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The Texas Blue
Advancing Progressive Ideas

Perry requires HPV vaccine

From the Department of "Say What?" - Rick Perry signed an executive order today requiring that girls attending Texas schools be vaccinated against HPV with Gardasil.

In doing so, Perry circumvented the legislature and what would most likely have been a long, drawn-out fight. During the course of that fight, Perry's conservative credentials would have been vulnerable to attack from hard right conservatives and evangelicals, who believe the vaccine will encourage young girls to have unprotected or pre-marital sex.

When somebody does something right, even if I'm not crazy about them, I like to give credit where it is due; as someone with cancer in his family history and someone who has survived cancer himself, I can't think of a better thing for Perry to write an executive order about. Here is a product that is guaranteed to save lives, and Perry treats it as no different than a polio vaccination. This is exactly what he should do.

It puts him out there for some abuse though - the religious right won't let go of it, and I'm sure there are evangelical groups, no doubt concerned about the moral turpitude of our state's youth and absolutely certain that this will make us rank poorly in teen pregnancy, who are sharpening their grassroots pitchforks to go after someone who normally goes to bat for them with zeal.

The AP report has info about how this will be a financial windfall for Merck, and that's true. Merck and Perry have something of a relationship, and that's always worth examining. However, I think the larger issue overrides everything else - that a vaccine for cervical cancer will get blanket distribution. I just didn't necessarily expect it from Rick Perry, but that goes to show you what a Friday can bring.

Public Health Decisions by Lobbyists?

When State Rep Jessica Farrar (D-Houston) introduced HB 215 requiring these vaccinations, I objected to making the vaccine mandatory. And I think that other pro-choice progressives should too.

This vaccine is possibly a way of wiping out *some* of the most common strains of HPV that can cause cervical cancer, and I applaud the well-intended efforts to address this public health issue.

However, this vaccine is very expensive and is not without its risks. As a parent, I think that health decisions for children should belong with parents. This vaccine does contain aluminum, as did the placebo used in the control, thus not establishing side effects of the aluminum compound. The primary study of the vaccine lasted only 3.9 years.

I think that it's very fishy for Governor Good-Hair, who's taken money from Merck and Merck-supported groups, would side-step the legislature and require this vaccine. Farrar's bill had some good points, but the bill deserved debate, and could have been amended to address the rights of parents who prefer not to vaccinate based on informed decisions. It could also have provided some answers to how this is going to be funded. I have heard now that the series of 3 injections costs $360. It is not clear whether most insurance plans will cover this, or how the uninsured will pay for it. Further, efforts could have been made to negotiate with Merck over the price, since Merck is the only manufacturer.

I do hope that some good comes of this, but I also am concerned that some years down the road we may see unintended consequences, and in the shorter term, parents that must choose between vaccination and paying the rent.

I question not only the authority of the Governor in doing this, but also his motives.

Steve Southwell
WhosPlayin? Blog: http://www.whosplayin.com

Do they have to pay for it?

Admittedly, this is just from the one source, but I saw this in the article:

Perry also directed state health authorities to make the vaccine available free to girls 9 to 18 who are uninsured or whose insurance does not cover vaccines. In addition, he ordered that Medicaid offer Gardasil to women ages 19 to 21

I'm not so sure.

If this is truly an attempt on Perry's part to protect Texas children, then fine. A perpetual Cynic, though, I am unable to put too much trust in the health decisions of a man who opposes choice, stem cell research, and sex education.
This is a new and relatively untested vaccine. The FDA approved it, sure. Just like they did Fen-phen, fosamax, and vioxx (It is worth pointing out that two of those, Fen-phen and vioxx, were also Merck Drugs).
Also, I bristle at the thought of any executive at any level of government being able to simply write an order that has such sweeping implications for children (not to mention the state's coffers).
In a perfect world, Perry's terrible legacy would be brightened by this one effort to positively effect the lives of kids. Realistically, this is a sweetheart deal to a drug giant that could prove to be a terrible mistake. I hope I'm wrong.

I Figure Perry Would Be More FRC Than Pro-Vaccine

Perry's anti-choice record and "Talibangelist" public pronouncements on sex education are what left me scratching my head in wonder when I heard this, Josh. Nationally, parts of the social conservative base have already expressed opposition to Gardasil because...wait for it...it will infringe on their abstinence-only policies (hat tip to Preemptive Karma). I figured that Perry would fall in this camp when it comes to public policy because of the strong influence of social conservatives on the Texas Republican Party.

This was sort of

This was sort of uncharacteristically optimistic of me.

I admit that I don't know a ton about the vaccine itself. And I had forgotten about the fact that some parents aren't crazy about vaccines of any kind, probably because I'm not a parent.

I still think the net overall result of this - assuming the drug doesn't have any unknown, terrible, side-effects, and I would be remiss if I discounted the possibility of that entirely - will end up as a positive one. But both of your arguments are well-formed and totally logical.

I'm seeing two sides

It could be a case of supporting those who support you.

However, I am appreciating that he DID approve the vaccine since cervical cancer is horrible. I also want to stress that women are at increased risk from HPV from having sex with an uncircumcised husband.

http://www.cancer.org/docroot/CRI/content/CRI_2_4_2X_What_are_the_risk_f...

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