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Doctors "Fire" Vaccine Refusers

phantomfive writes "In a study of Connecticut pediatricians published last year, some 30% of 133 doctors said they had asked a family to leave their practice for vaccine refusal. Pediatricians are getting tired of families avoiding vaccines, which puts their children at higher risk of disease. From the article: 'Pediatricians fed up with parents who refuse to vaccinate their children out of concern it can cause autism or other problems increasingly are "firing" such families from their practices, raising questions about a doctor's responsibility to these patients. Medical associations don't recommend such patient bans, but the practice appears to be growing, according to vaccine researchers.'"

38 of 1,271 comments (clear)

  1. Seems reasonable.. by GreyLurk · · Score: 5, Insightful

    Don't like my medical advice? Fine, go somewhere else. Seems perfectly reasonable and rational. If I were these doctors, I wouldn't want to feel responsible for the health of a child whose parents were demonstrably not interested in keeping their child healthy.

    1. Re:Seems reasonable.. by fuzzyfuzzyfungus · · Score: 5, Insightful

      It arguably goes further than that: Depending on the nature of your practice, you might have patients who are dependent on herd immunity(immunocompromized, vaccine component allergy, etc, etc.) Would a doctor be responsible in keeping people who are voluntary infection risks around the rest of their patients?

      If it were merely a matter of not taking good advice, I'd be a trifle ambivalent, certainly legal; but seems a bit tasteless. However, the infection risk makes it more like firing a medical assistant who won't wash their hands: it isn't just their health they are risking...

    2. Re:Seems reasonable.. by x1r8a3k · · Score: 5, Insightful

      Generally I would agree, but it depends on where is the line drawn? I have never gotten a flu shot. Is that enough to turn me away?

      The other concerning part is only in TFA though about a child who had a preexisting condition that was exacerbated by vaccines, and was still refused by several doctors without even discussing the issue.

    3. Re:Seems reasonable.. by trewornan · · Score: 5, Funny

      One of the few benefits of having a cold is the pleasure of passing it on to cow-orkers, don't take that away from me.

    4. Re:Seems reasonable.. by MightyMartian · · Score: 5, Insightful

      I doubt the doctors in question would throw you out, if the allergy is legitimate. You are not the kind of people being referred to, it's the completely retarded anti-vaccers who are the target of this. It is they who are putting your child at risk. Have a complaint, take it up with the evil fucking monster Andrew Wakefield.

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    5. Re:Seems reasonable.. by jandrese · · Score: 5, Insightful

      If your doctor wasn't willing to make an exception for the child that is allergic to the vaccine, then you're better off with a new doctor anyway.

      --

      I read the internet for the articles.
    6. Re:Seems reasonable.. by kidgenius · · Score: 5, Insightful

      Your case is a little different. You have a valid, medical reason for not being able to have your son get all his vaccines. The autism-vaccine link has been shown to be non-existent. Thus, that is not a valid, medical reason for refusing vaccinations. A doctor should only be able to "fire" patients that don't have a medical reason.

    7. Re:Seems reasonable.. by Dahamma · · Score: 5, Informative

      No, of course not. Any doctor will tell you that flu shots are only moderately effective anyway, and of course have to be given every year based on guesses as to the season's strains. The slippery slope argument is the sort of FUD that is feeding the anti-vaccine kooks...

      These are pediatricians, so they are more worried about things like MMR, DTaP, meningiococcus, etc. Vaccines that don't just reduce the chance of a moderately annoying winter bug, but have unquestionably saved the lives of millions of children worldwide since their invention.

      And from TFA: "Her older child had gastrointestinal trouble and regressed development after receiving vaccines, she said, which she believes were related to the shots." This is the same "proof" by anecdote people wrongly use in the autism argument. Sure, one doctor signed a waiver, but same thing with painkiller addiction, it only takes one doctor willing to sign a prescription, they just have to look hard enough (or be a celebrity and no one will ask)...

    8. Re:Seems reasonable.. by viperidaenz · · Score: 5, Funny

      What exactly is Orking a Cow?

