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Washington smokers now get vaccine priority. Our gut doesn’t approve; our head does
THE NEWS TRIBUNE ^ | APRIL 08, 2021

Posted on 04/11/2021 4:28:16 PM PDT by nickcarraway

More WA residents to be eligible for vaccines March 31, eviction moratorium extended

Washington residents in tiers 3 and 4 of phase 1b of the state’s COVID-19 vaccine plan will be eligible March 31. Also, the statewide moratorium on evictions extended. BY TVW

As of last week, thousands of smokers of all ages, whether current or former, are automatically eligible for COVID-19 vaccinations in our state.

No proof of purchase or breath test required. No evidence that you’ve puffed at least 100 cigarettes in your lifetime, the US Centers for Disease Control’s rather random threshold for whether someone is or was a smoker.

“We trust people in Washington to assess their eligibility honestly” when signing up for a vaccine as smokers, a Washington Department of Health spokesperson told us. Just like they’re now trusting the honor system for hundreds of thousands of other Washingtonians. DOH shut down its online phase finder tool last week as the three approved vaccines become more and more widely available.

Vaccinating smokers not only aligns with federal COVID-19 guidelines, it’s also the general consensus among respiratory specialists. We recognize that it’s a way to bolster the healthcare safety net. By reducing preventable virus hospitalizations, more beds are available for everyone from car accident survivors to cancer patients.

But we do have to plug our nose to accept it. These are the kinds of politically fraught, ethically messy criteria that a once-in-a-century pandemic has forced our country to reckon with.

It’s not unreasonable to ask: Why should someone who won’t kick a self-destructive habit have an edge over someone who makes good lifestyle decisions? Why should a 21-year-old who smokes be invited to roll up his sleeve before a 55-year-old who doesn’t?

We’ll be glad to see such questions fade into the background once all adults officially become eligible for vaccination this month.

“I completely get the gut feeling that it seems unfair,” Dr. Mark Wurfel, a University of Washington professor and a pulmonologist at Seattle’s Harborview Medical Center, said this week when we asked him about smoker eligibility.

Trying to predict who will be hit hardest by COVID-19 is a numbers game, Wurfel acknowledged, with some of the highest odds among people with metastatic cancer or severe kidney disease. But from his experience, there’s also serious risk among smokers with lung disease. Many have additional morbidities such as obesity and diabetes — a “classic COVID case” that he provides care for.

A study published in January by JAMA Internal Medicine backs him up; it found that 125 percent of heavy smokers were more likely to be admitted to the hospital with COVID than nonsmokers, and 89 percent more likely to die.

“What public health officials are trying to do is prevent a surge into the hospital system that will affect everybody,” Wurfel said.

Even so, smoking is arguably the most controversial vaccine qualification because it revolves around a bad choice. In most other cases, priority is based on non-discretionary factors like age or a specific medical diagnosis. Or on positive contributions to society, like serving as a frontline worker.

There also are eligibility questions that the guidelines don’t answer with any great degree of satisfaction.

What about marijuana smokers or those with a vaping habit? And what of the thousands who’ve been subjected to secondhand smoke in their lifetimes, the cause of an estimated 50,000 lung cancer and heart disease deaths among American nonsmokers every year?

One wise provision that our state included is requiring smokers to have at least one underlying medical condition. This contrasts with states like Mississippi and New Jersey that made vaccines available to all smokers way back in January, ahead of thousands of nonsmoking essential workers, including teachers.

Another factor worth considering in this imperfect calculus: Smokers might not have as much choice as nonsmokers assume. “Tobacco dependence is kind of like alcohol dependence,” Wurfel said. “Yes, there is a volitional component, but there is a very strong dependence that is like a disease.”

All things considered, granting vaccine priority to smokers makes a fair amount of sense at the brain and chest level, if not the gut level.

Thank goodness a day is coming when the vaccination playing field is leveled and supply surpasses demand.


TOPICS: Health/Medicine; Local News; Science
KEYWORDS: bigpharma; bigtobacco; covid19; mediawingofthednc; partisanmediashill; partisanmediashills; smokers; tobacco; vaccine; washington

1 posted on 04/11/2021 4:28:16 PM PDT by nickcarraway
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To: nickcarraway

Smokers eligible in MA over a month ago.

.


2 posted on 04/11/2021 4:30:25 PM PDT by Mears (.)
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To: Mears

Do they have go ahead of others?


