Wednesday, August 26, 2020

On Mandates and Public Health

Yesterday the Provo City Council passed an ordinance requiring masks in certain public settings. Tomorrow the Provo City Mayor is expected to veto the ordinance and the Council plans to convene to consider overriding the veto.

If you have any questions about what is or isn't in the "mask mandate", please read this FAQ, published by the Council Office.

Here are four thoughts for the occasion.

i. Time to Walk the Talk

I hear many in our community talk about respecting differences of opinion. It is easy to say that we can disagree with civility and respect. It is harder to actually do so in the midst of heated community debate. Now is the time for us to hold ourselves to the high ideal. We have heard from thousands of you, each with strong opinions on the best course of action for the city. Some feel strongly that any law requiring masks in public is an unconstitutional overreach and an attack on our freedoms. Others feel just as strongly such a mandate is squarely in the Council's role "to provide for the safety and preserve the health...of the city and its inhabitants" and that inaction will lead to needless death. Councilors have pretty thick skin; we can take the criticism. It pains me, though, when I see stewing animosity in the community. I ask everyone to try to be more understanding and give people the benefit of the doubt. People have different perspectives and may come to different conclusions than you. That doesn't necessarily mean that they are evil or bad people. The middle of a debate may be the hardest time to love one another, but it is also when it is needed the most.


ii. For Schools, For the Economy, For Fun

The City has joined with the State and many trusted institutions like Intermountain Healthcare to encourage the public to be vigilant in following the health guidelines to protect ourselves and others during the pandemic.

Much has been said about how following these guidelines give us the best chance to keep our schools and our economy open. It struck me yesterday, during all the talk of gatherings, parties, picnics, and recreating, that these guidelines can also help keep us safe while socializing and give us the best chance to keep these opportunities to socialize. Enjoy the party, but please do so responsibly.


iii. Mask Mandates are like Speed Limits

Many have argued that wearing masks should be an individual decision and that the government should trust people to do what is right. Wouldn't it be wonderful if everyone in the community just chose to follow the guidelines given by our federal and state public health officials? Wouldn't it also be wonderful if everyone in the community drove at a safe speed on our roads for their own safety and the safety of those around them? As nice as that would be, we still have speed limits that communicate to drivers the community expectation for speed and provide penalties if they are caught exceeding the lawful limit. Likewise, a mask mandate communicates to people entering our public spaces what the community expectations are for masking and social distancing and provides penalties if they are caught ignoring the law. 

Another complaint that I have heard is that mask mandates take away freedom. And it does in a sense; in the same sense that speed limits take away freedom. People can still choose to follow the mandate just as they can choose whether or not to follow the speed limit. Also, people can choose to not drive on public roads. Likewise, people can choose to not go to public spaces. I understand that this would be difficult (but not impossible). Our public spaces provide so many conveniences and opportunities for us that it would be hard not to use them. But that is exactly why it is so important to set reasonable expectations for behaviors in our public spaces to protect the health of everyone who chooses to use these public spaces.


iv. No, Wait, Mask Mandates are like Seat Belt Laws...Sort Of

One Utah County Commissioner compared mask mandates to seat-belt rules. In some ways, it is an apt comparison. Most safety experts recommend wearing one. Wearing a seatbelt is not particularly comfortable. It is inconvenient and sometimes annoying. And 99.99% of the time (not an actual statistic) you would be perfectly fine not wearing one. You could finish almost every day by looking back and saying, "See? I didn't wear a seatbelt today and I'm perfectly fine, that whole seatbelt craze is just stupid and doesn't work."

I personally have worn a seatbelt my entire adult life and have never "needed" it. Same with my wife...she has never "needed" it except for that one time when she was in a rollover crash. My kids sure are grateful that she was wearing a seatbelt; they wouldn't be here otherwise. It is easy to think, "I never wear a mask and I'm fine." And you will be totally fine not wearing a mask...until that one time when you aren't. For most of us that one time will never come. But for some of us it already has. For some of us it is still coming. For just how many of us depends on how well the community heeds the guidelines.

But seat belt laws are not a perfect analogy. My not wearing a seatbelt is very unlikely to cause injury to others. By not wearing one, I am really only risking my own health. Not wearing a mask, on the other hand, affects those around you. In this way, mask mandates are more similar to restrictions on smoking in public areas. Not wearing your mask does not only risk your safety, but the safety of those around you. But even the example of second-hand smoke does not capture the public health posed by not following COVID guidelines in public. Smoking in a public space does not cause others to start smoking or for them to pass along their second-hand smoke to others who then pick up the habit. But this is what happens with an infectious disease. 

Well, there you have it. A handful of my thoughts and reasoning around my decision to vote in favor of a limited mask mandate.

Stay safe and be kind.

