by admin » Sat Sep 19, 2009 1:43 pm
My point is not to give medical advice. My point is to point out the discrimination and stereo type that is pushed by the "developed" countries about "developing" countries. Cross reference CDC and embassy recommendations against medical journals. You will see a lot of stuff that is more politically and financially motivated that medically or scientifically motivated.
Rabies is a prime example of this. In Chile you will find rabies vaccines widely available across the country, and most likely even more common in rural hospitals and clinics because people living in rural areas are more likely to come in contact with animals both wild and domestic. Yes, in poor developing countries where it is a well known fact there is little to no public health system in the rural areas (e.g. Guatemala, Honduras, China), not being able to find treatments for rabies exposure in a reasonable amount of time might be a concern; but, just lumping Chile in with rest of the developing countries because it is a developing country is discrimination.
If I was taking a trip to Montana, South Dakota, Alaska or just about anywhere in the midwest United States, do you honestly think a doctor would recommend that I get a rabies vaccine just because I am visiting those places? No, but those places have far more problems with rabies outbreaks than Chile.
Recommending that someone get a rabies vaccine just because they are going to Chile is absurd. It is plain and simple discrimination. Now if I went to my doctor and told them something like, I am going to Chile for 6 weeks to help spade and neuter street dogs in rural areas or study wild animals, then I might have good logical medical need for a rabies vaccine. Barring exposure to risky situations, the doctor would have no more medical grounds (because there are no logical grounds) to recommend that I get a rabies vaccine than if I went to any other part of the world to engage in a risky behavior that would potentially expose me to rabies. Exercising reason does not require a medical license, and there is also no vaccine for stupidity (I hear they are working on it though).
And yes, I do believe just because someone has a medical degree, does not mean you leave your own reason and common sense at home. Doctors make mistakes, doctors can be misinformed, and doctors do things for motives other than your own best interest. It is every individuals responsibility at the end of the day to make their own reasoned choice, and it is your doctor's ethical responsibility to assist you in that. In fact, informed consent is the very foundation of medical ethics. That 'informed consent' implies you are responsible / blame worthy for failing to apply reason about the choices your doctor gives you assuming a minimal understanding of the pros and cons it implies.
Many have and still do push arguments from authority as a justification for many things, but at the end of the day it is still a logical fallacy.
I am not against vaccination, and would highly urge anyone to get whatever vaccine they need. I do however believe unnecessary vaccine is a waist of public health resources and potentially dangerous to individuals as any unnecessary medical treatment.
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