10 | TUESDAY, AUGUST 27, 2019 THE NEW YORK TIMES INTERNATIONAL EDITION
opinion
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Last week, just ahead of back-to-school
season, New York State health officials
issued emergency regulations limiting
medical exemptions from vaccination
requirements for kids attending schools
or day care centers.
What do celebrities think about this
development? Hopefully, the public
won’t find out — because it doesn’t
matter. But unfortunately, when it
comes to opinions about vaccination, we
in the media typically make two big
mistakes. We treat celebrities’ opposi-
tion to or fears about vaccines as news.
And in the rare cases in which their
beliefs do deserve coverage because
they could potentially affect public
health, we too often amplify unfounded
or misleading talking points without
sufficiently correcting the misinforma-
tion.
We have to do better. There’s been an
alarming resurgence of measles cases
— in 2019 this country has experienced
the highest number of measles diag-
noses in a single year since 1992, accord-
ing to the Centers for Disease Control.
Measles and other vaccine-preventable
diseases are on the rise across the
world, thanks to the growing trend of
“vaccine hesitancy,” which the World
Health Organization listed as one of the
top 10 threats to global health in 2019.
In June, Jezebel reported that the
actor Jessica Biel was lobbying Califor-
nia lawmakers alongside the vaccine
opponent Robert F. Kennedy Jr. They
were trying to persuade legislators to
vote against a bill that aims to reduce
the number of people choosing not to
vaccinate their kids for reasons that
aren’t medically necessary.
This was more than just an actor
sharing her opinion. Ms. Biel was using
her platform to try to influence vaccine-
related legislation. That made her views
— like those of the Democratic presiden-
tial candidate Marianne Williamson,
who has made numerous unfounded
claims about vaccines — a matter of
public health, and Jezebel was right to
give her effort attention.
But some of the subsequent media
coverage was more problematic. Rolling
Stone ran “A Guide to 17 Anti-Vaccina-
tion Celebs” and Yahoo went with “Jes-
sica Biel isn’t the only A-lister with
opinions on vaccinations: Celebrity
parents who don’t vaccinate their chil-
dren.”
Some similar examples from the past
few years: “Kristin Cavallari Is an
Anti-Vaxxer Because She Has ‘Read Too
Many Books,’ ” Time wrote in 2014 about
Ms. Cavallari, a reality television star (a
particularly bad framing because it
implies that she is
somehow more
educated on this
topic than most).
“Pregnant Kat von
D stirs controversy
after saying she’ll
raise a ‘vegan child,
without vaccina-
tion,’” USA Today
reported last year about Ms. von D, a
makeup artist. Much of this coverage
prominently parroted dangerous views
and did more harm than good.
It’s not newsworthy on its face when a
celebrity believes or says something
incorrect about health. Context matters.
As an editor, keeping in mind that stud-
ies have shown that celebrities can
influence peoples’ beliefs about health,
including vaccines, I encourage report-
ers and writers to avoid asking celebri-
ties their opinions about vaccines if they
are not already known. At Self, our
policy when interviewing anyone —
whether it’s a doctor with multiple
degrees, or a celebrity — is to fact-check
everything she says (about vaccines or
anything else). And if she says some-
thing factually incorrect, we often
choose not to include it, even in the
context of debunking the misinforma-
tion. If we do decide to cover misinfor-
mation, it’s after a lot of internal discus-
sion about whether it’s worth the risk.
You can argue that whenever celebri-
ties say anything about vaccines in a
public forum — especially on their social
media accounts, where they often speak
to millions of people — it becomes news
because they’re influencing public
opinion. When media organizations
reach that conclusion and feel they must
cover a celebrity comment about vac-
cines, they should work to minimize
damage through more thoughtful cover-
age.
