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  • We're entering the third year of the pandemic and in the US

  • the loss of life, month by month, for two years, looks like this.

  • Altogether more than 900,000 people have died.

  • But there really are two pandemics here.

  • Because starting in the spring of 2021

  • the distribution of the vaccines dramatically changed the nature of the pandemic.

  • If we look closer at the delta wave and the beginning of omicron

  • we see the deaths of unvaccinated people were much higher than vaccinated people.

  • This data comes from a subset of US states and cities that provide immunization data.

  • While the delta wave did kill some vaccinated people

  • the risk was 15 times higher if you were unvaccinated.

  • Philly Baird was one of those unvaccinated people.

  • And he started going live on his Facebook page from the hospital.

  • "I love you guys."

  • "I'm able to talk today."

  • "Today's been a great day."

  • In one of the videos he recommends to his friends and family that they get the vaccine.

  • Do you think that was a hard thing for him to say?

  • Yes, because that's not what he had been communicating, you know, prior to that.

  • But I think that he would want me to communicate what I know he wanted

  • and that is for you to look at his situation

  • and realize that you could possibly get

  • you could get severe the Covid like he did and be fighting for your life.

  • And then have a lot of regrets that you didn't have the vaccine at that time.

  • "You know I was one of those that sat there and kinda

  • was more on the political side with Covid and all."

  • "We gotta put all that aside."

  • Now when it comes to the political breakdown on vaccinations, there are two things to know.

  • One is that a majority of Republicans are vaccinated with at least 1 dose

  • according to the most recent survey from the Kaiser Family Foundation.

  • The 2nd thing to know is that most unvaccinated Americans are Republican.

  • So the question is: how does that affect the balance of lives lost?

  • Well, we can plot the states directly by their 2020 election results

  • with the red states on the right and the blue states on the left.

  • And we can look at their death rates since April 2021.

  • And it's pretty striking.

  • The Republican states were suffering much bigger losses.

  • And I want to stress that this relationship wasn't there before the vaccines.

  • This is the same chart, but it shows death rates before April 2021.

  • And they're much more spread out, with Covid hitting blue states as hard as red ones.

  • So what I want to understand is the series of events that took us from this... to this.

  • "The Democrats are in a full-court freak out over coronavirus

  • after Ted cruz self-isolated after coming into contact..."

  • Phil Valentine was my younger brother.

  • A very accomplished radio entertainment personality.

  • "New York Times even called it the Trump virus."

  • "Can you imagine if the Ebola virus had been called the Obama virus?"

  • He was on air in July and you can hear him kind of talking through the symptoms.

  • "This is my Covid saga."

  • "And yesterday was probably my worst day and just the shaking and the chills..."

  • Really processing things on air.

  • "And as I've told you, I'm not judging anybody either way."

  • "If you want to get the vaccine, it's a personal health decision."

  • "I made the decision that I probably wouldn't die from it."

  • "Phil would like his listeners to know that he regrets not being more vehemently pro-vaccine."

  • "He is in the hospital in the critical-care unit..."

  • He said, you know, I got it wrong.

  • And then it went from bad to worse.

  • We know how it all ended.

  • "We're all very sad right now at the passing of a friend and a colleague."

  • "And our thoughts and prayers go out to Susan and the boys at their tremendous loss."

  • Had he been opposed to other types of vaccines in the past?

  • Were his or his kids vaccinated with the school vaccines?

  • He wasn't against anything else?

  • No.

  • It's not obvious that Republicans would be more vaccine hesitant.

  • Similar percentages of Democrats and Republicans

  • said they get the flu shotevery yearaccording to a May 2020 poll.

  • And in 2019, the Pew Research Center found that

  • nearly identical shares of Republicans and Democrats

  • said that the benefits of the vaccinating kids for measles, mumps, and rubella

  • outweigh the risks.

  • Republicans were slightly less likely to say they should be required

  • but it's nothing like the 30 point gap

  • that we see in Covid vaccination rates today.

  • One way to understand that gap is to consider the vastly different information environments

  • that Republicans and Democrats live in.

  • This is a list of news sources trusted by at least 40% of Democrats

  • according to a 2019 survey by Pew.

  • "... health officials warn..." "... the highest daily rate..."

  • "... the Covid variant was first reported..."

