From Aspirin to Suicide

We, in the United States, have less than 5% of the world’s population. We look at ourselves as being at the pinnacle of “advanced” nations. We use more resources, produce more stuff, spend more on health care, have better worker safety conditions, than ANYONE else. Okay, if so, then why at less than 5% of the population do we consume over 80% of the world’s supply of narcotic pain medication?

We can’t have more pain than the rest of the world – that makes no sense. I think we have forgotten how to value, appreciate, and use pain.

It’s one of the most basic and important feedback mechanisms that we have. Pain signals help us to evaluate how we are doing in interacting with the environment around us. There was a recent story about a young man in Japan who bled to death while playing a virtual reality game. He had fallen and cut his head while playing – but he continued to pursue his goal in the virtual world. Was he successful? We’ll never know because he lost his life in the real world. He chose to ignore the pain signals that were trying to tell him that something was wrong. Pain is an adaptive tool that is there to help us. But we have to pay attention to it and find the source of what it is signaling us to examine and fix. Don’t ignore the pain, track it back to what turned the alarm on in the first place.

In today’s modern, connected world I’ve been provided with alarms for more than I want to know about. When I get in my car I’m told when my seatbelt is disconnected, if the front or back of my car is too close to something, if a cop has his radar detector pointed at me, if I missed a turn going to my destination… All of those notifications are “pain” signals to tell me that I may be out of driving homeostasis. Bad things may happen if I don’t correct one or all of those out of balance conditions, but the input from all of those feedback mechanisms can drive me CRAZY! So, what to do? I can disable some or all of the alarms – probably not a good idea. I can slow down in my pursuit of goals so there is time to put more conscious attention to the complex tasks of driving – no, I’m too busy for that. I can throw up my hands and let Elon take over the driving tasks for me – ahhh, Nirvana: now I can ignore my real world (the one that I’m driving in) and focus my attention on the virtual world of future goals and “getting things done”.

Once upon a time, in a simpler world, aspirin was a great pain reliever. It took a little bit of the load off of the sensory system so that the person could pay attention to finding out and fixing the actual source of the pain. As we have ramped up the pace and complexity of our world that tried and true aspirin is no longer enough. We don’t have time to stop and fix the source of the pain – we need to get things done. So much better to turn off the alarm. We’ll deal with the pain later. Sooo… through the wonders of modern medicine we have gotten better and better at numbing the pain and even completely turning it off.  How’s that working out for us?

In the United States over 90 people a day die from opioid overdose and over 125 a day die because they kill themselves. I know that it’s complex, but I contend that both are issues of not slowing down to attend to the pain signals that are letting us know that life is out of balance. Please consider the gift of pain. See it as a tap on the shoulder, telling you that it’s time to stop and reflect. Don’t ignore or cover it up.


Hammering Screws

My grandfather was a carpenter and a craftsman. He built entire homes. In his profession he learned and mastered the skill of using tools. As a kid I marveled at the number and variety of the tools he had in his workshop, and it amazed me to watch him go through his collection to find that just right tool for that one specific task. In modern society we seem to have lost that skill.

As our lives, jobs, social systems, and governments become increasingly more complex we seek simple solutions to the problems of life. That’s understandable, because who has time to stop and think through each of the issues we’re expected to deal with? There’s barely enough time to cook a meal or sit and reflect on the beauty of the day.

I remember, as a young doctor, learning that we (the medical community) were expected to see pain as a vital sign. What is the significance of that? Well, if it’s a vital sign then the right level of pain is a factor in the ability of a person to live. Too much pain might kill a person or shorten his life. Okay, that makes sense. But what does too little pain mean? That was never defined. Who hasn’t been asked by a doctor or nurse to rate their pain on a 0-10 scale? It is always implied that zero is the goal, and the medical professionals are taught to eliminate pain. But why should that be so? What about the other vital signs? We measure the body temperature because if it’s too high bad things happen – the same is true if the temperature is too low. Blood pressure is the same. What happens when the respiratory rate goes to zero? So why is it that pain is the only “vital sign” that we obsess about eliminating?

