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Beyond Politics — Promoting Covid-19 Vaccination in the United States – nejm.org

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Segment public according to identity barriers Qualitative research or text mining of social media to determine why patients feel vaccination runs counter to their identity. Create targeted messaging based on relevant barriers, such as a “Go out with a bang, but don’t die this death” campaign for groups with a Covid-defiant identity. Find a common enemy Message testing to determine what common enemies resonate across two polarized groups. Look for an enemy that prompts more animosity than the opposite group does.
  • If a common enemy is poverty or recession: “This economy needs a shot in the arm. We can do that.”

  • If a common enemy is those who don’t believe in America: “Think we can’t vaccinate 300 million people in 3 months? Watch us.”

Use analogy Develop a list of appropriate analogies for critical facts, processes, or statistics and share them through health care channels. Encourage trusted medical providers to prepare their own analogies for common vaccine questions. Use analogies to augment more complicated discussions of fact.
  • Use process analogies (e.g., if asked how the vaccine works, say “mRNA is like a teacher that shows the body how to make the antibodies that fight off Covid.”)

  • Use statistical analogies (e.g., “You’d be more likely to get hit by lightning than to die from Covid after getting vaccinated.”)

Increase observability Make it easy to see, in person or online, who has been vaccinated.
  • Offer a wearable token — a bracelet, sticker, or pin — that can be observed by others.

  • Offer social media frames and banners (e.g., “I’m a First Responder and I’m Vaccinated”).

  • Partner with celebrities, respected local leaders, and members of all parties to show them, on old and new media, being vaccinated.

Leverage natural scarcity Use a national or state referendum to decide who gains access to the vaccine first, or request community input through surveys. Frame the chosen “first receivers” — whether the elderly, first responders, teachers, or essential workers — as nationally valued and honored. Predict and address negative attributions Monitor media to quickly identify negative attributions. For segment-specific attributions, partner with community leaders or influencers to identify and counter negative attributions.
  • If delays in vaccine accessibility are being attributed to government incompetence, use daily briefings to show a complicated “air traffic control map” tracking freezer trucks.

  • If prioritized deployment of vaccines in historically disadvantaged neighborhoods is being attributed to a belief that these populations are expendable “lab rats,” include these communities’ trusted local leaders in prioritization discussions.

Prompt anticipated regret Develop and use communications to remind people of a low-probability but high-stakes outcomes and the resulting strong emotions.
  • Train family practice staff to use questions and statements such as:

  • “What would change in your family if you became a Covid long-hauler and had permanent lung or heart damage?”

  • “I’ve seen the crushing guilt of families that lose someone to Covid after not being quite careful enough — don’t do that to yourself.”

Avoid conveying piecemeal risk information Coordinate press releases with stakeholders to avoid letting bad news trickle out and making it seem worse than it is. If a delay seems likely, wait until you have a clear sense of the new situation and present any bad news up front and, ideally, just once. Promote compromise options Find ways to promote a sense of control by offering multiple vaccination choices; introduce other actions to frame vaccination as a middle or normal choice. Train cold-call promoters or survey takers to ask people if they will get the vaccine later, get it now, or get it now and sign up to donate plasma. Create FOMO motivations Frame vaccination as a desirable opportunity not to be missed. Find and provide rewards for vaccine completion.
  • Partner with employers to give employees a day off to be vaccinated.

  • Create a campaign to promote the idea that families should stagger vaccinations so that each “hero” gets a day in bed with snacks and binge-watching movies.

  • Use monetary incentives (tax deductions or insurance refunds).

  • Encourage celebrities to hold future free events for vaccinated fans.

Combat uniqueness neglect Work with health care providers to identify patient groups that might feel they have special conditions unlike “ordinary” people.
  • Train medical personal to identify uniqueness neglect (e.g., patients might say, “The vaccine is fine, but it won’t work for me.”)

  • Offer safe (even if largely unnecessary) modifications to standard vaccine delivery (e.g., topical analgesics before injection; getting the shot late in the day).

Neutralize the case versus base-rate heuristic Communicate with clinicians and other front-line health personnel about the base-rate fallacy. Build and use collection of positive anecdotes.
  • Encourage clinicians to counter patients’ anecdotal “bad reaction” stories with “good reaction” stories rather than statistics.

  • Ensure that DHHS briefings and websites include a continuous collection of real people’s stories about good vaccination experiences.

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Youri Chassin quits CAQ to sit as Independent, second member to leave this month

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Quebec legislature member Youri Chassin has announced he’s leaving the Coalition Avenir Québec government to sit as an Independent.

