Unlike many colleagues, I did not come from a “medical” family. In my formative years, my father sold appliances and later real estate – he was flipping homes long before it became fashionable or lucrative. In any event, I think watching him sell and going for our Saturday outing to an open house gave me a slightly different view of communication with patients. Like those presidential candidates making the rounds in Iowa, medical communication is all about retail sales.
paternalism
If the goal is guaranteeing the safety of children, as well as protecting the general population being from infectious diseases, then why is the act of shaming playing any role in vaccine compliance?
To get us closer to an answer to that question, consider this example: The American Academy of Pediatrics’ recent strategy that makes it acceptable for doctors – as a last resort – to refuse to allow families who decline vaccination to be a part of their practice.