Once we conclude that all pain needs to be eliminated we need a powerful tool to accomplish that task – because pain is everywhere and comes from many different sources, and we don’t have time to stop and reflect to deal with the source. That tool also needs to work quickly. Well, we found the fast acting and powerful tool that is at the ready to do the job – opiate pain medications. And man do they work well – to the tune of eliminating pain in the over 18,000 people per year in the United States that die from overdose. In addition, we cannot even count the number of people whose lives have become dysfunctional wrecks because of the dependence on those substances – I hazard to guess that each of us is connected to one of those people.

Opiates are our hammers and we’re running around pounding screws with them. Screws need to be gently turned to become flush – to fix the break. Not every pain is meant to be quickly, violently eliminated. As a matter of fact, violence is at the heart of pain. I’ve witnessed the violence perpetrated by pain medication, when it is used as a hammer. We need a better tool box.

Free Hugs

A while back, one of my daughters went out to participate in a project put on by a theater group. The group gathered downtown with signs in hand and a simple, some would say silly, plan – they set up on the sidewalk near a park and where street traffic traveled through a 15 MPH zone. They were offering free hugs to all who passed by. She came home from the event bubbling over with enthusiasm. The stories she shared with our family about the response brought us smiles and were uplifting. Some passersby were suspicious, a few unresponsive, but many happily stopped to accept a hug from a stranger. People in cars honked in support and some even stopped their cars in the street to grab a quick hug. Most amazing to me, some of those hugs led to conversations and outpouring of emotion and gratitude – humans briefly connected in their disconnected world.

Another daughter of mine came home the other day with a story of a new patient she encountered, while doing clinical rotations in the ICU. He was recovering from a stroke. He was intubated. Lines and tubes were poking in and out of various places. He had been saved from death and was being sustained by a web of amazing, sophisticated medical technology. He was also awake and trying to communicate. My daughter and her instructor weren’t getting the message as he held out his arms and gestured. They got him something to write on. He slowly wrote out the message: I  Want  A  Hug. Such a simple and incongruous request. The multiple, highly trained medical professionals were there to apply their knowledge and use the best tools and drugs and technology to help him recover his life. All he wanted was a hug, a human connection.

Modern America is overflowing with pain. Let me count the ways I see that: more and more adults have more and more chronic disease, children everywhere are developing Autism-Asperger’s-ADHD (things almost non-existent in the near past memory of my lifetime), suicide and drug overdose deaths are reported as daily rather than annual statistics, we’ve finally managed to push the decline of marriage down to where fewer than 50% last the promised lifetime. Human biology has not changed so how to explain such horrifying trends? Time to pull out the old Nature vs. Nurture argument. I see a glaring lack of nurture.

I will keep applying the best tools of my medical profession – but, I will also look to give as many free hugs as I possibly can.

We are not parrots

I prefer not to make negative assertions, but for this topic I think the title is the right opening. There are times, when knowing what you are not, is important in the search for who you are. Pretending to be what we are not is part of the play that we do as humans. Our imaginations take us beyond where we are and who we are – and that is part of how we grow. We take flights of fancy, then return to reality. You build who you want to be off of the foundation of who you are. The foundation has to remain in place, though. You can’t leave your fundamental self behind.

Humans cannot fly yet we long to. I wanted to fly as a child. I would hold my hand out of the car window to make a wing. I would imagine my whole body being lifted as the air rushed past my hand. I recall dreams of jumping from the top of my grandparents’ redwood tree and actually experiencing flight. I would wake up exhilarated. Where did those fantasies take me? I went on to fly helicopters in the Army. I used imagination and fantasy to experience real flight. Well, I used the imagination of others who were inspired to extend the boundaries of human limits by building flying machines. If I had taken my fantasy of flight and focused on changing who I was, to be like the birds that I loved to watch soar, I never would have experienced the flight I desired. I could have glued feathers onto my arms, like Icarus, but I would never have flown.  With the wonders of modern technology and medicine I could have one-upped Icarus. I could have had those feathers surgically implanted into my arms, maybe extend them to be able to produce enough lift to overcome my weight. I take it back I can fly! I can be a bird! But I don’t want to be a bird, I just want to fly like one. At the end of the day I want to be able to take off my bird suit; step out of my helicopter; and experience the greater fullness of being human.

