I would be grateful for a handful of links to the highly educated people arguing about this, if the discussion happens to be public. I did speed read a few top academic Google hits on RCTs, but none of them tackled the particular issue of long term followups.

Edit. Really, the only point I want to convey is that perhaps the highly intelligent and educated people could reflect on why RCT population of the covid studies don't seem to reflect the country population for the particular dimension of taking the vaccine as soon as the RCT ended. Perhaps this can be fixed somehow. This is as kind of a suggestion as I can muster. Perhaps they already do, and then all of this is moot.

3 years isn't enough. People need to spend at least a decade working in human health before they can really contribute significantly towards improvements.

Incidentally, I originally wrote 10, but then I cut it down to 3. More than happy to accept your correction. [This refers to paragraph I ended up editing out because it was not constructive enough, sorry for any confusion. Sometimes I wish HN had DMs.]