  • "... the latest data from the centers..."

  • And here's a list of news sources trusted by at least 40% of Republicans.

  • What this means is that American conservatives are quite exposed to the editorial choices

  • of a single network.

  • And on vaccine coverage, that network's choices have been confusing.

  • "It's a great vaccine. It's a safe vaccine."

  • "It is something that can keep you out of the hospital."

  • "How many people have been killed or injured by the Covid vaccines?

  • Does anyone know the answer?"

  • "If your doctor says you're ok for it, get it.

  • It will save your life."

  • "I got my second dose.

  • I got a horrific pain in my right eye."

  • "The vaccine is still working.

  • It's still protecting you and those around you."

  • "Why should you penalize people for not taking a vaccine which doesn't work?"

  • "The mRNA covid vaccines need to be withdrawn from the market now.

  • No one should get them.

  • No one should get boosted.

  • No one should get double boosted."

  • If we compare the information sources of those who said they'd definitely get vaccinated

  • with the information sources of those who said they would definitely not get vaccinated

  • we see that the vaccine-resisters were less likely to consume most news sources

  • except for two:

  • Fox News and social media.

  • For 18 hours, I laid in bed dealing with my mortality

  • and not knowing which way that was going to go.

  • And I'm laying in bed going, this is my fault.

  • I should have been listening to doctors and nurses and medical professionals

  • instead of my political algorithms.

  • And so is it mostly Facebook where you were getting sort of these messages?

  • Yes.

  • I saw some of Fox News reports online.

  • But, 90 - 95 percent of what I got was through my algorithms and friends on Facebook.

  • And I can tell you when I started telling people,

  • you need to consider this vaccine and you need to stop politicizing this.

  • I lost a lot of friends, and the more hardcore you were...

  • I had some really ugly things said to me.

  • And I had to start blocking people that I've been friends with for years.

  • The Kaiser Family Foundation found that 64% of unvaccinated people

  • believed at least 4 pieces of Covid-19 misinformation, of the 8 that they tested.

  • And they found that among those who trusted conservative news outlets

  • belief in misinformation was more common than among those who trusted other sources.

  • But we have to remember that this is a correlation.

  • We don't know if anti-vax content on TV and Facebook

  • caused people to turn against the vaccine

  • or if it was simply pandering to people who had already made up their mind.

  • It was probably both.

  • See, one thing I didn't mention about this chart

  • is that this data is actually from January 2021.

  • So most of the anti-vaccine content on these platforms hadn't been published.

  • So I went back and searched for the earliest polling I could find.

  • This is from May of 2020

  • and it asked people if they would get a hypothetical coronavirus vaccine.

  • 40 percent of Republicans saiddefinitely not or probably not.”

  • And that's pretty much where Republicans are at today, 20 months later.

  • So what explains why a big chunk of Republican voters had already turned against the vaccine

  • six months before the presidential election

  • and nearly a year before the vaccines were even available?

  • I think the answer is somewhere in here.

  • Of the 8 false claims polled by the Kaiser Family Foundation

  • the one most widely believed wasn't about the vaccines at all.

  • And so of the different pieces of misinformation we tested, the most commonly believed overall

  • and particularly by Republicans

  • was this idea that the government was inflating the number of deaths due to Covid-19.

  • "Top US health officials are rejecting President Trump's suggestion that the US coronavirus

  • case and death totals are 'fake news'."

  • "He said a couple of hours ago the number of cases and deaths of the China virus..."

  • "... are quote 'far exaggerated'."

  • That claim was based on a misunderstanding of how death certificates work

  • but it was extremely potent.

  • If you've been told not to trust the death count, how do you assess your own risk?

  • And why would you take action to protect yourself and your family?

  • If we compare unvaccinated republicans with their vaccinated counterparts

  • the biggest difference between them isn't that the unvaccinated ones are younger or

  • more conservative or more rural

  • although they are

  • it's the pervasiveness of the belief

  • that seriousness of the coronavirus is generally exaggerated.

  • And that idea that the pandemic has been made into a bigger deal than it really is

  • has been an overarching belief for a majority of Republicans.

  • Even as Covid became one of the leading causes of death in the US

  • even as the virus shifted from cities to rural America.