    9. Re:Seems reasonable.. by Anonymous Coward · · Score: 5, Informative

      I find it ironic that one of the groups that are dependent on herd immunity (Vaccine Component Allergy) is one of the ones that said doctor will kick out of his practice. My son is highly allergic to eggs, which is in many vaccines. We were informed by our doctor that if we did not allow him to inject our son with something that he is highly allergic to we would no longer be allowed to be a part of his practice.

      It isn't that we don't want our son to be immunized, it is just we would rather not give him something that results in violent reactions. Especially at the young age that he is.

      Our son is as well. The allergist gives him his shots under a controlled and measured process.

    10. Re:Seems reasonable.. by AngryDeuce · · Score: 5, Insightful

      Because there exist people that can't get vaccinated for various reasons, such as allergy or compromised immune system. Every person that buys into the anti-vaccine propaganda bullshit and doesn't have their children vaccinated weakens herd immunity. This means that the people with no other protection but herd immunity are being compromised by utter stupidity.

      Ask most people that could have their children vaccinated but chose not to: "Would you allow your child to travel to a place where there is no herd immunity without vaccinating them first?" I have (I have several extended family members who are anti-vaccination fools) and almost every time they respond "Hell, no!" A few even wear their hypocrisy like a badge of honor..."I refuse to put my children through any risk of complication whatsoever since I know everyone else will risk their own children and my child will be safe anyway." They fully realize how herd immunity works, and that it's a shared risk, but they totally don't give a shit and are perfectly happy being selfish little fuckwits.

      It's ridiculous how ignorant people are of history that we're going to end up having to suffer another major epidemic to squash this stupid anti-vaccination bullshit.

    11. Re:Seems reasonable.. by devilspgd · · Score: 5, Insightful

      The biggest joke of it all is this: Even of vaccines do cause the things people guess that they might, you're still better off getting vaccinated.

      With Autism rates up around the 5.5 in 1,000 range (that's under half a percentage), even if every single autism case is caused by vaccines, you're still better off getting vaccinated and taking a tiny chance of autism over order-of-magnitude greater odds of dying in an epidemic when once hits your area thanks to the loss of herd immunity that generally keeps us protected.

      This ignores the fact that autism rates for those who are vs are not vaccinated seem to work out to be the same, and that no study has actually managed to link vaccines with autism.

      --
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  2. Re:It is about time by scubamage · · Score: 5, Informative

    FYI not all hippies are against it. I'm an old hippy, and I think people who are refusing them are goddamned idiots.

  3. Good! by deweyhewson · · Score: 5, Interesting

    Doctors aren't always right (like anybody in any profession), but this isn't about the doctors themselves. It's about the science.

    And the scientific evidence has shown time and time again that there is no link between vaccinations and autism, and that the benefits of eradicating these types of diseases far outweigh the potential mild side effects of taking them.

    As such, I have no problem with the idea of doctors who practice said science turning away patients who want to be in denial about it.

  4. New Sign in the Doctors Office... by OhSoLaMeow · · Score: 5, Insightful

    No Shirt, No Shoes, No Vaccine: No Service. Go waste some other doctor's time. It's hard enough for doctors to make a living with Medicare cutbacks, insurance cuts, etc.

    --
    They can take my LifeAlert pendant when they pry it from my cold dead fingers.
    1. Re:New Sign in the Doctors Office... by Andy+Dodd · · Score: 5, Informative

      When talking about the wealth of doctors, you need to take into account FAR more than raw salary.

      1) Medical school typically results in a few hundred thousand dollars of debt incurred, ON TOP of whatever debt the doctor may have incurred during their undergraduate program
      2) Undergraduate debt does not begin to get paid off during medical school - instead, debt increases (see 1) )
      3) After graduating medical school, a doctor must atcomplete residency (I believe this is typically a MINIMUM of 3 years) before they can practice. The typical salary for a medical resident (based on looking at the info packets for one of the local family medicine residency programs in my area) is well below the salary for an entry level engineer straight out of undergraduate school. (e.g. an engineer makes a higher salary four years earlier - note the time value of money here.). This is despite the fact that the resident has four more years of school during which they were racking up debt
      4) Once the doctor finally finishes residency, they have to pay for malpractice insurance. This is a MAJOR cost driver for doctors.