This is tricky because of the evidence
that even myth-busting vaccine misin-
formation runs the risk of making read-
ers more likely to believe the misinfor-
mation and also less inclined to vacci-
nate. That may be because people are
more likely to believe statements that
they’ve heard repeatedly — so the more
exposure they have to misinformation,
the more likely they are to believe it to
be true, even if they have been explicitly
told that it’s false.
One place to start: Treat the topic
with the seriousness it deserves. Media
organizations should devote seasoned
health reporters to the case, rather than
covering it as celebrity gossip. And then
from there, instead of focusing entirely
on the news of a celebrity saying some-
thing unfounded (and repeating that
unfounded claim in the headline or news
crawl), a more informative, less harmful
approach would be to cover that celebri-
ty’s perspective as one data point in a
broader article, perhaps about the trend
of vaccine hesitancy or what’s behind
the law that this celebrity is opposing.
Think of it as misinformation harm
reduction.
Even the views of people who are
“vaccine hesitant” — not completely
anti-vaccine but skeptical about
whether vaccines are safe enough or
worth it — are frequently rooted in
unsupported anti-vaccine talking
points. The media, in misunderstanding
this dynamic, often gives an uncritical
platform to those ideas, potentially
fueling greater vaccine hesitancy
among the public in the process.
For example, after she received
criticism for her lobbying efforts, Ms.
Biel clarified her stance on Instagram,
writing, “I am not against vaccinations.”
Her reason for opposing the bill: “My
dearest friends have a child with a
medical condition that warrants an
exemption from vaccinations, and
should this bill pass, it would greatly
affect their family’s ability to care for
their child in this state.”
“Entertainment Tonight” ran a seg-
ment covering Ms. Biel’s response to the
backlash. And why not? Her argument
sounds reasonable enough: In a limited
set of cases, there are legitimate medi-
cal reasons not to vaccinate.
But the problem here is that the bill is
significantly more complicated than Ms.
Biel’s framing of it, and deserved a
deeper dive than “Entertainment To-
night” gave it. The back story is that
public health experts and lawmakers
are worried that doctors are giving kids
medical exemptions when they aren’t
warranted, which threatens (and even
eliminates) herd immunity in some
communities.
The goal of the California bill is to cut
back on these unnecessary medical
exemptions by standardizing the ex-
emption request process rather than
leaving the call up to individual doctors.
People with legitimate medical reasons
to avoid vaccinating would still be al-
lowed to opt out.
See? Complicated. Probably far too
complicated to cover all that ground in a
minute-long entertainment news seg-
ment. The media has a duty to get this
right, and not cause further confusion or
skepticism. It is a matter of public
health.
Carolyn Kylstra
CAROLYN KYLSTRAis editor in chief of Self
Magazine.
Celebrities and ‘vaccine hesitancy’
Administering a measles vaccination at Miami Children’s Hospital. There have been more measles cases this year than in any single year since 1992.
JOE RAEDLE/GETTY IMAGES
Very rarely do
the misguided
beliefs of
famous people
deserve
headlines.
SEDONA, ARIZ. As a government official
in World War II, Hamilton Warren was
outraged to learn that a black colleague
made half as much as his white peers.
So, after the war, the wealthy Harvard
graduate and his wife Barbara pitched
up a tent in a remote corner of northern
Arizona. Working together with the
Hopi people, they built a school open to
every race, creed, orientation, and
nationality, and dedicated to values of
environmental stewardship, physical
labor and cultural understanding.
Verde Valley School was and remains
among the most progressive boarding
schools anywhere. It is surely the most
American. Instead of aping the Etonian
traditions of the Old World, it created
something different for the New. It
believed in an identity that was forged,
not just inherited; in the possibility of
transcending differences, not re-
inforcing them; in making a break from
the past, not remaining fixated by it.
So it is with so much in the United
States, which makes it so different from
nearly everywhere else. When Hernán
Cortés and his men landed on the coast
of Mexico, in 1519, they encountered a
world of utter barbarity: incessant
warfare, endemic slavery, and human
sacrifice on an immense scale. They, in
turn, inflicted their own barbarities:
massacres, epidemics, forced labor and
religious intolerance. Whether one
barbarity was better than the other is
not a particularly interesting debate.
