Professor Lopalco, you are an epidemiologist and health councilor of the Puglia Region, what do you think of the proposal your Lazio colleague Alessio D’Amato is working on? Al Messaggero said that “the no vax who contract Covid and end up in the intensive care units of the Lazio hospitals will have to pay for hospitalizations”.
“It is clearly a complex issue. I make a provocation: should we also extend the reasoning to those who fall with the scooter and do not wear a helmet? And who ends up in hospital after an accident without wearing a seat belt? We are talking about citizens who do not understand the value of prevention and therefore harm themselves, the community and the state coffers. But I believe that before politics we must talk about bioethics and the Constitution ”.
Still thinking by provocation, in some regions the payment of mountain rescue is requested even in case of hospitalization of the subject if the accident was caused by extreme sports activities.
“Maybe in those cases there is a fault linked to imprudence. But be careful, I am not saying that D’Amato’s proposal is not viable or absolutely wrong, but I think it must be evaluated with great attention. Also because I don’t want it to do more harm than good. For example, further clashes or social tensions. We must ask ourselves if we are sure that there are no less radical alternatives. And I don’t think this is the case now because the phenomenon of refusal is a minority thanks to the participation of a large part of Italian citizens ».
No vax and no green pass, armored stations for protests. Hard punch of the Interior Ministry: “It will be zero tolerance”
So this is not the time to talk about it because we are at a point in the emergency where the incidence of no-vaxes on the population is relative.
“In my opinion, the whole issue of opposition to vaccination must be brought back into a clearer context. Let’s ask ourselves how serious it is. How many people are? And above all, what are the causes of this attitude of theirs? I believe that now more than anything else it would be useful to hit hard those who make active propaganda against vaccines. It is a large group to which doctors and health professionals have also signed up. Especially with them we must not have any qualms, a doctor must be disbarred on the spot. It is unthinkable that absurd home therapies circulate on the web, they are solemn nonsense ».
To undermine the propaganda mechanisms can be a start. But the other moves?
“Vaccine resistance also depends on a misunderstanding of the value of prevention. Communication is needed. We try to hire general practitioners and pediatricians of free choice. They know the patients and could explain everything to them, clarify their doubts by virtue of the relationship of trust that binds them. We have a NHS that is an army, there are few no-vaxes. We launch a counter-propaganda in every hospital, in doctors’ offices, in clinics. Let’s get the message across that getting vaccinated is essential today ».
And then there is the Green pass.
«From the point of view of incentives, the Green pass is very strong. It has already worked in the summer, but in the winter those who have to go to the cinema or to the restaurant will have to pay for a tampon. In addition, I would like employers to intervene and make it mandatory for all employees in contact with the public. This is the way: to work on the kind offer channel. But then there is a need for a state capable of strongly showing that to be part of the community you have to adapt to the rules. But for now it is enough that the rule is the Green pass ».
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