      4) is a major kicker here - Permitting a patient who has refused vaccination to spend time in the waiting room endangers other patients who cannot be vaccinated for whatever reason (such as immunocompromised patients) - opening up the doors for malpractice suits from those patients.

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    2. Re:New Sign in the Doctors Office... by Arancaytar · · Score: 5, Informative

      Influenza kills half a million people per year. Since influenza mutates like crazy, it is also constantly developing new strains that require new vaccines, and occasionally strains that are particularly deadly (like the one in 1918, which killed up to a hundred million).

    3. Re:New Sign in the Doctors Office... by vilain · · Score: 5, Interesting

      PRIVATE PRACTICE, a tv show about a complementary medical practice in L.A. had an episode about a family of 'non-vaccinators' who returned from a trip overseas (India or Malaysia) with one of their kids very sick. The family sat in the waiting room for 5 minutes as the sick child eventually convulsed and died from measles. The pediatrician in the practice had delivered both of the kids and knew the mom didn't believe to vaccinations. The mom was in full-grief denial mode as only a sudden death can do. Meanwhile the staff is jump around canceling all the appointments for the next 48 hours and contacting all the patients that were in that day to make sure they and their kids were up-to-date for measles vaccine. The big issue of that show was that the mom didn't want to vaccinate the remaining child even though there was a very strong chance he would come down with Measles and it might kill him. Meanwhile these people are carriers and should have been quarantined. Why the LA Health department didn't swoop in and take over is beyond me, but I didn't write the show. The moral issue of the show was "when are the parent's beliefs about what's right for their child get overridden by what's medically advised. In the case of blood transfusion and 7th Day Adventists and other religious cults, the courts will intervene. In this case, the doctor risked their medical license by forcibly vaccinating the remaining child against the mom's wishes. If that case ever came to court, I wonder what a jury would do. The California AMA would probably award the doctor a medal for averting a cluster outbreak of measles. In any case, not having these kinds of patients in your medical practice makes life a lot easier. It's also why lots of doctors don't accept Medicare patients if they don't have to. Billing is a major headache.

  5. Re:Consider me fired. by Galactic+Dominator · · Score: 5, Funny

    You should have said "Goodbye, cruel world".

    --
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  6. Turnabout is fair play by JoeZeppy · · Score: 5, Interesting

    If pharmacists are allowed to refuse to dispense birth control based on their convictions, and churches can refuse to cover it due to their convictions, doctors should be allowed to refuse to treat idiots based on their convictions. Welcome to the free market, bitches.

  7. Re:That makes things worse. by WoollyMittens · · Score: 5, Insightful

    On the contrary, the doctor has avoided harm to his other patients. Every new born baby or person with a weakened immune system is at risk from the preventable infections his unvaccinated patients bring into his clinic.

  8. OK genius by backslashdot · · Score: 5, Interesting

    A person who thinks a vaccine causes autism is liable to start blaming their doctor for whatever other ailments crop up in their kids life. Which is only no big deal if you don't have a family yourself or reputation.

    Why would any doc want that?

  9. If they don't trust vaccines... by Galaga88 · · Score: 5, Insightful

    If somebody doesn't trust vaccines, why are they going to a doctor in the first place?

    The sound science behind vaccinations is by and large the same sound science that doctor is going to be using when he diagnoses you and prescribes a treatment. You can't reject one without rejecting the other.

  10. Re:serves 'em right by raburton · · Score: 5, Interesting

    > The problem is that vaccines rely on herd immunity.

    Yes, this is an important point that not much has been made of in the comments so far. There are people who cannot be vaccinated or in whom the vaccine will not produce the desired immunity. So long as these people don't come in to contact with the disease they'll be fine, but if you don't want to get your child immunised and send them to school with some poor kid with a crappy immune system or on chemo or something then you might end up killing them too.

