2 ms·

The exceptions are exceptions. The general rule for recommendation is age/immunocompromised people. Post-hoc rationalization bogs me to no end. If you feel goo

The exceptions are exceptions. The general rule for recommendation is age/immunocompromised people. Post-hoc rationalization bogs me to no end. If you feel good about taking it, fine. But why keeping this idea that anyone who declined it is automatically a brainless moron?

Retric 2y ago
If you don’t want to be called out for saying things that are wrong, either learn something or keep quiet. Complaining about it just makes you look worse.
- rglullis 2y ago
  Are you saying I'm wrong solely because I used hyperbole? Because it takes a fantastic level of pedantry to take my original comment literally. > learn something or keep quiet What I learned, by talking with multiple doctors, is that I shouldn't worry about getting the vaccine until I am in my sixties.
  - Retric 2y ago
    > What I learned, by talking with multiple doctors, is that I shouldn't worry about getting the vaccine until I am in my sixties. Which is the root of your mistake. ~97% of Doctors get the flue vaccine, more than just about any other group. What’s relevant medical advice for you isn’t always generalizable. You may be the unusual exception.
    - rglullis 2y ago
      Apples and Oranges? Doctors deal with sick people. Yes, perfectly rational to take one action while not blindly recommending it to the public at large. I don't know what you are trying to argue with this statistic, but it surely does not invalidate my original point.
      - Retric 2y ago
        > not blindly recommending it to the public at large What about a 1 on 1 consultation with a doctor makes you think the advice they give you is a blind recommendation? The general advice knowing nothing about you is to get the flue shot. A doctor looking at you can tell if your BMI is over 40, but a poster/website etc can’t. Thus the default is to recommend everyone get a flue shot while a Doctor may say you specifically have little need.
        rglullis 2y ago
        > The general advice knowing nothing about you is to get the flue shot. A doctor looking at you can tell if your BMI is over 40... The general advice should be for people that are otherwise healthy, or be very specific about the risk factors being considered for the average case. Someone with a a BMI of 40 should be worrying over a whole lot of other things beyond the flu, and conversely it makes no sense to advise overall healthy people to be taking any type of drugs just because the risk is not that high. Granted, this calculus changes with infectious diseases with high fatality rates. This is why it's absolutely sensible to recommend everyone to be vaccinated for measles (1-2% IFR) and polio (5% IFR for kids, 20+% IFR for teenagers), but questionable to apply the same logic to something like influenza which is 100 to 1000 less fatal (0.01% IFR) and when fatality rate is highly concentrated (75%) on 65+ people.
        Retric 2y ago
        > The general advice should be for people that are otherwise healthy Not from a public health standpoint unless healthy people would actually be harmed. 1/3 of adult Americans are obese. It varies by country, but add in various other health issues and risk factors like smoking or being around lots of other people at work and most people have some risk factors elevating their benefit from minimal to meaningful. So as everyone benefits at least a little and some people get a very significant benefit the general recommendation is for everyone over 6 to get a flue shot.
        rglullis 2y ago

Retric 2y ago

If you don’t want to be called out for saying things that are wrong, either learn something or keep quiet. Complaining about it just makes you look worse.

rglullis 2y ago
Are you saying I'm wrong solely because I used hyperbole? Because it takes a fantastic level of pedantry to take my original comment literally. > learn something or keep quiet What I learned, by talking with multiple doctors, is that I shouldn't worry about getting the vaccine until I am in my sixties.
- Retric 2y ago
  > What I learned, by talking with multiple doctors, is that I shouldn't worry about getting the vaccine until I am in my sixties. Which is the root of your mistake. ~97% of Doctors get the flue vaccine, more than just about any other group. What’s relevant medical advice for you isn’t always generalizable. You may be the unusual exception.
  - rglullis 2y ago
    Apples and Oranges? Doctors deal with sick people. Yes, perfectly rational to take one action while not blindly recommending it to the public at large. I don't know what you are trying to argue with this statistic, but it surely does not invalidate my original point.
    - Retric 2y ago
      > not blindly recommending it to the public at large What about a 1 on 1 consultation with a doctor makes you think the advice they give you is a blind recommendation? The general advice knowing nothing about you is to get the flue shot. A doctor looking at you can tell if your BMI is over 40, but a poster/website etc can’t. Thus the default is to recommend everyone get a flue shot while a Doctor may say you specifically have little need.
      - rglullis 2y ago
        > The general advice knowing nothing about you is to get the flue shot. A doctor looking at you can tell if your BMI is over 40... The general advice should be for people that are otherwise healthy, or be very specific about the risk factors being considered for the average case. Someone with a a BMI of 40 should be worrying over a whole lot of other things beyond the flu, and conversely it makes no sense to advise overall healthy people to be taking any type of drugs just because the risk is not that high. Granted, this calculus changes with infectious diseases with high fatality rates. This is why it's absolutely sensible to recommend everyone to be vaccinated for measles (1-2% IFR) and polio (5% IFR for kids, 20+% IFR for teenagers), but questionable to apply the same logic to something like influenza which is 100 to 1000 less fatal (0.01% IFR) and when fatality rate is highly concentrated (75%) on 65+ people.
        Retric 2y ago
        > The general advice should be for people that are otherwise healthy Not from a public health standpoint unless healthy people would actually be harmed. 1/3 of adult Americans are obese. It varies by country, but add in various other health issues and risk factors like smoking or being around lots of other people at work and most people have some risk factors elevating their benefit from minimal to meaningful. So as everyone benefits at least a little and some people get a very significant benefit the general recommendation is for everyone over 6 to get a flue shot.
        rglullis 2y ago