The recent measles outbreak has sparked more media discussion of the trend away from routine vaccination. New Jersey Governor Chris Christie tried to walk a fine line when asked about the issue yesterday, saying parents should have “some measure of choice” over immunizing their kids. I enclose his comments and his staff’s later attempts to clarify below.
Meanwhile, U.S. Senator Rand Paul, who is also a medical doctor, told a popular right-wing radio host yesterday, “I’m not anti-vaccine at all but…most of them ought to be voluntary. […] I think there are times in which there can be some rules but for the most part it ought to be voluntary.” He took a shot at former Texas Governor Rick Perry, who has said it was a mistake for his administration to try to require the human papillomavirus vaccine for pre-teen girls in Texas.
As these and other Republican presidential candidates tour Iowa this year, I guarantee that they will face many more questions about the vaccine issue. In my non-blogging life, I have encountered hundreds of Iowa parents who choose not to vaccinate their children. They are a diverse group and can’t be stereotyped as “crunchy hippie” lefties or religious conservatives. Some don’t trust the government to regulate toxins in products pushed by pharmaceutical companies. Others may not believe vaccines cause autism but fear different adverse reactions. Or, they think “natural immunity” acquired through getting a disease is stronger. Many conservative evangelicals and Catholics shun vaccines because of concerns about the use of fetal tissue in their manufacture (see also here). Although the most influential homeschooling group, the Network of Iowa Christian Home Educators, does not take a position for or against immunizations, my impression is that anti-vaccine views are more prevalent among homeschoolers than among parents who send their children to public or parochial schools. Homeschoolers were a critical base of support for Mike Huckabee’s 2008 Iowa caucus campaign and were courted by multiple presidential candidates before the 2012 caucuses.
Some libertarian-leaning conservatives may not worry about the safety or ethics of vaccines, and may even have their own children immunized, but on principle don’t think the government should tell parents anything about how to raise kids. That group looks like a natural Rand Paul constituency, but they may be open to other candidates who cater to their views.
Regardless of how far the measles outbreak spreads, this issue will remain a minefield for GOP candidates.
Side note: In central Iowa, more and more pediatric practices are rejecting families whose parents want to deviate from the accepted vaccine schedule. In my opinion, that is a huge mistake. There is no one perfect immunization schedule. Medical associations in different countries recommend that babies and toddlers get shots for various diseases at different times. Based on my conversations, many of these parents would agree to most or all of the vaccines eventually; they just feel uncomfortable with so many shots clustered close together. Instead of accommodating those concerns with a delayed schedule, pediatricians are driving families away. So worried parents either stop taking their kids to regular wellness checks, or seek medical care only from chiropractors or alternative health providers.
UPDATE: Added below further comments from Rand Paul on why vaccines should be voluntary.
Likely Democratic presidential nominee Hillary Clinton weighed in on Twitter: “The science is clear: The earth is round, the sky is blue, and #vaccineswork. Let’s protect all our kids. #GrandmothersKnowBest”
A Bleeding Heartland reader reminded me about this report from last year, indicating that “In West Des Moines, 37 percent of home-schooled children are not fully vaccinated.”
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