    Are there schools that ban unvaccinated children from attending? I think that'd be a more effective way than kicking them out off the doctors list.

  11. Good for them by macwhizkid · · Score: 5, Insightful

    I think people today are generally spoiled by good customer service at large retailers like Amazon or Best Buy, where the business writes off 1-2% of asshole customers who consume most of the customer support resources as the cost of doing business.

    The problem is, that doesn't extend to small businesses, where one bad customer can quite literally eat up a majority of the proprietor's time and energy, and the business doesn't have the depth to just send the customer free stuff to make them happy. Had that happen with a scout troop I volunteer for a couple times, where one obnoxious parent consumed hundred of hours of volunteer time before they were told to leave.

    If I were a physician, I'd certainly trade one marginal (in the economic sense) customer for the freedom from losing sleep at night about whether their child is dying from one of any number of untreatable disastrous diseases. If my patients are going to argue with me about whether vaccines are, in fact, the greatest medical development for humanity in the past two centuries, how on earth am I supposed to be able to get them to consent to any other medical science?

  12. This years darwin award goes to... by CmdTako · · Score: 5, Informative

    anti-vax morons "Boys who did not receive the measles-mumps-rubella (MMR) vaccine during the mid 1990s are now collecting in large numbers in secondary schools and colleges and this provides a perfect breeding ground for the virus" http://www.sciencedaily.com/releases/2010/03/100330082722.htm

  13. Re:Always torn on these cases by UnknowingFool · · Score: 5, Insightful

    A doctor's responsibility is to all of their patients. Parents who are not vaccinating their children are not just risking their children. These children may be brought into close proximity to patients that cannot be vaccinated (very young) or whose immunity has worn off (the very old). As such it puts more than themselves at risk.

    --
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  14. People don't realize doctors can be sued for . . . by Tanman · · Score: 5, Informative

    . . . patient stupidity.

    If a doctor recommends a vaccine for a child, and the parents refuse the vaccine, then the child catches the flu and dies. Guess what? The doctor is open to litigation. It is a sad state of affairs, but the end result of that lawsuit is probably either settlement out-of-court or a judgment against the doctor. After all, why didn't the doctor educate the parents how they were wrong about autism risks? Why didn't the doctor show studies to the parents so they could have made a more educated decision? The fault will not be on the parents' heads -- at the very least the doctor will have to pay an attorney to defend from the inevitable lawsuit.

    Why should a doctor saddle up with 1) Patients that refuse care and 2) Legal risk. If I were a family physician and I had people putting themselves or dependents at risk against my medical advice (A.M.A.), I would "fire" them, too. In the end, we aren't talking about emergency care here. We are talking about medical maintenance, and they can find someone else.

  15. Re:Consider me fired. by hemo_jr · · Score: 5, Insightful

    If you are willing to let your children die, and possibly infect and kill other children, that are not yours, and are too young to get vaccinated, you are to be both pitied and feared.

  16. Re:Consider me fired. by oh_my_080980980 · · Score: 5, Informative

    Actually it's more dangerous when you are an adult then when you are young.

  17. Wrong! by Radtastic · · Score: 5, Informative

    "Adults have the greatest risk for dying from chickenpox, with infants having the next highest risk. Males (both boys and men) have a higher risk for a severe case of chickenpox than females. Children who catch chickenpox from family members are likely to have a more severe case than if they caught it outside the home. The older the child, the higher the risk for a more severe case...." http://health.nytimes.com/health/guides/disease/chickenpox/possible-complications.html

    --
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  18. Re:as well they by snowgirl · · Score: 5, Insightful

    Tin-foil comes in maroon? Can I get it in purple instead?

    On a side note, I agree that it's the doctors' right to see what patients they want (as long as the decision is not based on certain criteria like race/color/religion/gender/etc). Stupidity is not a protected group.

    No less, it's reasonable for a doctor to be able to refuse to treat a patient who continuously refuses treatment. At that point, the doctor is simply saying, well, if you don't want me to treat you, then I won't treat you.

