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Re:FDA meeting to pick next winter's flu shot is canceled, i... by techorange on Wednesday February 26, 2025 @07:34PM (#43190006)
Is there a strategy here, or is this all emotional. Or is the strategy like, we can reduce social security spending if more old people die of the flu?

This isn't entirely cynical, I do assume there are some pragmatists who might think this way.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by awnird on Wednesday February 26, 2025 @07:42PM (#43190067)
The explicit strategy from RFK is a network of concentration camps for undesirables and anyone addicted to the wrong drugs.

https://www.nytimes.com/2025/01/18/health/rfk-addiction-farm...

Re:FDA meeting to pick next winter's flu shot is canceled, i... by techorange on Wednesday February 26, 2025 @07:50PM (#43190129)
For people who get the flu? I thought that was just for mental health problems.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by awnird on Wednesday February 26, 2025 @08:26PM (#43190309)
For any undesirables. It never ends with just the first outgroup.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by edoceo on Wednesday February 26, 2025 @09:20PM (#43190621)
Outgroups expand until only "True Scotsmen" remain.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by tiahura on Wednesday February 26, 2025 @09:34PM (#43190725)
Concentration camps for people with the flu?

Trump really did cause the left to lose their minds.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by jurenbert on Wednesday February 26, 2025 @09:41PM (#43190762)
I hope there's a slightly different timeline where people with hopelessness or depression have a place in nature to pursue purpose, community, diet, exercise, and meaningful labour. I think we all know in our gut that this would be of incredible benefit to most of these people. And I hope the public in this world are horrified by the idea that anyone could instead pump them full of addictive or unknown drugs and leave them to fester in their obesity, drug dependency, poverty, loneliness, emptiness and misery.

Our current approach isn't working.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by techorange on Wednesday February 26, 2025 @10:20PM (#43190964)
I don’t entirely disagree with you but this is a _very_ different world, that requires unraveling like everything about our modern society. I don’t think there’s a whole lot of overlap between RFK jr’s vision of the world, and the current chainsaw approach to government that calls every piece or government spending an entitlement.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by conception on Wednesday February 26, 2025 @09:50PM (#43190808)
Our current approach is to not fund adequately support our citizens and if you’re poor, good luck.

The public, thus far, is generally ok with this. They’d be even more okay shipping them to underfunded camps where they are even more out of sight out of mind.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by dekhn on Wednesday February 26, 2025 @07:36PM (#43190024)
There is no strategy here except to disempower the establishment.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by cantrecallmypwd on Thursday February 27, 2025 @03:21AM (#43192370)
They are the establishment. The goal is destruction of government for tax breaks.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by dekhn on Thursday February 27, 2025 @10:53AM (#43195499)
No, Trump etc are not the establishment. They are effectively a foreign invader that the immune system of the establishment wants to evict. But we've reached cordyceps levels of infection at this point.

If you want to see the establishment's viewpoints, read the NY Times (the news articles, and analysis, but not the op-eds).

Re:FDA meeting to pick next winter's flu shot is canceled, i... by red-iron-pine on Thursday February 27, 2025 @11:15AM (#43195729)
the GOP has been pulling for this since the HW Bush era.

dismantling the Dept of Education, reducing spending across all areas, reducing government involvement in healthcare -- take a look at the Fortune 100 list and see how many healthcare companies are in the top ranks -- have been top priorities for decades.

they're just saying the quiet part loud now, and acting on it.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by Freedom2 on Wednesday February 26, 2025 @08:56PM (#43190456)
It's about encouraging the free market. Drug makers will naturally compete and it's up to the American public to reward the flu shot with the most efficacy, or in some cases, not take a shot at all and rely on natural immunization. This will spur competition and bring prices down.

At least that's what this forum has taught me.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by teeray on Wednesday February 26, 2025 @09:18PM (#43190603)
> This will spur competition and bring prices down.

Without the effects known for months, it sounds a lot like gambling to me.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by atmavatar on Wednesday February 26, 2025 @09:25PM (#43190666)
The most cherished free market principle of the current administration is caveat emptor.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by darkteflon on Wednesday February 26, 2025 @09:31PM (#43190705)
That’s an interesting comment. I often see this repeated - that HN as a whole leans libertarian - but I don’t see it personally. Just as many people will jump in to point out that market failures are common for reasons of monopolistic behaviour, regulatory capture, etc, as will people regurgitating Reagan, Thatcher and Thiel.