The conquest of Mexico was another
chapter of history as it usually is, a
contest for power with little hope for
progress.
The Conquistadors and their succes-
sors also imported millions of African
slaves. Seen in the overall context of the
Western Hemisphere — or, for that
matter, most of the pre-modern world —
the arrival of more than 20 slaves in
Virginia a century later was abomina-
ble, but not unique.
Yet something else came to America:
the idea of liberty. Unlike the taste for
plunder, which is nearly universal, the
idea of liberty isn’t. It emerges from a
distinctive intellectual tradition that,
within a limited sphere, emphasized the
claims of individual conscience, a disin-
termediated relationship with God, and
a skeptical view of state power.
It also emerged from a unique histori-
cal circumstance. Cortés was a soldier
acting in the name of the Spanish crown
and the Catholic Church. Among those
who came to North America, many were
religious dissenters and political refu-
gees, starting with the Huguenots in
Canada and the Mayflower Pilgrims.
They could be tyrants and bigots, vio-
lent and superstitious. But they also saw
themselves, if sometimes self-servingly,
as nonconformists and victims of politi-
cal persecution.
It was this self-conception that en-
couraged successive generations of
religious dissenters, movement start-
ers, and freethinkers to go their own
way. As importantly, it also made it
untenable, over the long haul, for those
in positions of authority to oppose them.
This is the thought that I’d like to con-
tribute to The Times’s
1619 Project.
Elsewhere in the
world — Spain in the
17th century; China
today — the argu-
ment against liberty
has mainly been an
argument for tradi-
tion, hierarchy and order. In America,
the argument against liberty has been
the argument of hypocrites. To deny
freedom to others inevitably means
subverting the principle through which
one can claim freedom for oneself.
That’s why every significant libera-
tion movement in the U.S., from aboli-
tion to suffrage to civil rights to mar-
riage equality, has made its case by
appealing to foundational principles,
not rejecting them.
“The existence of slavery in this
country brands your republicanism as a
sham,” Frederick Douglass reproached
a Rochester audience on July 5, 1852.
But he also said that “interpreted as it
ought to be interpreted, the Constitution
is a glorious liberty document.” Martin
Luther King Jr., made essentially the
same case 111 years later from the steps
of the Lincoln Memorial.
This has always been one of the aston-
ishments of America: The origin story
of the ruling class does more to under-
mine than bolster its claims to power.
Take that origin story away — the one
that traces a line from Mayflower Com-
pact to the Declaration of Independence
to the Battle of Gettysburg to the Free-
dom Riders — and you lose this.
Past generations of oppressed Ameri-
cans have bested their oppressors by
appealing to their conscience. But if a
new origin story were to tell us that our
ideals have always been a sham (as
opposed to being honored too much in
the breach), and that the whole story of
America is one of unremitting oppres-
sion (as opposed to the far-too-gradual
relief of oppression), then we would lose
the mechanism of self-reproach by
which past progress was made.
At that point, the only thing for people
with power to do would be to hold on to
it. Why should anyone bother to meas-
ure his behavior according to standards
nobody expects him to hold?
This is a beautiful country, especially
amid red rocks under vast skies. But as
people like Hamilton Warren knew, the
real beauty of America has less to do
with the outer vistas than the inner ones
— the ever-renewing possibility of being
“more perfect” according to ideals that
remain a starting point and destination.
America the beautiful
The country’s
progress
springs from
a process of
self-reproach.
Bret Stephens
Jay Inslee’s single-issue campaign for the Democratic
presidential nomination was a quixotic effort from the
get-go, noble but doomed, one of the longest shots in
this electoral season. And on Wednesday, with his
hopes of appearing in the next round of debates fast
disappearing because of his poor standing in the polls,
he accepted reality and graciously dropped out of the
race.