    --
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  19. Re:those dangerous fools have statistics behind th by jklovanc · · Score: 5, Informative
  20. Re:Bad reason to get vaccinated by Rich0 · · Score: 5, Informative

    why should I take even the tiny risk of having a vaccination to protect some idiot who refuses to get vaccinated themselves?

    Simple - some people are unable to be vaccinated due to perfectly valid medical issues. They still benefit from herd immunity as long as the herd actually has it.

    One person might be highly allergic to eggs and might not be able to get some particular vaccine as a result. However, if everybody around them isn't allergic to eggs wouldn't it be nice if they were vaccinated, thus greatly reducing the chance that any of them will get sick?

    Some medical issues really do involve a tragedy of the commons. One is vaccination. Another big one is antibiotic use.

  21. Re:Always torn on these cases by slimjim8094 · · Score: 5, Insightful

    What the fuck? "they're causing many narcolepsy cases" - [citation needed] to the max. I don't even know of any mechanism by which a vaccine could have anything to do with narcolepsy.

    Then you go and revise history. It was a pandemic, even though not everybody got sick (pandemic has a specific definition that was met). And it was on par with the average flu in terms of mortality, but it was affecting the young and able-bodied disproportionately - a characteristic it shared with the 1918 flu epidemic, which was also an H1N1 strain. Young and able-bodied are both more resistant to infection in the first place, and more capable of spreading it, so there was absolutely cause for alarm.

    It was probably overhyped (mostly by the media) but it was not "many kids getting their lives ruined". From what I can find, one person died from an anaphylactic reaction, but that says more about the environment in which they were vaccinated because we know how to treat anaphylaxis. About 30 people had temporary problems possibly resulting from the vaccine, but they all recovered.

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  22. Re:US-Europe cultural difference ? by Suddenly_Dead · · Score: 5, Insightful

    Maybe it's the difference between the US and Europe, but here in Europe, not all doctors recommend all available vaccines. I wouldn't trust my doctor if he would recommend that I (or my children) get a vaccine against flue for example.

    If your doctor recommended a flu shot, he/she thinks you're in an at-risk group. Influenza is not a harmless infection, it kills 250,000 to 500,000 people in a typical (non-pandemic) year.

    Now, I've lived in the US for some time and I've been shocked by the amount of drugs people take everytime they feel somewhat bad. I think there is a middleground between the "listen to your body, it will cure cancer by itself" bullshit and the "omg, I have a headache, let's eat these 3 pills". Same for vaccine.

    A flu vaccine isn't like antibiotics or painkillers or anti-depressants or other drugs that may be harmful is needlessly prescribed. A vaccine introduces your immune system to a foreign element, which it then remembers so, if introduced to it again (in a live virus), it will be able to attack it more immediately. Getting a flu vaccine needlessly isn't going to weaken you or cause you to be more likely to be sick.

  23. Re:It is about time by gstoddart · · Score: 5, Informative

    It's not that simple. Research is showing a correlation to the large number of vaccines as a child and autism. We don't know for sure.

    Horseshit.

    The doctor who made that claim has been shown as being fraudulent.

    There is simply no reputable evidence to believe this. But it's still propagated by people who refuse to accept that the evidence was fabricated -- but now that people believe it, you can't get rid of it.

    --
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  24. Re:Consider me fired. by iamhassi · · Score: 5, Informative

    Chicken pox tends to be more severe the younger you get it.

    Screw Chicken Pox, I'm worried about whooping cough, which is on the rise in the US since 2004, no doubt due to people refusing vaccines. Ten California infants died in 2010 from whooping cough even though we've had a vaccine for whooping cough since the 1920s.

    The man that started the whole "vaccines kill", Dr. Andrew Wakefield, lost his medical license when it was discovered Wakefield was paid by lawyers who wanted to sue vaccine manufactures to publish a fake report claiming vaccines kill children.

    Parents refusing vaccines are misinformed. Doctors are asking parents to do something to save their children's lives and protect their other patients and the parents refuse. I'd tell them not to come back too.

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