Substack is providing a safe home for anti-vaxxers, conspiracy theorists, white nationalists, and QAnon influencers to spread their misinformation. 'Having ~40% of the population infected by a single pathogen in the span of 8 weeks is remarkable and I can't think of an obvious modern precedent.' 'It's a way to maintain our beliefs about ourselves and others, it can be a mechanism for fairness or to remove bias, or a way to avoid overwhelm when bombarded with information.'Д¬at Power's newest album features covers of songs by Iggy Pop, Frank Ocean, Lana Del Rey, and Nick Cave. This is the same sort of individualist thinking that has people focused on their personal вЂњcarbon footprintвЂќ instead of what massive corporations, high-emissions industries, and governments should be doing to address the climate crisis. Blaming individuals for these collective responsibilities and failures is of a kind with asserting that mask-wearing and vaccination are solely personal choices rather than necessary collective actions to be undertaken by communities to keep people safer. That is a compelling argument and provides a necessary dose of empathy for those of us who might feel betrayed by people who are unvaccinated at this point in the pandemic. вЂњThe last thing we should do is to celebrate it.вЂќ вЂњStigma and discrimination as a prism for allocating health-care services is already embedded in our society,вЂќ Goldberg told me. These biases exist-but they should be resisted. Disabled people often receive worse care because of ingrained beliefs that their lives are less meaningful. Black people are undertreated for pain because of persistent racist beliefs that they are less sensitive to it or have thicker skin. Complex illnesses that disproportionately affect women, such as myalgic encephalomyelitis, dysautonomia, and now long COVID, are often dismissed because of stereotypes of women as hysterical and overly emotional. After all, implicit biases mean that many groups of people already receive poorer care despite the ethical principles that medicine is meant to uphold. Yong connects the care of the unvaccinated to the difficulty in receiving quality care already faced by women, Black people, and disabled people:ДЄs health-care workers become more exhausted, demoralized, and furious, they might also unconsciously put less effort into treating unvaccinated patients. Unvaccinated people are unvaccinated for a wide variety of reasons, many of them structural constraints beyond their control. вЂњWe have an ethical obligation to provide care for people regardless of the choices they made, and that stands true for our unvaccinated patients.вЂќ We donвЂ™t use it to punish people for their social choices.вЂќ The matter вЂњis pretty cut-and-dry,вЂќ Sara Murray, a hospitalist at UC San Francisco, added. вЂњWe donвЂ™t use the medical-care system as a way of meting out justice. вЂњItвЂ™s an understandable response out of frustration and anger, and it is completely contrary to the tenets of medical ethics, which have stood pretty firm since the Second World War,вЂќ Matt Wynia, a doctor and ethicist at the University of Colorado, told me. But all of them said that it was an awful idea - unethical, impractical, and founded on a shallow understanding of why some people remain unvaccinated. Many of them sympathized with the exasperation and fear behind the sentiment. I ran this argument past several ethicists, clinicians, and public-health practitioners. For The Atlantic, Ed Yong writes about an idea that has gained a certain amount of traction in recent weeks as hospital systems have been overwhelmed by the Omicron surge: medical care for unvaccinated people should be limited.

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