He announced the decision shortly after writing an open letter criticizing Premier François Legault’s government for abandoning its principles of smaller government.

In the letter published in Le Journal de Montréal and Le Journal de Québec, Chassin accused the party of falling back on what he called the old formula of throwing money at problems instead of looking to do things differently.

Chassin says public services are more fragile than ever, despite rising spending that pushed the province to a record $11-billion deficit projected in the last budget.

He is the second CAQ member to leave the party in a little more than one week, after economy and energy minister Pierre Fitzgibbon announced Sept. 4 he would leave because he lost motivation to do his job.

Chassin says he has no intention of joining another party and will instead sit as an Independent until the end of his term.

He has represented the Saint-Jérôme riding since the CAQ rose to power in 2018, but has not served in cabinet.

This report by The Canadian Press was first published Sept. 12, 2024.

The Canadian Press. All rights reserved.

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‘I’m not going to listen to you’: Singh responds to Poilievre’s vote challenge

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MONTREAL – NDP Leader Jagmeet Singh says he will not be taking advice from Pierre Poilievre after the Conservative leader challenged him to bring down government.

“I say directly to Pierre Poilievre: I’m not going to listen to you,” said Singh on Wednesday, accusing Poilievre of wanting to take away dental-care coverage from Canadians, among other things.

“I’m not going to listen to your advice. You want to destroy people’s lives, I want to build up a brighter future.”

Earlier in the day, Poilievre challenged Singh to commit to voting non-confidence in the government, saying his party will force a vote in the House of Commons “at the earliest possibly opportunity.”

“I’m asking Jagmeet Singh and the NDP to commit unequivocally before Monday’s byelections: will they vote non-confidence to bring down the costly coalition and trigger a carbon tax election, or will Jagmeet Singh sell out Canadians again?” Poilievre said.

“It’s put up or shut up time for the NDP.”

While Singh rejected the idea he would ever listen to Poilievre, he did not say how the NDP would vote on a non-confidence motion.

“I’ve said on any vote, we’re going to look at the vote and we’ll make our decision. I’m not going to say our decision ahead of time,” he said.

Singh’s top adviser said on Tuesday the NDP leader is not particularly eager to trigger an election, even as the Conservatives challenge him to do just that.

Anne McGrath, Singh’s principal secretary, says there will be more volatility in Parliament and the odds of an early election have risen.

“I don’t think he is anxious to launch one, or chomping at the bit to have one, but it can happen,” she said in an interview.

New Democrat MPs are in a second day of meetings in Montreal as they nail down a plan for how to navigate the minority Parliament this fall.

The caucus retreat comes one week after Singh announced the party has left the supply-and-confidence agreement with the governing Liberals.

It’s also taking place in the very city where New Democrats are hoping to pick up a seat on Monday, when voters go to the polls in Montreal’s LaSalle—Émard—Verdun. A second byelection is being held that day in the Winnipeg riding of Elmwood—Transcona, where the NDP is hoping to hold onto a seat the Conservatives are also vying for.

While New Democrats are seeking to distance themselves from the Liberals, they don’t appear ready to trigger a general election.

Singh signalled on Tuesday that he will have more to say Wednesday about the party’s strategy for the upcoming sitting.

He is hoping to convince Canadians that his party can defeat the federal Conservatives, who have been riding high in the polls over the last year.

Singh has attacked Poilievre as someone who would bring back Harper-style cuts to programs that Canadians rely on, including the national dental-care program that was part of the supply-and-confidence agreement.

The Canadian Press has asked Poilievre’s office whether the Conservative leader intends to keep the program in place, if he forms government after the next election.

With the return of Parliament just days away, the NDP is also keeping in mind how other parties will look to capitalize on the new makeup of the House of Commons.

The Bloc Québécois has already indicated that it’s written up a list of demands for the Liberals in exchange for support on votes.

The next federal election must take place by October 2025 at the latest.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Social media comments blocked: Montreal mayor says she won’t accept vulgar slurs

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Montreal Mayor Valérie Plante is defending her decision to turn off comments on her social media accounts — with an announcement on social media.

She posted screenshots to X this morning of vulgar names she’s been called on the platform, and says comments on her posts for months have been dominated by insults, to the point that she decided to block them.

Montreal’s Opposition leader and the Canadian Civil Liberties Association have criticized Plante for limiting freedom of expression by restricting comments on her X and Instagram accounts.

They say elected officials who use social media should be willing to hear from constituents on those platforms.

However, Plante says some people may believe there is a fundamental right to call someone offensive names and to normalize violence online, but she disagrees.

Her statement on X is closed to comments.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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