6 comments:

  1. If you wear a mask in public because it keeps you from breathing in Covid-19, and therefore the mask truly protects you, then if I don’t wear a mask in public I have not removed your protection in any way. If you are aged, infirm, concerned, scared or otherwise moved to add further protection for yourself then wear the mask, wear a shield, or do whatever you think might protect you, and you will be protected. But my wearing the mask is not the solution to you being protected. Additionally, let's go together and visit places all over town and you will notice AS I HAVE, that many wearers of masks are not going to protect you because they let the mask drop below their noses or loose around their mouths. NO PROTECTION FOR YOU. Your protection is in how you wear YOUR mask not on mine. Example: I too often observe men leave the restroom without washing their hands. My protection is in washing my hands and then not touching the door, etc., and in keeping my hands from my mouth and eyes, etc. You protect you because that's the only way to truly be protected. When I am shoveling a pile of dirt my gloves protect MY hands, not yours.... Then... PUT YOUR OWN GLOVES ON!

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  2. Thank you for sharing your thoughts. I appreciate the City Council coming together unanimously to pass this mandate even though it was not popular with many people. I’m disappointed with the Mayor’s choice to veto the Council’s decision and stand by the City Council to vote to override her veto. It is the right thing to do.

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  3. Your response does not really reply at all to my comment concerning people are already being self-protected by wearing a mask if they want to be protected. It does not explain why everyone who doesn't want to wear a mask would be infringing on another's right to safety when their safety is already met by wearing a mask. Your safety IS NOT met by other's wearing a mask - it IS met by YOU wearing the mask. I am all for helping one another is this matter that we find ourselves in but do not want to be blindly lead. My query must be answered as others should also be if you would gain the full support of the citizens of Provo. Please provide your response to what I have asked about. Thank you. -Hank

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  4. I am delighted the mayor vetoed the mandate. This whole mandate thing reeks of forced compliance. I am 79 and will gladly take my chances without a mask.
    So wear your mask if you want but leave me alone to make my own choices.

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  5. The assertion that wearing a mask affects those around you is based on the assumption that asymptomatic or pre-symptomatic people can pass the disease to others; something the WHO has indicated is very rare. If people are sick, they should stay home.

    One of the issues that I have with mandates such as this in the case of COVID-19 is it heightens/extends the grip of fear that surrounds it. Recently the CDC has admitted that only 6% of the deaths reported as COVID-19 deaths were corona virus only. The remaining 94% had an average of 2.6 other issues. In reality, the corona virus is just another part of life.

    It is true that we sacrifice freedom for safety. This is definitely a balancing act. The question that I have is does wearing masks truly make us more safe? Next, are mask mandates about safety or are they about control? I will give the council in Provo the benefit of the doubt and assume that they voted for this with the belief that it is in the best interest of the citizens of Provo as a whole.

    My next concern, however, is vaccine mandates. Will the mindset of mandating wearing of masks being a must for the health of the general population lead to a similar mindset that mandating vaccines is justified? I am not against vaccines in general, I look at a vaccine, realize that there are risks (you are required to read and accept risks every time you receive a vaccine or one of your children receives a vaccine). However, I accept these risks because the risk of not getting the vaccine is much, much higher, for example polio. However, in particular for early stages, to me, I am more worried about the vaccine than contracting the virus. Therefore, the biggest thing for me is that when vaccines come around, I want them to remain an OPTION, not mandatory, in fact I would like to see legislation in place preventing them from being mandatory for going into stores etc.

    Lastly, Councilman Harding brings up seatbelt laws. I have personally been against seatbelt laws ever since they have been instituted. I am NOT against seatbelts. I would wear a seatbelt anyway. However, in my opinion, it is not the governments place to be forcing this type of behavior. The government may be in a place to provide education but ceding this level of power will lead to problems. People need to take responsibility for their lives, their choices, and the upright education of their children.

    Temporary ceding of power to the government in this manner will lead to continued gradual growth of overreach by the government.

    As I mention above, I do believe that a decision to impose a mask mandate is being made by the council in Provo for the best of intentions. However, it is different from both speed limits and seat belts. Wearing a mask is a fairly personal behavior. As we give more and more power to government officials regarding personal behaviors and as government officials take that power (even unknowingly), we are slowly traveling along the path to total loss of freedom or total control by the government.

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  6. I hesitated approving some of these comments because I believe they contain incorrect and misinterpreted facts.

    Do not confuse uncertainty about the precise prevalence of something with how rare it is. Our understanding of the disease and its transmission is constantly being improved and refined.

    Masks do offer significant, but not perfect protection to the wearer. Masks offer even more protection against a non-, pre-, or mildly symptomatic person from spreading the virus to others. Though rare, some people, including small children, have medical reasons why they shouldn't wear masks, which makes it all the more important for those of us who can wear masks to do so.

    https://www.ama-assn.org/delivering-care/public-health/6-things-doctors-wish-patients-knew-about-masks?fbclid=IwAR1nToMgrGOmW-M-68ehv-HPiZdc4uII1fOgBWtPoIK4Jbve6HkAGYqbHSQ

    I think we could have a very robust discussion about the wisdom of seatbelt laws. I see both sides of the argument. But seatbelt laws are designed to protect the wearer of the seatbelt. Mask laws are primarily to protect the public from the wearer.

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