On the same day Senators unleashed bipartisan grilling of Health & Human Services Secretary Robert F. Kennedy, Jr., Peoria City/County Health Dept. Administrator Monica Hendrickson spoke to the Community Word about COVID vaccinations and people’s confusion.
“It’s a very challenging environment right now,” she said. “The Food & Drug Administration approved the next round of COVID vaccines for safety, and the actual approval will come from the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP).
“There’s a lot at stake with the method of distribution and work-arounds, if necessary,” she continued. “Illinois is looking to have public-health health care.”
Indeed, Gov. JB Pritzker on Sept. 12 signed an Executive order to protect COVID vaccine access. It directs the Illinois Department of Public Health (IDPH) to authorize providers to administer vaccines in line with new state guidelines, which were scheduled to be included in the agency’s fall respiratory vaccination recommendations after its Immunization Advisory Council meets Sept. 22.
As of mid-September, COVID infections were up in 24 states, including Illinois, the CDC said. A new COVID variant, XFG (“Stratus”), is dominant. Although its mutation lets it evade some antibodies from earlier vaccines, reports say it’s more transmissible but not likely to cause more severe illness then previous COVID versions.
Still, there’s hesitancy. A poll from KFF, a nonprofit health-policy news organization, shows that 40% of U.S. adults “definitely” or “probably” will get the vaccine, but 59% don’t expect to. Some people may feel inconvenienced by not being able to get the vaccinations at pharmacies, where 90% of adults did before, according to CDC.
Hendrickson said if people want the vaccination, she recommends consulting your medical provider or calling your pharmacy. People can ask for their doctors to prescribe the vaccination “off-label,” a common and legal way to prescribe something outside of FDA’s recommendation. Some doctors may be reluctant, but you can go to another physician.
Also, some pharmacies on their own are limiting access to COVID vaccinations. For example, the nation’s two biggest retail pharmacy chains are limiting access to the vaccination. CVS is withholding availability in 16 states, including New York, blaming the “current regulatory environment” (although in 13 of them, they’ll administer the shots to people with prescriptions). Walgreen is requiring prescriptions in 16 states, including Indiana, Missouri and Wisconsin. Currently, Illinoisans aren’t affected by either company’s restrictions.
How did we get here?
A vaccine skeptic in general, Kennedy specifically questions the usefulness and safety of the COVID vaccines, and agencies within his HHS have created controversies by making recommendations that deviate from public-health practices. As of presstime, it’s now recommended to give vaccinations to people 65 and older and for those with health risks such as asthma, diabetes and weakened immune systems.
The CDC no longer recommends the vaccine for healthy children, and has “no guidance” when it comes to COVID-19 vaccines for pregnant women.
“(Kennedy) just came out and said these two populations don’t need the COVID-19 vaccine, which is completely ridiculous,” said Dr. Tina Tan, president of the Infectious Diseases Society of America.
Adding to the departure from past practice, HHS itself seems in chaos. In August, Kennedy fired CDC Director Susan Monarez, and four senior officials there quit in protest. About 1,000 current and former HHS workers wrote an open letter saying Kennedy’s changes threaten the nation’s health, and nine former CDC directors co-authored a warning that Kennedy is “endangering every American’s health.”
Also objecting are medical groups including the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. Other medical organizations joined them in suing Kennedy.
Meanwhile, California, Hawaii, Oregon and Washington formed a “health alliance” to coordinate their own vaccine recommendations and supplies. But elsewhere, Gov. Ron DeSantis’ administration made Florida the first state to drop ALL vaccination requirements for public school children, offering “freedom” from government mandates – but freedom to be contagious.
“A virus doesn’t recognize borders,” Hendrickson said. ”People who live there or visit the state could be exposed to communicable diseases.”
Money talks
It’s unclear who pays for the vaccinations, especially for those beyond FDA’s recommendations.
“The biggest issue may not be safety or the [federal] recommendations, but insurance,” Hendrickson said. “That’s where the rubber meets the road. But, again, you can talk to your medical provider – your physician or gynecologist or pediatrician. They’ve always had language to prescribe what they think is best, and that does help navigate insurance conversations.”
Without insurance coverage, a dose could cost more than $100 out of pocket. (That said, it’s in the insurance industry’s interest to have people vaccinated, because it reduces health-care costs for those who contract COVID – or any illness).
Illinois largest health insurance provider, Blue Cross/ Blue Shield, has said it hasn’t changed its COVID coverage, although the insurer is watching “any activity that may impact preventive care recommendations,” according to Bryan Campen of Health Care Service Corp., the licensee of Blue Cross Blue Shield plans in Illinois.
Meanwhile, current vaccines are still available, but it’s uncertain when or where the next updated vaccine will be offered (like vaccines for seasonal flu, updates occur regularly).
So: Talk to your doctor.