The search for balance is a driving force for me. I look to apply it to my life and encourage others on the pursuit. To achieve balance you have to have a fulcrum. With that anchor point in place you’re able to reach out and explore. Without it you have a teeter totter that becomes a board sitting flatly on the ground. No movement, no fun, no growth.

A teeter totter is a good representation of life. You push off from the ground and propel yourself dizzily into the air. Close your eyes and you can imagine launching into space. Thankfully, that balance point of the pivot safely holds you to ground. You experience the arc of pleasure then are brought back to the starting point. It’s interesting to consider –teeter totters don’t work if you are by yourself. It’s a shared experience. Without a person on the other side you weakly push off the ground then fall back. Hmm… when you are alone you only teeter. I see a lot of people around me teetering in today’s world.  I want to see them be able to totter as well. I want to see them find the balance point that comes with discovering that each of us has a foundation and it’s tied the people around us.

There’s a cautionary tale in a story that I read. A man in England wants to be a parrot. He is so desirous of the goal that he is in the process of surgically altering his head. He’s had his ears cut off and has tattooed his face and eyeballs in a parrot color scheme. In the future he will have his nose altered to appear more like a beak. When will he fall into the sun as the wax melts in his Icarus moment of facing reality? There are a horrifying number of similar stories once you start looking. A young woman felt that she was blind, even though she had normally functioning eyes. She was so committed to her conviction that she had her psychologist help to permanently destroy her eyes by pouring lye into them. Then there is the human Ken Doll. Almost $500,000 in plastic surgery has gone into helping him create the perfect façade and achieve the look of the plastic dolls that he emulates. All of these people are chasing fantasies: nothing wrong with that until the fantasy blurs reality. Then, Icarus rises.

We have a term for this phenomenon in medicine. Body Integrity Identity Disorder. It’s a good, clinical sounding label, and it’s from an older one that’s been around for over 100 years – Body Dysmorphic Disorder. I have an issue with those labels. The medical system uses them to neatly package up individuals. Now we can draw the line between us and them. Now we feel a little better about ourselves because they have a disorder and we’re okay. In the end, though, it’s all of us. They somehow got lost in the process of using fantasy as a step in problem solving. A process of disengaging from an unpleasant current reality in order to explore solutions to use in the real world. Don’t fool yourself into complacency, though. All of us are vulnerable. Most to a lesser degree, but we all tend to blur fantasies into the real world.

Every good superhero is vulnerable when he takes off his suit. Without vulnerability he’s a god – not a character that we humans are able to connect with. We need to see that vulnerable person on the inside. He teaches us to beware of deluding ourselves into thinking that we are the suits we wear. The crises that we watch him experience happen when he tries to wear his suit, use his super power in his personal life. In their fantasy lives the parrot man, blind girl, and ken doll see their alterations as enhancing the life experience. In the real world that is not so.

The real-world human is the anchor point to pivot off of. It has to remain as a solid foundation. Changing one’s body form may validate that fantasy state of mind but it limits the reach of the person in life. We need our fantasies. They help us to temporarily escape, sometimes for pleasure, sometimes for protection. Being vulnerable is scary but it is the price of admission for riding the teeter totter of life. Embrace your vulnerability. And remember to allow others to embrace that real you as well. That is how life is fulfilled.

The Anatomy (and physiology) of a Killer

Why do we fear cancer? I think, because we don’t understand it and it seems like something that will conquer us before we can stop it.

