Maine Writer

Its about people and issues I care about.

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Location: Topsham, MAINE, United States

My blogs are dedicated to the issues I care about. Thank you to all who take the time to read something I've written.

Wednesday, January 12, 2022

Experts understand how vaccines save lives. Learn from science experts.

 Vaccines are safe!

Maine Voices: We’re not guessing about safety or the effectiveness of COVID vaccines. They’ve been put to the test by duly skeptical scientists, and the findings are unmistakable: They save lives.

By Sam Zager, M.D. is a family physician, a Navy veteran and a Democratic state representative from Portland.
Vaccines are among the most beneficial and humane public health innovations in human history. 

I support Gov. Mills’ recent health worker vaccine mandate (or one like California’s, which offers frequent testing as an option) because ensuring that public places – especially health care settings – are as free from COVID transmission as possible will help reduce suffering and economic impacts caused by this evolving, awful pandemic.

Hesitancy about vaccination has huge implications for everyone. 

Therefore, it's important to respect that there are various reasons many Mainers have not received one of the freely available vaccines. Sometimes they have more than one reason.

• A small number of people may never believe that vaccines save lives and have excellent safety records (a refutation of verifiable evidence).

• Others have avoided vaccination because they oppose mandates or even recommendations about anything (a matter of authority and autonomy); often this is blended with entrenched fears about a controlling and sinister entity, such as corporations or the government. The U.S. Supreme Court has held since the 1905 Jacobson decision that the government can compel individuals to get vaccinated. When the Food and Drug Administration grants final (non-emergency) authorization of a COVID vaccine, I expect this aspect will be more widely discussed.

• A large and important group of vaccine-hesitant people includes folks who simply aren’t sure if the benefits exceed the risks (a matter of uncertainty and discomfort). It’s perhaps the most influential segment of the population, whose actions may grant the virus too many further opportunities to propagate mutations, and ultimately determine the duration and carnage of this pandemic. These vaccine skeptics are like swing voters in an election.

A measure of skepticism is natural and, in fact, implicit in the “scientific method,” the structured approach to understanding our natural world. The scientific method has enabled the discovery or invention of so much that we take for granted: e.g., the roundness of the planet; electric lighting; automobiles; weather forecasts; smartphones and other computer technology; prescription medicines, and some low-tech interventions that reduce suffering and mortality rates every single day.

For instance, in the mid-1800s, we did not yet know that bacteria, viruses, fungi and protists can cause disease. A Hungarian physician, Ignaz Semmelweis, proposed that if doctors who attended childbirths scrupulously washed their hands before caring for their patients, far fewer newborns and mothers would die of what was then called “childbed fever.” 

This was out-of-the-box thinking at the time, for which he was harshly ridiculed for the rest of his tragically short life. But Semmelweis had done the work to test his thinking and share his results. When others replicated his work in different populations and circumstances, they kept finding that hand-washing saves lives. Even though Louis Pasteur and Robert Koch hadn’t yet explained to the world why hand-washing saves lives, the findings were unmistakable. Semmelweis’ once-radical idea eventually became recognized as fact. Ignoring it would mean infants and mothers would needlessly die. Getting to that safer place involved careful testing, not just supposing and guessing.

With COVID vaccines, we’re not guessing about safety and effectiveness. Just as others put Semmelweis’ idea to the test, scientists have subjected COVID vaccines to many studies among properly and ethically consenting individuals (quite unlike Nazi researchers, contrary to what a fellow legislator recently stated).

They have been proven over and over again to be highly effective and safe (scroll down here for a couple dozen such reliable studies). Furthermore, studies continue to refine our knowledge, and supersensitive reporting methods monitor for safety.

Before training to be a physician, I served aboard Navy ships, from the smallest (submarine) to the largest (aircraft carrier). So when I think about community health or other public issues, being “in the same boat” is both figurative and literal. Part of what kept us alive aboard ships and what enabled us to accomplish our missions was a shared awareness that one person’s actions could and often did have tremendous implications for everyone. The danger of politicizing public health, to me, is the same as politicizing navigation and engineering at sea. It just doesn’t make sense to completely disregard what shipmates who are experts in their areas are saying about what they’re observing. Ignoring verifiable facts is a recipe for disaster.

