The cognitive load could be built into the "vaccine card" anyway - I have a driver's license with a couple of extra checkboxes showing that I need corrective lenses and am authorized to drive a motorcycle, but most people need only be concerned that the card itself exists.
FYI: The current legislation requires weekly testing or proof of vaccination, but it doesn't actually impose the vaccine on anyone who doesn't want it.
Fuck off and die somewhere else, seems to be the general sentiment of people I know.
No, this is just not correct. Compulsory vaccination has been a thing for hundreds of years.
We need simple rules that we can apply on a massive scale quickly. The US is a country where more than half of people can't work out if a 1/3 pound burger is bigger or smaller than a 1/4 pound burger.
Single-mindedness is not a rationale for imposing medical treatment on people.
I'll circle back to my driver's license analogy - the bouncer does not need to know that I was docked 3 points from my driving test for failing to signal - he only needs to know that some granting authority, with expertise in the realm being licensed, granted me the license. (or that I'm old enough to enter the bar, etc.)
When 1500 Americans are dying every day of a preventable disease, it is absolutely reasonable to take feasibility of enforcement into account. And enforcement has to be done where the greatest risk of spreading occurs. People might not like getting carded at a restaurant, but there is a point where lots of people are dying and it makes sense, right? We card for alcohol, we card for driving, and those we do every day.
I would think someone who tested positive should be able to get a ca state qr code. It seems the science supports that. Having each validator check that the test is the right test, and the doctor and hospital exist, seems not feasible, but getting a state qr code - then using that at the point of enforcement - seems practical.
But I must remind that, at least in this particular conversation, we're talking about people who've just had the illness in question. We don't know how many of the 1,500/day are people who have previously contracted the illness or else contracted the illness from someone else who previously caught the illness, but in all likelihood the proportion of such cases is likely very low. So referencing the 1,500/day likely has very little relevance to a discussion of natural immunity.
And yes, I agree that next time we do this, we should build it into the card. And better, that card should be digital, so that it can adapt as science discovers more as the pandemic goes on. But what we had was a vaccine, slips of paper, and a lot of questions.
> Cognitive load is the mediating resource. It doesn't on its own justify it, yes. The justification comes from saving lives in a global pandemic
I specifically don't see how your hypothesis works: "if we allow for natural immunity, it will confuse people and some of them will die". Presumably the failure mode is that some of the "bouncers" of society are too dumb to understand "vaccine OR natural immunity" and will thus reject more people than necessary (either the vaccinated or the naturally immune) and thus our risk of spread will be slightly reduced at the expense of our liberties. In any case, I have a hard time imagining large failure rates here, and the risk associated with any given error is very small (a given failure doesn't significantly increase anyone's risk of serious illness or death).
The difference is that the serum test is risk free. If I knew I was already immune, I would not have gotten the vaccine to be completely honest, no matter how small the risk is. For the same reason I don't get other safe and effective treatments for diseases I do not have.
In what way?
Right now there are already at least two pathways. You have a vaccination card or a negative test card within an allowable date range.
The bigger issues are privacy, etc. Not, "Oh no, there are two options! I'm so confused."
Serology is a thing, sure. But two points:
Getting a serum test rather than getting the vaccine is not going to be cheaper, easier, or better studied. We are not constrained on vaccine supply. So the practical advantage of allowing a totally different pathway is not obvious.
Creating another pathway adds a lot of cognitive load and confusion. The bar bouncer checking vaccination status at the door is not likely to know anything about serology. The same goes for people eager not to get Covid and the people eager not to accidentally kill grandma. Every bit of complexity is met with complaints and confusion; every change in regulation makes it harder for people to know what to do and therefore less likely to do it.
In some future pandemic might we want to create a two-pathway system? E.g., such that there's a government-issued "safe to mingle" digital passport? Sure. That seems like a great thing to start preparing now so it's ready the next time a disease hops the species barrier. For now, though, I think we should stick with the current plan: vaccination for (almost) everybody.