The longer that I practice medicine the more I see the community that I live in reflected in the individuals that I care for. Each person has cells that organize into organs. The organs work individually, but then also “team up” with each other in support of a goal or to counter-balance other body systems that have gone astray. Our communities have the same structure with individuals as the cells that organize into different systems all working together to help the family or school or company or city or nation function.

What happens when those internal systems aren’t able to take on the health challenge– that’s when the person comes to see someone like me. The doctor. The external judge, jury, and executioner. People like me are absolutely necessary. The challenge is to call on my services at the right time. The longer you wait, as the “disease” grows, the more likely the tools I use will cause harm in pursuit of a cure. Since I practice preventive medicine I want to let you know that most of the time you won’t need me if you let your body do what it naturally knows how to do – healing at an organic, intrinsic, and non-toxic level. Our communities need to operate the same way – heal organically so that we don’t need to call in the law enforcement doctor.

I woke up this morning still pondering the horror that manifested itself in Las Vegas. The early reflections by those who knew him tell us there were no warning signs to indicate that he wasn’t in synch with the rest of us as we lived in our community body. What went wrong? The questions and theories will swirl for months to come. Most will distract us from the meaningful truth that one of the cells in our body turned cancerous. Reaching that realization is the first step in the process of preventing such future events.

So what is cancer? Very simply, it is the manifestation of a single cell that lost communication with its neighbors. Once it stops talking to the cells around it, feedback from the other organ systems that influence how it plays its part in the concert of the body is lost. Then it finds itself having to survive in isolation: then it goes rogue.

In the medical model the “war on cancer” is primarily fought by looking for early warning signs of the good cells gone bad. The analogy in our society is the job that we have given to police and security forces, asking them to find the bad guys before they act (but after they have become bad). I see that things can be done better. In my profession I work to keep the cells from going bad in the first place (preventive medicine). Our communities need some preventive medicine to help our cells, the individuals we live with, from becoming isolated and concluding that they can only survive alone.

Most people don’t appreciate that cancer can be stopped and reversed at any stage. Prevention is always preferable, but treatment and cure should never be discounted. I say that as a reassurance to not give in to the messages of fear that currently inundate us from sources of authority and leadership and media (in regard to community as well as individual health).

Cancer in the body is prevented by not allowing the toxins to poison the cell in the first place, but we live in a toxin laden environment so prevention is not guaranteed. The next level of prevention is to ensure that a cell, effected by toxins, stays in contact with the rest of the body so that it can get feedback messages. All of those connections allow the cell gone bad to maintain a perspective on where it fits in to the community body, to have a path to recovery, and be able to coexist within the body. That is critical. When that single bad cell understands its history and relevance it will stay open to the neighbors around it. The repair mechanisms can still function. Once the cell is walled off it will make decisions about its own survival without regard to the consequences. That works for a while, but as the single bad cell recruits others to join in on its plan the tumor grows and ultimately fails in its own survival by destroying the body that it lives in.

Stephen Paddock was one of those bad cells. Maybe not the original cell exposed to the toxic influences, but still one that concluded individual survival was more important than coexistence. His walls were already built up and the only solution was the excision that we depend on our security forces to perform. But what if someone had kept him connected to his community? Maybe less radical treatment would have been effective instead of relying on the surgical teams to cut out the tumor.

Years ago our community immune system (the US Department of Justice) told us that “if you see something, say something”. The message was that we should rely on crisis response, call on the surgical team. That message needs to be revised. I suggest that if you see something– do something. Action at the local level is more effective and less toxic.

We need the mooring of connection to others as tribal, social, community beings. Without being able to reach out and touch others (physically, emotionally, spiritually) individuals get lost. Enough time lost in isolation and some take on cancerous thoughts and plans. Once on that path it doesn’t matter to that person whether the community is destroyed.

Being dedicated to health through prevention I see only one solution: I choose to connect with as many individuals in my community as I am able to. The people that I live with and around need my feedback (and I need theirs). We truly need interconnection for health. Just as the cells of a body group together to form the organs and structures that support the life of the body, we thrive the same way in our groups.