Yet Mr. Inslee has much to be proud of. In retrospect,
his efforts were less about actually winning than they
were about pounding home the importance of one is-
sue, global warming. The changing climate consumes
him but has had little staying power with the public
and the politicians in Washington, and Mr. Inslee dedi-
cated his campaign to moving it closer to the center of
the political conversation, at least among Democrats.
In this he has succeeded. One by one, the other can-
didates, most recently Bernie Sanders, have unveiled
climate plans large and small, while the issue of cli-
mate change itself has steadily risen in prominence
among Democratic voters. A survey from Yale and
George Mason University in April found that while
climate change ranked 17th on a list of 29 important
issues among all registered voters, it ranked third
among the liberal Democrats to whom many of the
candidates have aimed their appeals and eighth among
moderate and conservative Democrats.
The affable Mr. Inslee brought more than passion to
the table. He also brought a wealth of experience in
dealing with the issue on the state level as the gover-
nor of Washington, as well as a staggering appetite for
detail. In the course of his campaign, he released six
formidably researched position papers, more than 220
pages altogether, amounting to a blueprint for decar-
bonizing the American economy by midcentury, a goal
that the United Nation’s Intergovernmental Panel on
Climate Change has urged on the world as a whole to
avert the worst consequences of climate change.
The first paper addressed the three sectors of the
economy — power generation, transportation and
buildings — that together are responsible for nearly 70
percent of carbon emissions in the United States, and
what must be done to clean them up. In the case of
transportation, for instance, Mr. Inslee would mandate
all-electric cars by the 2030 model year. The last paper,
released only hours before his withdrawal from the
race, dealt with agriculture and how farmers can im-
prove land-use practices to reduce emissions from the
soil. In between were detailed disquisitions on where
he would invest $9 trillion over 10 years to retrofit older
buildings, modernize the grid and build green infra-
structure; how and when he would phase out fossil fuel
production in America (beginning with a swift karate
chop to hydraulic fracturing and all fossil fuel subsi-
dies); how he would protect poorer communities and
workers who lose their jobs in the decarbonizing
process; how he would engage with the rest of the
world to bring down global emissions.
If this sounds a bit like last winter’s Green New Deal,
it is, but with two very big differences: The Green New
Deal was a 14-page congressional resolution full of lofty
goals. Mr. Inslee puts substantial policy meat on an
aspirational bare-bones outline. Second, unlike the
Green New Deal, Mr. Inslee offers a compelling inter-
national component that basically reimagines Ameri-
can foreign policy by putting climate change at its very
center, and by using all the tools of foreign policy —
trade, aid, robust diplomacy — to reward countries that
adopt ambitious climate strategies and punish those
that don’t.
As an exercise, try to imagine a President Inslee
dealing with Brazil’s leadership, which is letting the
Amazon burn out of control, or the Australians, who
plan to enrich themselves by selling vast quantities of
dirty coal to India. Of course, he would quickly reaffirm
America’s commitment to the Paris agreement on cli-
mate change, which President Trump rejects, so that
America could recapture the leadership role it had
under President Barack Obama. But he would also
demand much of others.
What’s Mr. Inslee to do now? Well, he plans to com-
pete for the office he already holds and will run for a
third term as governor of Washington in 2020. Should
he win, he will remain, along with New York’s Andrew
Cuomo and California’s Gavin Newsom, as one of the
three most important leaders of the effort by America’s
states and cities to reduce their emissions and compen-
sate for Mr. Trump’s failure at the federal level. But for
the moment, he can take satisfaction in what he has left
behind: an actual Green New Deal, a guide that’s just
waiting for whoever wins the White House (assuming
it is not Mr. Trump) to read, to digest and to steal from.
Democrats
in the U.S.
say they care
about global
warming.
Why couldn’t
the former
presidential
candidate get
more traction
on it?