3 posted on 04/11/2021 4:36:07 PM PDT by nickcarraway
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To: Mears

Massachusetts always gets things right. /


4 posted on 04/11/2021 4:36:23 PM PDT by Does so (The Media is the enemy of the people...Trial lawyers close behind...)
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To: nickcarraway

I seldom smoke, but I often grill

Does that count? Btw, you can have my dose. I refuse to take experimental drugs and peer pressure didn’t work before, it won’t work now either


5 posted on 04/11/2021 4:41:21 PM PDT by Hodar (A man can fail many times, but he isn't a failure until he begins to blame somebody else.- Burroughs)
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To: Does so

From the article: “messy criteria that a once-in-a-century pandemic” ...
I stopped reading it....once in a century FLU , 99.5 percent survivable. Wake me up when we see another Spanish flu whose kill rate was 3-4 percent of those infected, not Covid’s 0.02 Percent!


6 posted on 04/11/2021 4:44:26 PM PDT by delta7
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To: Hodar

I just wear 9 masks now...


7 posted on 04/11/2021 4:46:54 PM PDT by EEGator
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To: nickcarraway

Big deal - you don’t have to be a smoker or even a RESIDENT in my state to get the mystery shot.


8 posted on 04/11/2021 4:48:20 PM PDT by NWFree (Socialism is legalized plunder)
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To: nickcarraway

Washington really has a thing about tobacco smokers

but they legalize smokeable drugs of all sorts


9 posted on 04/11/2021 5:05:04 PM PDT by blueplum ("...this moment is your moment: it belongs to you... " President Donald J. Trump, Jan 20, 2017) )
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To: NWFree

What do you have to be?


10 posted on 04/11/2021 5:07:08 PM PDT by nickcarraway
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To: All

Smoke fags, save lives
Spiked! ^ | 23 April 20 | Christopher Snowdon

Posted on 4/26/2020, 2:31:32 PM by Bruiser 10

http://www.freerepublic.com/focus/f-chat/3839133/posts

This is far from being a crackpot theory. Changeux has explained his hypothesis at length here. In simple terms, he says that nicotinic acetylcholine receptors play a key role in the development of the disease and that nicotine can put a brake on it. If he is right – and the banter heuristic says he is – it would not only save thousands of lives but would also be one in the eye for the ‘public health’ groups who have been claiming that smoking and vaping are risk factors for Covid-19.


11 posted on 04/11/2021 5:20:24 PM PDT by mosesdapoet (AKA Lee J Keslin posting in the hopes comments get passed around )
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To: nickcarraway
“We trust people in Washington to assess their eligibility honestly” when signing up for a vaccine as smokers, a Washington Department of Health spokesperson told us.

What idiots.

12 posted on 04/11/2021 5:31:19 PM PDT by metmom (...fixing our eyes on Jesus, the Author and Perfecter of our faith.)
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To: nickcarraway

“But we do have to plug our nose to accept it. These are the kinds of politically fraught, ethically messy criteria that a once-in-a-century pandemic has forced our country to reckon with.

It’s not unreasonable to ask: Why should someone who won’t kick a self-destructive habit have an edge over someone who makes good lifestyle decisions? Why should a 21-year-old who smokes be invited to roll up his sleeve before a 55-year-old who doesn’t?!”


13 posted on 04/11/2021 7:32:57 PM PDT by Grampa Dave (Starstruck tagline:(I'm so old, I don't know whether I'm senile or brilliant. Or happily both!))
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To: nickcarraway

Do they have go ahead of others?

In California and many of the other big blue states, smokers, non citizens and those who have abused their bodies with bad habits are going ahead of those who haven’t.


14 posted on 04/11/2021 7:42:01 PM PDT by Grampa Dave (Starstruck tagline:(I'm so old, I don't know whether I'm senile or brilliant. Or happily both!))
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To: EEGator
I just wear 9 masks now...

When smoking???

15 posted on 04/11/2021 9:01:06 PM PDT by doorgunner69 ("Those who vote decide nothing. Those who count the vote decide everything.." -Joseph Stalin)
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To: nickcarraway

So why aren’t fatties barred from getting the shots?

Drinkers?

420-ers?

And let’s not forget about the group everyone ignores: Homeless drug addicts...the group with a death rate only higher than young children from this virus.

Gee: I thought this was about ‘stopping the spread’, not winners & losers.

/s


16 posted on 04/11/2021 9:41:39 PM PDT by logi_cal869 (-cynicus the "concern troll" a/o 10/03/2018 /!i!! &@$%&*(@ -)
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To: doorgunner69

I moved on from smoking to booting black tar heroin.
I don’t want to take a chance with the dangers of Rona...


17 posted on 04/11/2021 11:18:29 PM PDT by EEGator
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To: nickcarraway

Yes........went ahead of people who were not age eligible yet.....utter madness because many just lied and said they smoked.

.


18 posted on 04/12/2021 10:12:49 AM PDT by Mears (.)
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