Whoops, gave away my political leanings.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by SmirkingRevenge on Wednesday February 26, 2025 @09:05PM (#43190504)
We simply now have a completely nuts anti-vax Secretary of Health. He probably actually thinks he's saving people from vaccine injury.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by jsisto on Wednesday February 26, 2025 @09:38PM (#43190746)
He was actually injured by the flu vaccine. That’s why his voice sounds the way it does
Re:FDA meeting to pick next winter's flu shot is canceled, i... by seanmcdirmid on Wednesday February 26, 2025 @10:23PM (#43190981)
I thought he said the injured voice was due to worms eating his brain? It’s hard to keep up with such lunacy.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by dekhn on Wednesday February 26, 2025 @09:55PM (#43190834)
I don't think he's ever said this. As usual, providing a few citations we can follow would greatly help your case.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by conception on Wednesday February 26, 2025 @09:54PM (#43190830)
No, he claims that’s what caused it some years after being diagnosed.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by SmirkingRevenge on Wednesday February 26, 2025 @09:46PM (#43190787)
I don't think this is true? He has a neurological disease called Spasmodic dysphonia.

I can't find anything about this being related to a flu vaccine.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by cantrecallmypwd on Thursday February 27, 2025 @03:26AM (#43192392)
Nuts, crims, and greedy billionaires out to blow up all of government because they don't understand it, privatize everything, and slash Medicare, Medicaid, and Social Security while lying about the tax breaks they're going to get out of it.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Wednesday February 26, 2025 @09:20PM (#43190624)
Attempting to steel man the decision, they may not believe the vaccines work or are worth the expense and overhead.

They may even go one step deeper and believe the vaccines aren't proven properly to know whether they work well enough.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by dekhn on Wednesday February 26, 2025 @09:53PM (#43190824)
It seems like the results will be somewhat predictable: the impact flu has every year is variable, with some years being incredibly bad and some being not that bad. Part of that is attributed to the vaccine rate, and how effective the vaccine is (this meeting is key to decision making about our expectations and how to make an effective vaccine), and part is simply random (based on too many correlated values, preventing good estimates of causation).

If this meeting is cancelled, we would expect the vaccine to be less effective and would see greater impact (simply because it wasn't tailored to the be the most likely effective vaccine), but due to all the variables I mentioned it could even appear that "things got better after we did this" (post hoc ergo propter hoc).

There is no steel man here, RFK just wants to demonstrate that his beliefs about viruses are true. We may or may not get enough unambiguous data to make conclusions about his beliefs in a year or two, but given the concomitant reduction in the effectiveness of the CDC due to Trump policies, and the sycophantic nature of the people being placed into leadership roles, we may simply never know because the data would not be collected, or the research not funded, or the publications retracted.

Or RFK could somehow be right and we see a huge magic increase in public health across the country (not seen in other countries that keep vaccination). I am not aware of very many scientists who believe this will happen.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Wednesday February 26, 2025 @10:58PM (#43191189)
> If this meeting is cancelled, we would expect the vaccine to be less effective and would see greater impact (simply because it wasn't tailored to the be the most likely effective vaccine), but due to all the variables I mentioned it could even appear that "things got better after we did this" (post hoc ergo propter hoc).

There is an alternative here - a population left to fight an outbreak through natural immunity will be stronger in the end. That's definitely not a popular opinion, and it may not be worth the cost, but it does align with large drops in death rates of past outbreaks which generally happened before a vaccine was even available.

> There is no steel man here

That's not how steel manning an argument works. The whole point is to make the most generous version of the argument, usually assuming the best intent. There is always a most generous explanation that would lead to the argument made, you just may not like it or may not think its likely.

> Or RFK could somehow be right and we see a huge magic increase in public health across the country (not seen in other countries that keep vaccination). I am not aware of very many scientists who believe this will happen

I don't know RFK's stance particularly well, but I would guess that he wouldn't expect a noticeable increase in health over a short timeline and without improving peoples' health in general. I'm pretty sure I've seen him argue for removing toxins from our food and water, reducing dependence on pharmaceuticals, etc. All of those are important factors and it isn't realistic to assume that removing only one factor would magically fix everything.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by Aloisius on Thursday February 27, 2025 @12:04AM (#43191527)
> a population left to fight an outbreak through natural immunity will be stronger in the end.

Most people get the flu already multiple times during their lives already. When is this natural immunity supposed to kick in and stop the elderly and infirm from dying from it?

