives here; rational people make distinctions based on facts and on supported inferences from those facts.

      And on a minor note, all the Trump administration did to “get the ball rolling” was to enter into contracts to buy the vaccines in large quantities. The science pre-existed the pandemic and some, including Pfizer, specifically rejected the assistance of “Warp Speed” because of the risk of being entangled in the corruption that was the administration. So in that respect, the ball would have rolled faster with any other administration.

  6. A U.K. study found death rate from Delta variant was .08%, I think I will take my chances without the unauthorized vaccine. In the most disingenuous take on vaccinated versus unvaccinated was a paper that had death rate of vaccinated at .03% , unvaccinated at .09% for Delta variant, headlines read “people are three times more likely to die from Delta variant in not vaccinated”. That is like saying folks that work outside have a better chance of getting hit by lightening, while true, totally misleading.

    1. Your comment has two flaws. First, the vaccines are authorized. Three different ones are available, and they have been proven effective and, for the vast majority of us who’ve had them, they are safe.

      Second, in states such as Florida, Mississippi and Alabama, where the virus is once again filling hospitals, research shows that 95% of people being admitted due to complications of the virus are not vaccinated. Please, get the vaccine, if not for yourself, for those around you.

    2. Interesting. That study include vaccinated people in it? Most adults in the UK are vaccinated.

    3. Putting aside the fact that everything you have said is pure and utter nonsense, understand what your choice means:

      – you want businesses to close
      – you want people to lose their jobs
      – you want mask and distancing protections to be around for years
      – you want kids to have remote learning
      – you want people to have to forgo medical treatment because hospital ICUs are full of Covid patients

      But you, and too many other people not getting vaccinated, these are the things you have chosen. The covid vaccines have already prevented hundreds of thousands of deaths. They could have prevented many, many more

      1. Don’t forget the point that he wants the virus to mutate and, eventually, render vaccines useless.

    4. The Pfizer vaccine has full authorization. When are you getting vaccinated?

      1. Nothing will change. The non-authorization line was always just a red herring. By the end of the day, I predict that there will be many of the sources trusted by the gullible – Tucker Carlson and some guys on YouTube – telling their acolytes that the approval process was flawed, and how we shouldn’t trust it because it’s a conspiracy by liberals.

    5. Which study was that? I want to see the numbers for myself. Because in the US, assuming that EVERY person in the whole country got infected already, the death rate is approximately 0.2% (628,000 deaths in 333.2 million people), so several times the risk ratio you’re supposedly quoting. The death rate among the known infected is actually about 1.66% in the US (628,000 deaths in 37.8 million known infections). That is, for every 100 people that get infected, 1-2 people die. Maybe that’s a little high, since the number infected is probably low given that we didn’t have widespread testing early on. Still, it’s no lower than 1 in 500 people in the general population. And it’s still rising. Compare that to the risk of getting hit by lightning: 1 in greater than 15,000 chance. So, you’re a bit off there.

      In fact, the real numbers indicate that the unvaccinated have a 10x greater risk of death, a nearly 4x greater risk of hospitalization, and more than 3x risk of symptomatic infection than the vaccinated. Here are the numbers from Wisconsin: https://www.statista.com/chart/25589/covid-19-infections-vaccinated-unvaccinated/

      And let’s be generous and assume the death rates over the next couple of months look more like the August-October surge from last year instead of the October-February 2021 surge it’s starting to look like. That means another 40k+ people in the US are likely to die in the next 2 months. But, realistically, unless we see a surge in vaccinations, it’s gonna be more like 60k+. I’m not sure what you’re wishing for, but the likely scenario right now is that, with just over 50% vaccination rate in the US, that leaves 170 million Americans unvaccinated. If we’re generous again, and put all 37.8 million known infections in the unvaccinated category and assume that previous infection = immune (it doesn’t, but…), then, with a 0.2% death rate, that’s at least another 264,000 deaths to be expected.

      Is 892,000 dead Americans before this is all said and done good enough for you? If Americans stopped dying of COVID right now, the equivalent of a 9/11 every 3 days has happened over the last 600 days. We went to war over one 9/11. What do you propose we do with 200 9/11’s?

    6. Joe,
      Let’s assume you get run over by a truck. You don’t die, but receive serious injuries, have numerous surgeries, spend long weeks in pain in hospital and rack up massive medical bills. You didn’t die, but you sure as heck suffered. That is why epidemiologists and other folks interested in disease look at both mortality (death) and morbidity (other consequences). We’ve gotten fairly good now preventing many COVID deaths. Does that mean you’d want to go through the experience of being seriously ill with COVID. I very much doubt it. This is not a binary thing. It’s not you either die from COVID or your fine. Think this through and think about the incidence rates of serious illness, the personal and social costs of serious illness.

      1. Also, if Joe gets run over by a truck, he may not be able to get medical care because hospitals are at full capacity with Covid patients. Or forget the truck, lets say Joe needed an elective procedure. That probably won’t happen because the hospitals are full. Those fraction of a percent of people who will die from Covid that he doesn’t care about can still affect him.

