On that first point, the bigger issue is that the fear for The Germ is massively outsized for the vast majority of the population. There are definitely people at risk and care should be exercised around them, but the risk for most of the population is very small. Institutions have painted themselves into a "Boy Who Cries Wolf" corner with this thing. They're acting like it is fucking smallpox that is going to kill a quarter of the population. Look, if this thing was smallpox I'd be stomping over people to be the first in line to get a vaccine. But when you take something that poses about a 1:40,000 chance of death to me then you unleash a massive propaganda shit sandwich that uses every technique from the Army Field Manual on psy-ops, that actually concerns me 1000x more than The Germ does in terms of personal risk level.
The vaccine was pretty controversial for healthcare workers around where I live. The departures were so great following the mandates that they basically had to adopt a fully permissive "religious waiver" for everyone who asked otherwise the hospitals would have been way below critical staffing levels.
The case fatality rate for Covid in the United States is 1.22%. More than 1 in 100. And risk of getting Covid is not remote. It's really common.
I pulled this from a family medicine journal a moment ago (very small number of total deaths associated with vaccines, majority in frail elderly):
Discussion
COVID-19 vaccine is safe in younger groups. The majority of the reported deaths were in people aged 85 and older and vaccinated at long-term care facilities; these patients are frail older people with serious underlying health conditions such as dementia, hypertension, heart failure, COPD, diabetes, anemia, and fall. In addition, these vulnerable patients are polypharmacy users. Certain vaccine-disease and vaccine-drug interactions might have contributed to or have worsened health outcomes of those already vulnerable populations. It is essential to monitor the allergic reactions following the vaccination that mainly occur within a short period of time for preventable risks (5). However, the mortality rate of 53.4 per million following COVID-19 vaccination among long-term care facility residents during the study period was much lower compared to the 2019 monthly all-cause mortality rate of 0.3% among adults aged 65 years or older (6), or the 30-day all-cause mortality rate of 21.5% among US nursing home residents with COVID-19 (7). Therefore, our data suggest that the benefits of COVID-19 vaccines far outweigh the potential risks in older frail populations (e.g., long-term care facilities), and our findings do not support actions to exclude older adults from being vaccinated as the Norwegian government did. Continued monitoring of COVID-19 vaccination among the older population, particularly those with comorbidities and medications reported in this study, however, is warranted.
The vaccine was not too controversial for the vast majority of folks I worked with in Colorado, and now California. A very small percentage of people quit their jobs, or were terminated, for this issue. I'm talking a handful of people in a big organization. Similar to the required flu vaccinations (this is pretty universal), there is always a very small percentage of people that are super anti vax in general and probably need to work somewhere that isn't in health care. I imagine that in some states like SC, there might be more beliefs (usually political) that influence one's desire to get the vaccine.
There IS a massive problem for nursing, respiratory care, and other allied health professions right now. People are quitting , but not because of the vaccine. They're quitting because of the complete fatigue, burnout, and moral distress of having to operate in a world with COVID with zero gratitude from a fairly hostile patient population. That, and the moral distress of seeing a lot of death. Fortunately that is decreasing now.
These days, people who get covid and die aren't vaccinated, with very little exception (I need to repeat that because it's lost in all of the right wing rhetoric). Many health care workers are just sick of it.
The reason why I mention the real issues for turnover with health care workers is because an outsider might see these poor staffing levels and assume it's somehow related to the vaccine. In my experience, it most certainly isn't. It could be true in rural SC, though. I don't know that area.
I'm obviously super pro vaccine. Hasn't harmed me one bit. I do play with trains all day now, and have a horn growing out of my forehead, but I'm fine.
I'll let all of you population health experts keep talking. I gotta run and do my job for a while.