Should We Pay People To Get Vaccinated?

Would you allow someone into your house who hasn't been double-vaccinated? I'm starting to ask people who want to come over. I don't want to be around people who haven't gotten their two shots. I've gotten mine and it's free and easy to do and I don't think I want to be around anyone who hasn't done the same. A couple of days ago, though, the Jewish Telegraphic Agency reported the polar opposite-- specifically a camp for Orthodox Jewish boys that won't accept any employees or campers who have been vaccinated. There are segments of the Haredi community as clueless as the evangelical community-- Trump-supporting primitives endangering the rest of society.

On Friday, Shira Hanau wrote that while some people are excited about safely going without masks this summer because vaccines are being deemed safe for children, "one Jewish camp being planned for the summer is taking a different approach: barring any vaccinated camper or staff from attending at all. Advertisements for Camp Hikon, planned for upstate New York, appeared on email listservs popular in the Orthodox Jewish community just days after a private school in Miami made news for discouraging teachers from getting the vaccine and telling children they were not to have contact with vaccinated people. The camp’s announcement also comes as posters encouraging people not to get the COVID-19 vaccines appeared in Midwood, Brooklyn, the Orthodox neighborhood where one member of the founding team runs a natural foods store."

The developments suggest that anti-vaccination sentiment and COVID misinformation are taking new forms in Jewish communities where skepticism and non-compliance with public health regulations has been relatively high.

Camp Hikon is aiming to prepare yeshiva boys for what it calls the “political, environmental and economic” changes to come. Despite its stated interest in preparing campers for “natural disasters,” it will not allow any vaccinated campers or staff to attend.

Naftali Schwartz, the Brooklyn-based self-described “health coach” with no formal training in medicine or public health who is launching the camp, said the rule is unlikely to keep anybody away.

“Because of the kinds of demographic that I’m drawing from, most people who are coming will not have taken the vaccine,” Schwartz told the Jewish Telegraphic Agency.

Drawing on a debunked theory spread by the anti-vaccination movement, the camp’s website cites the “experimental nature” of the COVID-19 vaccines. According to the false theory, living in close quarters with vaccinated people could “enhance” the spread of the coronavirus. The website refers readers to a site called NutriTruth, which claims vaccines are a “biological weapon,” and to a livestreamed discussion between several notable anti-vaxxers.

“We regret that we will be unable to accept campers or counselors who have already received any of these injections,” according to the website.

Schwartz said he made the rule because of “suspicious symptoms that occur to unvaccinated people who have spent a lot of time in the company of vaccinated people.”

“It’s also been reported to me from parents of my to-be campers that this is a real thing and it’s worrisome,” Schwartz said.

The idea that unvaccinated people can be harmed by spending time with people who have received the COVID vaccines is not true. Vaccinated people cannot shed particles from the vaccine that would affect someone in their vicinity.

Other debunked theories were listed on posters that appeared this week in Midwood, a heavily Orthodox neighborhood in Brooklyn. The posters, which were unsigned, discouraged Orthodox Jews from being vaccinated due to potential risks to fertility (another debunked theory), among other reasons.

“Many, many Rabbonim who have thoroughly researched the COVID vaccine are urgently saying NOT to take it,” one flyer read, using the Yiddish word for rabbis.

The flyer included a link to an online pamphlet with the names of rabbis who have allegedly come out against the coronavirus vaccines. It also promoted medications for the treatment of COVID such as hydroxychloroquine that studies have shown to be ineffective. The medication had been promoted by Dr. Vladimir Zelenko, an Orthodox physician who, until last summer, worked in the Hasidic enclave of Kiryas Joel and whose treatment protocol was promoted by Donald Trump when he was president.

The online pamphlet claimed that people did not die because of the coronavirus. “They died either from lack of proper treatment of corona, or from other neglect or improper treatment at the hospital,” the pamphlet said.

Anti-vaccine sentiment is persistent in pockets of the Orthodox Jewish community, which suffered from an outbreak of measles in 2019 after a child who had traveled to Israel spread the disease among other unvaccinated children in Brooklyn and upstate New York. The outbreak was brought under control after New York City’s health department imposed fines on parents who refused to vaccinate their children and threatened to close yeshivas that allowed unvaccinated children to attend. New York State ended nonmedical exemptions to vaccination requirements in schools, leading to an increase in vaccinations.

