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Monday, February 19, 2007
Star Parker :: Townhall.com Columnist
The perverse politics of Gardasil
by Star Parker
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Watching politicians and corporations shoot themselves in the foot, you get to taking seriously theories about drives to self destruction. The trouble is that when these folks do it, they tend to take the rest of us with them.

Such is the case now in the 20 state legislatures considering bills to mandate that pre-teen school girls be vaccinated with Gardasil, a new vaccine against certain strains of human papillomavirus (HPV) that can cause cervical cancer. These initiatives are being shepherded by lobbying campaigns by Merck, the pharmaceutical giant that developed the vaccine.

A vaccine that prevents cervical cancer sounds great. But this is a free country. Remember? Unless there is a compelling reason to use government to mandate, Soviet-style, use of a particular product, then medicines, like all products, should be sold on the free market. Consumers can buy them if they want them.

Not only is there no reason to mandate the use of Gardasil, but the reasoning being used to justify its mandated use is perverse. Among the destructive consequences will be that girls who are most at risk, those who are poor, usually minorities, will be hurt more than helped.

Government mandated vaccines for communicable diseases, like measles, where an infected child can put others at risk, are justifiable. But the HPV virus which may lead to cervical cancer is spread through sexual contact. It is, as Dr. Jane Orient, executive director of the Association of American Physicians and Surgeons, aptly put it, a "lifestyle disease."

Where are we going as a country when we start mandating vaccines against diseases resulting from behavior we choose?

And where are we when we consider sexual behavior to be private, but its consequences public?

Of course, by bringing in the strong arm of government, and forcing mandatory vaccination, a whole population of girls gets dragged into the picture whose families would never choose to use the vaccine nor could they afford it. That is, those from poor and minority homes.

Merck has to love this picture. They don't just get guaranteed purchases from those whose insurance companies will foot the bill. But they'll also get state and federal governments to pay for the low income kids who, if left alone, would never be their customers.

The main risks that these girls from low-income families face stem from their promiscuity.

Blacks account for 50 percent of new AIDS cases, are 18 times more likely to contract a sexually transmitted disease than whites, and are regularly at risk of death through homicides, suicides and accidents that plague these communities. Continued...

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About The Author
Star Parker is the founder and president of CURE, the Coalition for Urban Renewal & Education, a 501c3 think tank which explores and promotes market based public policy to fight poverty, as well as author of White Ghetto: How Middle Class America Reflects Inner City Decay.
 
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twisted
While it is amusing to read conservatives attacking the evils of big business, it is hard to miss the bizarre use of the minorities and the poor in the column above.

The column notes that AIDs is a serious problem among these populations, and yet here argument seems to require believing that the fear of cervical cancer is keeping women abstinent. Is cervical cancer really a greater deterrent than the threat of AIDS?

What makes this argument particularly perverse is that, as noted in a couple of columns above, the law mandating the HPV vaccine subsidizes vaccines for the poor, so without it they are the most likely to attract the virus. And that the disease is detectable and preventable through the kind of routine medical care that the poor have the least access to. So in reality the law would do the most to help prevent the poor from getting the disease, and it is a disease whose deaths are disproportionately among the poor to begin with.

So while Parker is claiming that this law will hurt the poor by encouraging them to have sex (the poor apparently operate according to odd motivations on this view) the reality is that these are the precise groups that will benefit the most from the law.

Of course many of the other objections to the law are legitimate ones. But that argument against the law is bizarre.
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