Have you reached out to the people around you? Who have you touched today? When you notice a neighbor who seems overwhelmed by the toxic environment we all swim in, what do you do? Small gestures can lead to significant outcomes. The alternative is the person next to you is ignored in a time of need and ends up morphing into a cancer. Fear and isolation kill more people than anything else. We can’t afford to let that happen.

October 11th 2017

Troy Ross, MD, MPH

Reno, NV


Safe and Effective?

It’s a marketing statement – safe and effective. Stop and think about it. What does that really mean? Is it a statement of absolute truth? Is it even marginally true? When medical professionals toss that statement out to their patients without context and objective information they’re violating patient trust and the obligation to provide informed consent. They are also exposing people to harm without offering a choice in whether to participate.

I’m writing this to my fellow medical professionals, asking you to take a few moments to peel away the layers of rhetoric, emotion, and paternalism. Let’s take an objective look at the issue of vaccinations. Regardless of the argumentative topics of herd immunity or the morbidity of disease, it is well accepted that we have an obligation to provide our patients with informed consent before we expose them to potential harm. It’s a term that is thrown around a lot. It rolls off the tongue easily enough – but do we put any meaning behind it?

The obligation to provide informed consent:

The preeminent medical society in our country, the AMA, lays this issue out clearly: Informed consent is a basic policy in both ethics and law that physicians must honor. So what does that look like? Well, the medical professional needs to “present the medical facts accurately to the patient or to the individual responsible for the patient’s care and to make recommendations for management in accordance with good medical practice”, and the patient should make his or her own determination about treatment. Now consider this: Federal Law requires vaccine providers to give specific vaccine information statements to patients for each vaccine administered prior to each dose. Of course, handing a parent a two page document with a bunch of complex terminology right before giving a shot is not an effective way to communicate important information – the right thing to do is to sit down with that person in a one-on-one setting and actually discuss the information.

So how good are we at giving patients the facts and discussing the risks versus benefits of vaccination? As a Public Health specialist, who has developed and run major vaccination programs for the Army I conclude – we are not doing very well, and we are not doing right by our patients.

 How safe are vaccines?

Vaccination against communicable disease is a priority for the Federal government. U.S. Code 42 § 300aa–1 states, “The Secretary shall establish in the Department of Health and Human Services a National Vaccine Program to achieve optimal prevention of human infectious diseases through immunization”. OK, seems like a reasonable statement – I don’t have a problem with that. But now look at the very next part of that opening statement, “and to achieve optimal prevention against adverse reactions to vaccines”. Pay close attention here. That federal law does not say that vaccines will be made to have no adverse reactions. Optimal prevention: an interesting and slippery term. By whose definition? Since this is public health law the priorities and goals are formed around groups, not individuals. Optimal outcomes for the group may well cause harm to individuals. Federal law has absolved vaccine manufacturers of all liability, because the vaccine manufacturers and lawmakers knew that individuals were being done unavoidable harm.No vaccine manufacturer shall be liable in a civil action for damages arising from a vaccine-related injury or death associated with the administration of a vaccine after October 1, 1988, if the injury or death resulted from side effects that were unavoidable”.

Part of formalizing the national vaccination strategy was a law passed in 1986. That law removed liability from both manufacturers and those who administer vaccines to patients. The law states, “There is established the National Vaccine Injury Compensation Program to be administered by the Secretary under which compensation may be paid for a vaccine-related injury or death.” Since 1988, over 15,000 claims for injury and death have been filed and 3981 were compensated.  Over $3 billion paid out in settlements.

So how safe are the vaccines that we administer? Health and Human Services is proud to tell us that in the time period for the statistics above 2,236,678,735 vaccines were administered. So less than 4000 proven cases of injury or death, that’s not too bad, huh? Well it’s only statistics until it happens to you. Do you tell your patients that they have a statute of limitations of 3 years to report injury and 2 years to report a death related to vaccination? Did you even know that? Likely not. If a vaccine injured person misses those filing deadlines with the Federal Vaccine Injury Court he has no recourse.

