More Vaccinations, Less Pushback: America's Vaccine Mandates Are Working, Says Public Health Professor

Last month U.S. President Biden issued "a mandate that all companies with more than 100 workers require vaccination or weekly testing," remembers the New York Times, and "also moved to mandate shots for health care workers, federal contractors and a vast majority of federal workers, who could face disciplinary measures if they refuse." So what happened next? Until now, the biggest unknown about mandating COVID-19 vaccines in workplaces has been whether such requirements would lead to compliance or to significant departures by workers unwilling to get shots — at a time when many places were already facing staffing shortages. So far, a number of early mandates show few indications of large-scale resistance. "Mandates are working," said John Swartzberg, a physician and professor at the School of Public Health at the University of California, Berkeley. "If you define 'working' by the percentage of people getting vaccinated and not leaving their jobs in droves." Unlike other incentives — "prizes, perks, doughnuts, beer, we've seen just about everything offered to get people vaccinated" — mandates are among the few levers that historically have been effective in increasing compliance, said Swartzberg, who has tracked national efforts to increase rates of inoculation... [T]he pushback has been less dramatic than initially feared. At Houston Methodist Hospital, which mandated vaccines this summer for 25,000 employees, for example, only about 0.6% of employees quit or were fired. Dorit Reiss, a professor at the University of California Hastings College of the Law in San Francisco who is tracking employer mandates, said that, despite their propensity for backlash and litigation, mandates generally increase vaccine compliance because the knowledge that an order is coming has often been enough to prompt workers to seek inoculation before courts even can weigh in. Mandates are becoming more commonplace as several other states have imposed requirements for workers. In New York, Rhode Island, Maine, Oregon and the District of Columbia, health care workers must get vaccinated to remain employed. The Times's article (original URL here) provides statistics from specific examples: "When Tyson Foods announced Aug. 3 that it would require coronavirus vaccines for all 120,000 of its U.S. employees, less than half of its workforce was inoculated. Nearly two months later, 91% of the company's U.S. workforce is fully vaccinated, said Dr. Claudia Coplein, Tyson's chief medical officer." "In New York, where some 650,000 employees at hospitals and nursing homes were to have received at least one vaccine dose by the start of this week, 92% were in compliance, state officials said. That was up significantly from a week ago, when 82% of the state's nursing home workers and at least 84% of its hospital workers had received at least one dose." "As California's requirement that all health care workers be vaccinated against the coronavirus took effect Thursday, major health systems reported that the mandate had helped boost their vaccination rates to 90% or higher."

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