      2. Exactly this. But, unfortunately, only death gets some peoples’ attention. I’ve even pointed out that, even if you don’t die and your medical bills are covered, that doesn’t mean it’s free. Ignoring all the death, this plague is going to cost us billions (if not trillions) in acute medical care alone, not to mention long term disability for those who become debilitated by “long COVID” (even if some people think it’s a myth). It blows my mind that the “conservatives” who think that a socialized healthcare system would somehow result in unpaid doctors are ok with remaining unvaccinated and believing that their hospital bills will be covered by the rest of us either directly or indirectly when they get hospitalized (or doctors will be unpaid). Unvaccinated adults cost the US healthcare system over $2 billion in preventable hospital care in June/July of this year alone. The healthcare system isn’t just going to eat that. We’re all going to pay. Just because it’s not taxes (though it probably will also be taxes) doesn’t make it fiscally responsible to be so medically irresponsible. https://www.marketwatch.com/story/unvaccinated-americans-hospitalized-with-covid-19-cost-the-u-s-2-3-billion-in-june-and-july-report-11629737443

    7. Joe is right, it is a numbers game. And while I think his 3:1 ratio is more like 10:1, we will still have up to 80,000 deaths in this surge with a heavy concentration in GA, FL and TX. Tens of thousands of reliable R voters willing giving up their right to vote (along with everything else) in states where hundreds or single digit thousands are often the margin of victory. Don’t get vaccinated for all of us, do it to stop the onslaught of communist inspired socialism. Or not…

  7. I really like this article. I was very impressed by the approach Mary Stanik took by interacting calmly, but intelligently, with the two anti-vaxxers. I am not sure I could have been as composed as she was in this situation. I would have could have lost it or I would have fled the hospital to avoid the two younger people and accomplish nothing.

    Mary moved these two forward just a little bit and she deserves a lot of credit for doing so. May we all learn how to do what she did.

    In the last paragraph, Mary mentions “Two Americas” of vaccinated people and anti-vaxxers.

    There have been “Two Americas” all of my life as i think back I cannot remember a time where there were not “Two Americas”. I have lived in both, having worked in the corporate board room and on the street with the infected, diseased and homeless. All of us must do our part to end the “Two Americas”… our survival hinges on this Sisyphean task.
    ajdjr at BigHeartedGuy on Twitter

    1. I think the 2 Americas you describe are outdated as a concept. The new version is the America that has decided civilized society and the evolving structures ideals it contains engender too much complexity and requires too much active thought. As such it must be destroyed in favor of a rigidly structured hierarchical system where all know their place, and over whom they can feel superior. The other America is the rest of us, left perplexed why some would seek to return to the bad old days of yore…

  8. Time for the vaccinated to stop subsidizing the poor decision making of the unvaccinated. If you decline the FDA approved vaccine your health insurance declines Covid illness coverage. Pay on your own or purchase Covid insurance on your own.

    1. And don’t go to the ER. Go see the homeopath. Stay home and watch Youtube videos. Use your immune system.

      The hospital is for people who believe in medicine.

  9. Full disclosure: I’m vaccinated, as is every member of my family. While I have heard some valid arguments for not getting vaccinated, I am surprised that most of the media does not really report any of the valid reasons. If you had covid, then you already have a natural immunity running through your bloodstream. If you take a vaccine, then you are trying to artificially stimulate your body to produce what is already there. If you are one of the people who were legitimately concerned that the “emergency use” status was not the same as being fully FDA-approved, then (as of Monday) you now have one of the versions of the vaccine that you no longer need to be concerned about. Since covid had already made its way through my house during the early days of the pandemic, I was willing to wait until everyone who wanted a shot could get a shot before our household went to get ours. And for the record, I haven’t seen any studies of what medical effects come from having the natural antibody and also having the shot. This science would go a long way toward acknowledging this is a concern for some and confirming that there is little to no risk for most.

    1. There is a lot of ignorance and pseudo-science in this comment.

      If you have had Covid, you can develop immunity, but the amount of the immunity varies, and it can also degrade over time. This is why the vaccine itself does not mean you still can’t get Covid and why there are boosters. There isn’t a yes/no immune/not-immune response. So having had Covid is not in any way a valid reason not to have the vaccine. I’m not sure what studies would be necessary or even possible to address a fictional issue. Maybe we do need to make this clearer to counteract the people who are providing misinformation in this regard.

      1. There would seem to be a huge need for a reliable antibody test that can determine if you are protected or not: whether by vaccine or by having had COVID.

        As an intelligent, considerate, thoughtful, caring consumer of medical science, I did get vaccinated at my first opportunity: Shot 1 in FEB, shot 2 in MAR. I had to attend a funeral in MAY where I knew there would be much interaction and I was sick the night before: Oh Oh, so I ran in and got a rapid test the morning of the event and in their testing scam they suggested an Antigen test, a PCR test and an antibody test. Sure I said All negative on COVID and ZERO antibodies!

        Talked with my family practice Doc. and asked what’s with zero antibodies after being vaccinated? He said the test is famously unreliable and they only do it to fluff up the bill.

        We need a reliable antibody test: It would seen to be more valuable than the vaccination card.

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