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @07:09AM (#43193608)
The flu isn't a stable thing though, there are multiple strains of what we call "the flu" and its constantly adapting/mutating. Previous infection is no guarantee of protection, just like previous vaccination us no guarantee.

> When is this natural immunity supposed to kick in and stop the elderly and infirm from dying from it?

That's a whole different ball game. You're talking about immunocompromised individuals, their immune system isn't well prepared to respond to natural infection PR vaccination. Vaccines can still help, though they're usually less effective and more likely to cause symptoms similar to the original disease you're vaccinating against.

A vaccine isn't a magic bullet for preventing death. Vaccines still depend on the immune system doing its job effectively.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @07:16AM (#43193662)
> Measles mortality fell markedly (>90%) from the 19th century to mid-20th century prior to introduction of measles vaccine or the widespread use of antibiotics for secondary bacterial infections [1][2]

This story is similar for most infections we now vaccinate for, death rates were dropping dramatically years before vaccines were introduced.

[1] https://www.cambridge.org/core/journals/epidemiology-and-inf... [2] https://scholar.google.com/scholar_lookup?title=Measles+mort...

Re:FDA meeting to pick next winter's flu shot is canceled, i... by kmos17 on Thursday February 27, 2025 @12:04AM (#43191530)
Vaccines reinforce natural immunity.

So to be clear you’re arguing let’s kill a whole bunch of people to “increase” the population’s strength, although you express some mild concern about the “cost” of doing that? Is that the argument here?

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @12:16AM (#43191586)
Vaccines attempt to induce natural immunity not reinforce it. This is precisely why vaccines are less effective for those with preexisting conditions and immune disorders - their immune system can't as easily respond to and learn from the vaccine. An effective vaccine stimulates the immune system after introducing enough material similar to the natural pathogen that the immune system can learn to respond to it. I could just be misunderstanding your meaning hear, but "reinforce" sounds to me more like an additional layer of defence - a beam reinforcing a homes foundation is adds additional strength to existing beams rather than making the existing beams themselves stronger.

I'm not arguing that we kill anyone. You're implying that choosing not to intervene with vaccines is murder, which I would disagree with, but even then I left open the door for that cost to not be worth it.

My argument here was simply that if vaccines aren't used, as happened for effectively all of natural history, the population remaining (assuming some remain) is stronger for it.

That doesn't meant we should choose not to administer vaccines if we have them and they are proven safe and effective. That also does not mean that we should actively kill anyone, eugenics is a pretty messed up idea.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by defrost on Thursday February 27, 2025 @12:30AM (#43191634)
> This is precisely why vaccines are less effective for those with preexisting conditions and immune disorders - their immune system can't as easily respond to and learn from the vaccine.

You've missed a significant strength of vaccines by focusing on individuals rather than on populations.

Vaccines slow the transmission rate through a population and reduce the severity of infection.

In a population with a high vaccination rates those few with weak immune systems have less exposure to infection.

It's similar to back burning and fuel reduction in combating wildfires.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @12:43AM (#43191688)
I understand the argument for herd immunity, I've just never seen a study proving it out. The idea is compelling and modelling studies seem to show that its possible, but that is still different from a controlled study showing it happening.

Early on in the Covid pandemic response claims of herd immunity were being thrown around and Fauci was claiming a threshold of 60-65% vaccine rate for it to work. As time went on that number kept going up, eventually he admitted that they used a low number to start with only because they didn't think people would comply if the required vaccine rate seemed unrealistically high.

Herd immunity is almost certainly a thing at a certain immunity rate, the question that goes unanswered is what that rate actually is. For there to even be a case for vaccine mandates, of even just the arguments that people ought to get vaccinated due to herd immunity, we have to know the % of immunized population and the risk of vaccine side effects.

My understanding is that we don't have a solid understanding of the exact tipping point for herd immunity, and that at least during the covid pandemic response we didn't have a solid understanding of the true risks of adverse side effects to the vaccines either.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by fabian2k on Thursday February 27, 2025 @04:36AM (#43192725)
We know how many people died before we had vaccines, especially children. There is no argument here. We eradicated or almost eradicated a whole bunch of terrible diseases with vaccines.

What you're proposing here is simply murder. We know what would happen, many more people would die.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @11:39AM (#43195966)
> Measles mortality fell markedly (>90%) from the 19th century to mid-20th century prior to introduction of measles vaccine or the widespread use of antibiotics for secondary bacterial infections [1][2] This story is similar for most infections we now vaccinate for, death rates were dropping dramatically years before vaccines were introduced.

