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Susan Estrich
10 Feb 2012
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3 Feb 2012
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Vaccine Supply and the Public Option

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My internist told me he is now using the technique he learned many decades ago in the military, when supplies of vaccine were short and they had to split doses. I wouldn't even think of asking. But I did ask my rheumatologist, since rheumatoid arthritis is one of those things that makes getting the flu worse. He would have been happy to give me a flu shot — I'm talking regular flu here, not the swine kind — but he was out.

First come, first served.

I was all set to get it at the one-day clinic in the lobby of the building where I work, but it turned out that I had to go to something ridiculous like a hearing that day and missed the morning hours. Imagine, work getting in the way. There were no afternoon hours.

Of course, I've tried all the drug stores. I know I should have started there, and if I had, I would have been flu-ready a long time ago. But, you see, that was my mistake. How stupid of me to think that if my local mega-branch of a national drugstore chain had flu vaccine, my internist and rheumatologist definitely would. Flu vaccine as a doorbuster. Pick up some mouthwash while you're there. Brilliant — of them, not me.

How dumb can you be? I discussed it with my psychiatrist. She didn't have any flu vaccine, either. But she filed her application to be a national immunization center, right there on the couch, so hopefully next year she will be able to take care of her patients, most of whom are, like me, vaccination-challenged.

Every day, I listen on the radio as the country brags about how many people it has vaccinated that day.

I think about how many it hasn't.

My secretary made it to the clinic at work, but they weren't vaccinating pregnant women. I understand there are many places that won't vaccinate women of that age unless they are pregnant, because pregnant women are at the top of the priority list. But no, not here. Whoever they were, their insurance didn't cover pregnant women.

So, since her obstetrician didn't have any vaccine and her son's pediatrician didn't have any vaccine, instead of coming to work the next morning, she drove 25 miles in the wrong direction to be one of the first in line at the county clinic, putting her among those numbers I hear at the end of the day.

At least she's doing better than I am.

The polls are all over the map about where the public stands on the so-called "public option," as well they should be. In my classes, I call it the "free hot-dog stand." But I certainly can't tell you how it will run or how long the lines will be, much less the price tag. So how can you know if you're for it, much less want it?

Yet, everyone you talk to has an opinion about the distribution of vaccine this flu season. And I've yet to hear too many good ones.

I'm sure there are plenty of people and entities to blame for what's gone wrong. But since the government is very obviously running the show when it comes to the distribution of vaccine, it's not exactly a reassuring introduction to some kind of "public option." Some big improvements, and explanations, are in order — sooner than later — before the public option gets tainted by this nasty virus.

To find out more about Susan Estrich and read features by other Creators Syndicate writers and cartoonists, visit the Creators Syndicate website at www.creators.com.

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Comments

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"But since the government is very obviously running the show when it comes to the distribution of vaccine, it's not exactly a reassuring introduction to some kind of "public option." Some big improvements, and explanations, are in order — sooner than later — before the public option gets tainted by this nasty virus."
As an employee of the federal government for over 30 years I can say with certainty that this is exactly what you should expect of any government program. The situation described above is the norm. Susan, why are you even a bit surprised?
Comment: #1
Posted by: KG
Tue Oct 27, 2009 9:32 PM
The mindset of "never waste a good crisis" will come back and bite our "leaders".
The flu was overblown for effect as is healthcare. If 85% of the people are content with their insurance (if not it's cost) why are they reinventing the wheel? Instead of picking the low lying fruit like fixing the corruption in medicare and medicaid that everyone TALKS about, competition over state lines, portability and tort reform, they want to transform this into socialized medicine. We have the best medical facilities in the world with minimum waiting periods, innovation and research. Unfortunately, that comes with a high price tag. If you want socialized medicine--move, I guarantee you'll be back.
Comment: #2
Posted by: jbaugher
Wed Oct 28, 2009 5:02 AM
Me thinks this inept administration is purposely creating another 'crisis' becuase "you can't let a good crsisi go to waste."
Susan, please explain what that statement by a liberal means! Should I be afraid? Or is everything going to be 'hunky-dory'?
Comment: #3
Posted by: Early
Wed Oct 28, 2009 7:06 AM
Susan,

You see a psychiatrist? That would be an interesting article... why do you go? does it do any good? how does it differ from dealing with things with just yourself and your friends.