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Thursday, January 04, 2018

Maine Providers Standing Up for HealthCare January 7th Brunswick



Maine Providers Stand Up for HealthCare Meeting: 
Sunday, January 7th, 11am-12:30pm in the board room at MidCoast Hospital, 123 Medical Center Dr, Brunswick, ME. Directions to board room below.

Goal: to improve our knowledge and confidence in talking to state legislators about funding Medicaid Expansion. This is timely and needed, as funding is in jeopardy.

Agenda (with links, for more information)
11:00 - Welcome and introductions: Sam Zager
11:15 - Medicaid Expansion in Maine Analysis presentation and Q & A with Elizabeth Kilbreth, PhD Associate Professor emeritus, Muskie Institute. Please click on the following link to read her analysis.
http://mejp.org/…/Medicaid-Expansion-The-Real-Impact-Kilbre…
11:45 - Strategizing and messaging tips: Diane Tepler, Maine House Representative, Topsham
12:05 - General Discussion on implications for the group
12:15 - Wrap up and next steps
12:25 - Maine Legislative Health Care Task Force Update: Juliana L'Heureux to update us on this task force that is charged with coming up with options for universal health care coverage in Maine. Access the fact sheet about Medicaid Expansion on the following link.
http://mejp.org/…/Medicaid-Expansion-Implementation-FAQ-12D…

Please join us and consider bringing a friend who might be interested in training on these issues.

Best,
Julie Schirmer, LCSW Sam Zager, MD Juliana L/Heureux, RN, BSN Barbara Shaw, JD Peter Shaw, MD Liz Rothe, MD Bethany Picker, MD

Directions to board room: enter front entrance, take a left. Go past café and take a right to end of corridor. Take another right. The board room is the last room on the left. Link to floor plan:
https://www.midcoasthealth.com/findus/floorplans.aspx

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Tuesday, July 04, 2017

Portland Maine Letter to editor - consequences of GOP health bill

Taking health care coverage away from people causes substantial harm.

On Independence Day 2017, let's remember to keep the health of all Americans in our hearts.


PORTLAND, Me- from Sam Zager, M.D.


Sen. Susan Collins deserves tremendous credit for her courageous stand against her own party’s health bill. Her crucial opposition helped protect many of the most vulnerable in Maine and across America.

The Republican proposal would fund colossal tax cuts for the wealthy, largely by stripping $772 billion from Medicaid by 2026, the nonpartisan Congressional Budget Office found.

Doing so would hobble many hardworking Mainers who have multiple jobs, or are between jobs; it would harm about half of Maine’s children (47 percent of Maine children and 23 percent of all Mainers receive medical care through Medicaid); it would disrespect and endanger the 1.75 million veterans nationwide who depend on Medicaid (only 40 percent of veterans receive health care through the Veterans Affairs system); it would devastate thousands of our state’s nursing home residents and their families; and it would threaten Maine’s rural critical-access hospitals, which are economic drivers for large portions of our state.

More important than money, though, the Republican proposal 
would imperil lives.

In 1993, a landmark study published in the Journal of the American Medical Association quantified the link between lack of health insurance and deaths. It was validated by the federal Institute of Medicine in 2002, and by the impartial Urban Institute in 2008

The most recent independent study of this link – published in 2009 in the American Journal of Public Health – found that lack of insurance conferred a 40 percent increased risk of death. In all, these studies suggest that during the six- to 12-year follow-up period, 18,000 to 45,000 Americans lost their lives each year because of lack of insurance.

On this Independence Day, we should remember how struggle and bloodshed were the price of the freedom to establish our unique form of government. As the health debate continues in Congress, I hope Sen. Collins and her colleagues keep the health of all Americans truly in their hearts.

Sam Zager, M.D. 
Maine Providers Standing Up for Healthcare

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