Then there is the HHS list of injuries (including death) that are legally presumed to be caused by vaccines. Oh, and how about the list of toxic ingredients in the vaccines? The most concerning to me are the DNA and diploid cells from human fetuses – no harm in introducing that kind of stuff into the blood stream right? (yeah I know that cannibals get kuru but they eat lots of human flesh – a few micrograms jabbed into a baby should be fine).

Then there’s the package insert that comes with each vaccine. How many have read it? Here’s the key part: “The health-care provider should inform the patient, parent, or guardian of the benefits and risks associated with vaccination”. So what are some of those things to inform our patients about? Here are some excerpts from the MMR package insert:

M-M-R II has not been evaluated for carcinogenic or mutagenic potential, or potential to impair fertility.

mumps vaccine virus has been shown to infect the placenta and fetus,

There are no adequate studies of the attenuated (vaccine) strain of measles virus in pregnancy. However, it would be prudent to assume that the vaccine strain of virus is also capable of inducing adverse fetal effects.

Safety and effectiveness of mumps and rubella vaccine in infants less than 12 months of age have not been established.

(but in another section we find)

Local health authorities may recommend measles vaccination of infants between 6 to 12 months of age in outbreak situations.


Body as a Whole

Panniculitis; atypical measles; fever; syncope; headache; dizziness; malaise; irritability.

Cardiovascular System


Digestive System

Pancreatitis; diarrhea; vomiting; parotitis; nausea.

Endocrine System

Diabetes mellitus.

Hemic and Lymphatic System

Thrombocytopenia (see WARNINGS, Thrombocytopenia); purpura; regional lymphadenopathy; leukocytosis.

Immune System

Anaphylaxis and anaphylactoid reactions have been reported as well as related phenomena such as angioneurotic edema (including peripheral or facial edema) and bronchial spasm in individuals with or without an allergic history.

Musculoskeletal System

Only rarely have vaccine recipients developed chronic joint symptoms.

Symptoms may persist for a matter of months or on rare occasions for years. In adolescent girls, the reactions appear to be intermediate in incidence between those seen in children and in adult women.

Nervous System

Encephalitis; encephalopathy; measles inclusion body encephalitis (MIBE) (see CONTRAINDICATIONS); subacute sclerosing panencephalitis (SSPE); Guillain-Barré Syndrome (GBS); acute disseminated encephalomyelitis (ADEM); transverse myelitis; febrile convulsions; afebrile convulsions or seizures; ataxia; polyneuritis; polyneuropathy; ocular palsies; paresthesia.

Experience from more than 80 million doses of all live measles vaccines given in the U.S. through 1975 indicates that significant central nervous system reactions such as encephalitis and encephalopathy, occurring within 30 days after vaccination, have been temporally associated with measles vaccine

the data suggest the possibility that some of these cases may have been caused by measles vaccines.

Post-marketing surveillance of the more than 200 million doses of M-M-R and M-M-R II that have been distributed worldwide over 25 years (1971 to 1996) indicates that serious adverse events such as encephalitis and encephalopathy continue to be rarely reported.{17}

the association of SSPE cases to measles vaccination is about one case per million vaccine doses distributed. Cases of aseptic meningitis have been reported to VAERS following measles, mumps, and rubella vaccination. Although a causal relationship between the Urabe strain of mumps vaccine and aseptic meningitis has been shown, there is no evidence to link Jeryl Lynn™ mumps vaccine to aseptic meningitis.

Respiratory System

Pneumonia; pneumonitis (see CONTRAINDICATIONS); sore throat; cough; rhinitis.


Stevens-Johnson syndrome; erythema multiforme; urticaria; rash; measles-like rash; pruritis.