I'm not interested from a voyeuristic standpoint. I've just never been and am wondering what the big deal is. I guess, for me, it would be analogous to seeing a chiropractor (never been to one of those either.)
Comment: #4
Posted by: scott365
Wed Oct 28, 2009 7:53 AM
I just got my from Vons in SoCal. I was shopping and spontaneously inquired what the flu vaccine days/hours were. They said "all the time" but they only had 10 doses left. It took 5 minutes and $30 including paperwork. I got a 10 percent off coupon on my next grocery visit. Coolness. The pharmacist said they couldn't get enough eggs to make the vaccine because of high demand and the two different kind of flu.

I learned my flu shot getting lessons a few years ago. I didn't have insurance at the time, so couldn't go to Kaiser or similar. I had heard supermarkets were doing shots, but that just seemed bizarre. I went to the nearest clinic that was doing flu shots - a rather disgusting place and sat there feeling a little guilty and snobbish for finding it so disgusting while I was completely ignored for THREE HOURS.

I finally got up and went to Rite Aid. Never looked back. I ALWAYS get my flu shots at a non-medical setting now. I'll pay the $25, you know? Fast, relatively non-depressing, Clean, the doctor or pharmacist was a Norman Rockwell painting. Vons (in a nice neighborhood) is even better.

Comment: #5
Posted by: colleen
Wed Oct 28, 2009 8:37 AM
For the pregnant ladies out there: all you need to do is bring a note from your OB-GYN with you when you go for a flu shot. They will not deny you. The Dr. note is simply part of their protocol. You can ask your OB-GYN at your next visit or ask them to fax the note. It's not hard, I promise. Perhaps Susan should let her secretary know so that she doesn't need to drive so far out of the way next time...
Comment: #6
Posted by: JChambers
Wed Oct 28, 2009 12:16 PM
I am in my mid sixties and routinely got yearly flu shots. Never a bad reaction,,,until this year. I got the shot at one of the national drug store chains and within days, I was very sick and I developed neuropathy in my legs. Within one week I could not stand without the aid of a cane and could barely walk. On September 29, I fell over backwards in my driveway due to the leg weakness. I struck my head and had a welt on my head the size of the top of a Campbell soup can that rose up a good inch. After many many X=rays and Mri procedures, I am on the way to some recovery of the head fracture but NOT the musculature weakness. This flu shot was not safe for me. While I understand the value of flu shots for many, and I was one of those for many years, they are not entirely safe. One of the nurses who handled my case, privately whispered to me that she would never again get a flu shot unless it was required for her job because she had seen so many BadReaction cases from flu shots. They are not safe for everybody. If you are in overall very good health, I personally would recommend AGAiNST getting a flu shot. Use some judgment when contemplating the value of a flu shot for you. Don't be panicked into a decision that might leave you in a wheelchair as has happened to me.
Comment: #7
Posted by: robert lipka
Wed Oct 28, 2009 3:23 PM
Glad you have a psychiatrist.
Comment: #8
Posted by: David Kidd
Wed Oct 28, 2009 7:51 PM
Susan

Please tell me you are to SMART to by into this bullshit! Our government sucks and they are making people SAD and SICK and posing our kids and families. I wish everyone would just WAKE UP and see see things for what they are.

Maybe if people would just stop and eat right and get some sleep and SLOW DOWN there would not be so many people getting sick. I think people should have some common sense in regards to what to wear as well. It's winter time and PEOPLE YOU NEED A COAT NOW! I would not get that flu shot for anything and personally nobody I know has had one..
Comment: #9
Posted by: So
Thu Oct 29, 2009 4:00 PM
If the health care "system" really worked in this country, the government would not need to step in and run a vaccine program. Why is that not the responsibility of health care providers and big pharma? The reason is that there is not enough profit in producing vaccines. Too much risk, too little profit, and nobody will pay for excess production. So don't blame the govt, they don't run the production lines and they don't get paid to produce the vaccine.
Comment: #10
Posted by: Gerard Croce
Sat Oct 31, 2009 3:00 PM
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