[1] https://www.cambridge.org/core/journals/epidemiology-and-inf... [2] https://scholar.google.com/scholar_lookup?title=Measles+mort...

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @12:57PM (#43196713)
What would make it murder?

I wouldn't propose that people should be stopped from taking a vaccine if they want it.

I'm a strong supporter of informed consent. In this context that simply means that people need to know the pros and cons of a vaccine, what isn't known or scientifically studied yet, and they can make their own mind up.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by fabian2k on Thursday February 27, 2025 @01:01PM (#43196750)
We know more people would die without vaccines. There is plenty of data on the classic vaccines. If you tell people something else you're lying.

And herd immunity protects those that can't be protected by vaccines, your "experiment" would put them at risk as well.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @07:59PM (#43200429)
> We know more people would die without vaccines.

We don't keep up any relevant research to prove that out. Vaccine studies don't use placebo controls, meaning we only know how they compare against what is usually the last approved vaccine. If you tell people that we know for certain that more people would die today without a particular vaccine you're lying, we simply can't know that without testing it.

> And herd immunity protects those that can't be protected by vaccines, your "experiment" would put them at risk as well.

How can we know herd immunity works as we predict it should without testing it? Its an untested hypothesis, and that's totally fine if we're not willing to risk testing it. We can't act as though it is scientific fact at that point though, its a hypothesis that a large majority agree with but that has yet to be tested in any significant way.

Re:FDA meeting to pick next winter's flu shot is canceled, i... by cantrecallmypwd on Thursday February 27, 2025 @03:23AM (#43192377)
Peter principle meets Idiocracy. People will die unnecessarily because of incompetency and failure of leadership.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @06:41AM (#43193437)
Idiocracy is how we got here, not principle.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by throw0101c on Thursday February 27, 2025 @06:48AM (#43193472)
> They may even go one step deeper and believe the vaccines aren't proven properly to know whether they work well enough.

They may even go further still and claim that the shot causes the flu—like RFK recently did with measles:

> Kennedy claimed the outbreak was likely caused by vaccines — contrary to evidence that showed low vaccination rates as the culprit. The false theory seems to stem from a misreading of a California Department of Public Health report that mentioned cases of a vaccine-induced rash, not vaccine-induced measles.

* https://www.nbcnews.com/news/texas-measles-outbreak-anti-vac...

Measles used to not be a thing:

> The US declared that measles had been "eliminated" in 2000, but the country has seen outbreaks in recent years amid a rise in anti-vaccine sentiment. The last US measles death was in 2015, according to the Infectious Diseases Society of America.

* https://www.bbc.com/news/articles/clyderx4v8go

Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @07:05AM (#43193579)
> They may even go further still and claim that the shot causes the flu

If by "the flu" you're referring to the disease rather than a specific pathogen, a vaccine can cause the flu. Its common for vaccines to cause symptoms similar to the pathogen, though those symptoms are usually more mild.

Think about it for a second. A vaccine is meant to induce an immune response to allow the body to learn the pathogen before a natural infection. Symptoms are little more than the physical effects of your immune system doing its job and responding to a pathogen. Why wouldn't a good vaccine induce similar, though likely less severe, symptoms?

Re:FDA meeting to pick next winter's flu shot is canceled, i... by lossolo on Thursday February 27, 2025 @09:19AM (#43194597)
A flu vaccine cannot "cause the flu". It can mimic an immune response similar to the flu, but this response is much weaker than what occurs during an actual infection, where a live pathogen is actively spreading and causing harm. The flu vaccine contains an inactivated ('dead') virus or a component of the virus, meaning it cannot replicate or cause illness in the way a live virus does.
Re:FDA meeting to pick next winter's flu shot is canceled, i... by _heimdall on Thursday February 27, 2025 @09:26AM (#43194655)
The assumption I started my last comment with is extremely important. I'm assuming we are referring to "the flu" as the disease not the influenza virus itself.

Disease is just a named collection of symptoms, that it. A vaccine absolutely can cause those symptoms, and when they occur together it would meet the definition of the disease. That obviously doesn't mean the vaccine caused an influence infection.

Few disease definitions actually take into account severity of symptoms. There are some examples where we have two named diseases where one is distinguished only by being more severe, but unless I'm missing something the flu doesn't fit into that category.