Special Senses — Ear

Nerve deafness; otitis media.

Special Senses — Eye

Retinitis; optic neuritis; papillitis; retrobulbar neuritis; conjunctivitis.

Urogenital System

Epididymitis; orchitis.


Death from various, and in some cases unknown, causes has been reported rarely following vaccination with measles, mumps, and rubella vaccines; however, a causal relationship has not been established in healthy individuals (see CONTRAINDICATIONS

How about effectiveness?

The recent whooping cough epidemics in the U.S. have occurred in highly vaccinated populations. In the 2012 outbreak in Washington 758 of 1,000 (75.8%) patients aged 3 months–10 years were up to date with the Pertussis vaccine (that’s a vaccine effectiveness of 25%). In the 2014 epidemic in California 98% of ill teenagers had received at least one vaccine and 87% had received a booster (vaccine effectiveness of 23%). A study of pertussis in the Netherlands in 1996 revealed that “The increase in pertussis incidence was higher among vaccinated than among unvaccinated persons of all ages”. Not only that – viral shedding and disease transmission are shown to occur through vaccinated children.

Since 1979 the only cases of polio reported in the United States were caused by the vaccine strains of the virus. There are now new strains of polio virus around the world that have mutated and are resistant to antibodies produced from vaccination. While we may have altered the ecology of polio viruses in our environment, we have not gotten rid of them – they will always be around us and they will mutate.

How about flu? Well, we know that this season (2014-15) the flu vaccine is reported to be 18% effective (but get that shot anyway). In the 2013-14 season a Navy ship with a crew of 101 fully vaccinated members 25 became ill with a strain of flu that matched the vaccine strain. That’s an attack rate of 25% in a fully vaccinated population in a year that we were told the vaccine was highly effective. Attack rates in the 5-10% range are usually seen in the adult population. This is evidence of reduced immunity in populations that receive repeated flu vaccination.

Now for the Measles hype: how good is the vaccine at protecting children? Illinois outbreak 1984, 25 came down with measles – 21 were vaccinated. In an Iranian outbreak 20% of cases were vaccinated. In a Chinese outbreak 39% of cases were vaccinated. In another outbreak in the U.S. 29% of cases had documented vaccination. Then consider that otherwise healthy children can get sick and shed and transmit virus after being vaccinated. OK, so walk into that encounter with your patient and tell the parents about how the CDC guarantees them that the MMR series is 97% effective at protecting their child.

 So where do we go with all of this?

Medical practice is evolving. We make mistakes along the way, and we need to own up to them. The push to mandate vaccinations is one of those mistakes for several reasons.

  • Vaccines do not offer complete protection – to the individual or the group.
  • Manufacturers and those who administer vaccines are exempt from all liability – that is at odds with common law and common sense.
  • Medical professionals are ethically, legally, and morally obligated to provide informed consent – if a patient cannot decline to take a treatment then there is no informed consent and we violate our obligations and trust.

We have committed to uphold an ethical principle of providing informed consent. That requires telling patients the truth. Then having a discussion about risks, benefits, and options. Finally, that informed individual makes a choice, and we respect the decision.

Closing Thoughts

Vaccines are big business – over $40 billion dollars in revenue per year. On top of that hundreds of new vaccines are in the development pipeline. Put on your businessman hat and consider: in the United States there is only one way to sell a vaccine that is exempt from all product liability – get it put on the childhood vaccination schedule. So Mr. Businessman, how do you protect your product and bottom line? Ensure that every one of your new vaccines be considered for inclusion in the CDC childhood vaccination schedule.

Health is not the absence of disease. Childhood diseases can be both mitigated and prevented through means other than the imperfect science of vaccination. In the current framework of law and policy the individual is sacrificed for the sake of the group. That is not a position to be supported by those who take care of real, individual people. That is not what someone committed to promoting health does.

Troy Ross, MD, MPH

Reno, NV

March 30, 2015

If you’re curious to learn more about the “safety” of vaccines:

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