According to COVID vaccination data from the New York City Department of Health, only 18% of residents in Borough Park are fully vaccinated with 28% partially vaccinated. In Midwood, only 22% of residents are fully vaccinated and 30% partially vaccinated. By comparison, among residents of the Upper West Side’s 10024 zip code, one of the more highly vaccinated areas of the city, 54% of residents are fully vaccinated and 65% are partially vaccinated.

Whether Camp Hikon actually gets off the ground remains to be seen. So far, no children are signed up and Schwartz has yet to obtain a permit to operate the camp.

But he has a clear vision of what will happen there. Masks will not be encouraged at the camp; as to how the camp would fight the spread of COVID-19, campers would be treated “with an abundance of vitamin D and other prophylaxis,” according to the website.

The camp appears to combine survivalist training with Torah study. The primary goal of the camp, Schwartz said, is to prepare campers for a future in which political instability, economic instability and unusual weather events could create supply chain issues that would interfere with everyday life. Campers will build their own shelters, according to the website, and the camp plans to provide special footwear intended for survival settings.

“We’re catering to a demographic of families that are awake, who understand that the years in the future will not be similar to years in the past,” Schwartz said.

Some governors-- at least three, as far as I know: Jim Justice (R-WV), Larry Hogan (R-MD) and Phil Murphy (D-NJ)-- have started paying people-- whether with cash or beers-- to get vaccinated. And polling indicates that isn't a bad idea. Lynn Vavreck reported on that polling last week for the NY Times. She wrote that "Roughly a third of the unvaccinated population said a cash payment would make them more likely to get a shot. This suggests that some governors may be on the right track; West Virginia’s governor, Jim Justice, for example, recently announced the state would give young people $100 bonds if they got an inoculation. Similarly large increases in willingness to take vaccines emerged for those who were asked about getting a vaccine if doing so meant they wouldn’t need to wear a mask or social-distance in public, compared with a group that was told it would still have to do those things.

These results show both the difficulty of getting the remaining unvaccinated people to clinics and the promise of efforts aimed at doing so. While most messaging effects were small, monetary payments seem to motivate Democrats, and relaxing cautionary guidelines seems to work for Republicans. (The C.D.C. recently relaxed guidelines on mask wearing outdoors for vaccinated people.)

The movement toward vaccinations among the hesitant may pick up as time passes, and as people observe the consequences of vaccination among those who were first inoculated. When we asked unvaccinated people why they hadn’t tried to get a shot, 38 percent said they were worried about the side effects, and 34 percent said they didn’t think the vaccine was safe. Efforts at persuasion that demonstrate the briefness of side effects, or absence of them, and the safety of inoculation may allay these fears. Still, a quarter of the unvaccinated say they just don’t trust the government’s motives, and 14 percent say Covid-19 is not a threat to them. These people will be harder to convince.

Data from the project shows how eager Americans are to return to normal activities. Among people who work outside their home, 76 percent of the survey’s respondents said they wanted to go back to doing their job the way they were doing it before the pandemic, and 66 percent said they thought it was safe to do so as of April. These numbers are similar regardless of vaccination status.

The April survey also asked people what kinds of social activities they had done in the last two weeks. Roughly 30 percent reported eating at a restaurant; 17 percent reported attending an in-person religious gathering; and 11 percent met up with a group of more than 10 nonfamily members. Nearly all took place indoors.

The rates of vaccination among people doing these activities largely reflect the rates in the population, which means not everyone who is out and about has gotten the vaccine.

Among those dining out, 32 percent reported being fully vaccinated (53 percent reported not being vaccinated at all). The balance among people attending in-person religious gatherings was about equal-- 41 percent said they were fully vaccinated and 41 percent reported not being vaccinated at all.

Most of the people at social functions with more than 10 nonfamily members were not fully vaccinated, though the share of vaccinated people was higher for indoor gatherings (40 percent) compared with outdoor functions (27 percent).

People are venturing out into social spaces, but around them, unvaccinated people still outnumber the inoculated in many places-- and rates of vaccination are slowing. Reversing this trend will take more than impassioned pleas from politicians, friends or medical professionals. Delivering real rewards beyond the vaccine’s health benefits may be required.