  • And that takes us back to the very first weeks of the pandemic.

  • When the virus found a United States under an exceptionally polarizing president

  • and at the start of an election year.

  • "We have it under control. It's going to be just fine."

  • "Joe Biden calling him the worst possible person to lead our country through virus."

  • "Well we pretty much shut it down coming in from China."

  • "President Trump has no plan, no urgency, no understanding of the facts."

  • "If the coronavirus ends up having a real impact on the economy

  • it could tip the election to the—"

  • "Democrats and their media cronies have decided to weaponize fear

  • to improve their chances against Trump in November."

  • In the early stages of the pandemic, you got this very large polarization around things

  • like lockdowns, mask wearing, and the severity of the pandemic itself.

  • Just how seriously to take this.

  • "Trump supported anti-lockdown protests..."

  • "Liberate Minnesota, Michigan, and Virginia."

  • "...states led be Democratic governors."

  • "President Trump without a mask..."

  • "Defiance in the face of adversity..."

  • "Joe Biden wearing one."

  • "...an image of trepidation, even fear."

  • "Making for a splitscreen campaign moment."

  • And it seems that rank and file Republicans, largely on their own, figured out that if

  • you don't take the pandemic seriously, why would you get vaccinated?

  • You know the people telling you to do it, they're not trustworthy.

  • And so, you know, flash forward to spring of 2021 and you get this weird paradox where

  • most Republican politicians are vaccinated

  • but they're saying stuff at the same time to cater to

  • to anti-vaccine sentiment in their base

  • and now there's real political downside to promoting vaccination for a lot of these folks.

  • "...your freedoms, I do.

  • You have to do what you have to do."

  • "But! I recommend take the vaccines."

  • "I did it. It's good."

  • "Take the vaccines."

  • "But you gotno that's okay, that's alright."

  • "You've got your freedoms..."

  • Let me tell you how I make sense of what happened to your brother

  • and I want to get your reaction.

  • I see Phil looking at the data

  • concluding that his risk of dying from Covid was low.

  • But I think his brain was sort of pushed in the direction of that conclusion by signals

  • that were sent really early on in the pandemic by Trump and Fox and others that

  • Republicans kind of think this coronavirus is overblown.

  • The polarization starts there.

  • Then by the time the vaccines come out

  • Phil's not getting clear, consistent signals from the people that he trusts

  • that it's time to update his risk calculation and go ahead and get that vaccine.

  • And then he gets hit by the beginning of the delta wave.

  • Does that seem accurate to you?

  • That's on the right track, I think that that...

  • The calculus changed when the delta variant presented itself because it attacked a much

  • younger segment of the population.

  • Then all of a sudden, politics starts to enter into the thing.

  • We already we've just come off of being lied to for three years straight

  • that Trump was a Russian agent, a traitor to the country.

  • So I think that that was that people looked askance at that whole messaging system.

  • The underlying problem is that there are two diametrically opposed views

  • of what America should be like in this world

  • and one is held by one side and one is held by the other

  • so you decide which one you're going to be on.

  • You get into this situation where elite politicians in the respective parties feel like they have

  • to polarize on the issue

  • because their base expects them to disagree with the other party.

  • It would have helped a great deal of the elites of the political leaders of our country had

  • coordinated across party lines

  • and laid out a unified message at the beginning

  • I definitely think we could have largely mitigated the polarized responses

  • that we saw in the mass public.

  • What do you hope for, what do you fear, when it comes to

  • polarization around public health issues?

  • One of the things I really worry about going forward is

  • what we'd like is reduced polarization around Covid vaccination

  • especially as we move into a possible regular regime of boosting going forward.

  • But what I think might be more likely if we aren't really, really effective and proactive

  • on reducing that polarization

  • is that polarization around Covid vaccination persists and spreads to other vaccines like

  • measles, mumps, rubella.

  • And sure enough, researchers at UC San Diego tracked vaccine attitudes

  • from March to August 2021

  • and they found that not only were the Republicans in their study more likely to turn against

  • the Covid vaccine as the year went on

  • they also ended up with declining attitudes about vaccines in general

  • and lower intentions to get the flu shot next year.

  • Which means the health consequences of pandemic polarization could extend well beyond Covid-19.

We're entering the third year of the pandemic and in the US

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