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Tennessee's Top Vaccine Boss Is Fired After She Addresses Parental Consent : Coronavirus Updates – NPR

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A technician fills a syringe from a vial of the Moderna COVID-19 vaccine earlier this year.

Jon Cherry/Getty Images

Jon Cherry/Getty Images

Tennessee’s top vaccine official says she has been fired as punishment for doing her job in the face of political pushback.

Dr. Michelle Fiscus was caught up in a controversy after she passed along legal guidance to health providers saying teenagers do not need parents’ consent to receive a COVID-19 vaccine shot — a position established by decades of state law.

“Specifically, it was MY job to provide evidence-based education and vaccine access so that Tennesseans could protect themselves against COVID-19,” Fiscus said in a scathing statement about her firing. “I have now been terminated for doing exactly that.”

Tennessee’s leaders have betrayed the public trust, Fiscus says, accusing them of putting their own political gains ahead of the people’s well-being. She defended her colleagues in the health sector who have been fighting the pandemic — and she notably took umbrage that a lawmaker had called the state health department’s actions “reprehensible.”

Fiscus said that “the ‘leaders’ of this state who have put their heads in the sand and denied the existence of COVID-19 or who thought they knew better than the scientists who have spent their lives working to prevent disease… they are what is ‘reprehensible.’ I am ashamed of them. I am afraid for my state.”

Because of the pushback from lawmakers, Fiscus says, Tennessee is halting all of its vaccination outreach efforts for teens and children – not only for COVID-19 but also for measles and other illnesses.

The Tennessee Department of Health declined to comment on Fiscus’ employment status, stating, “We cannot comment on HR or personnel matters.” A message to Gov. Bill Lee’s office was not returned before this story published.

A memo sent in the spring started the series of events that ended with Fiscus’ ouster

The events leading to her being fired “can only be described as bizarre,” Fiscus said.

It all started in the spring, when Fiscus says several health care providers asked her office for clarity about how to handle the then-looming authorization of the Pfizer COVID-19 vaccine for minors as young as 12. As she prepared a memo on the subject, she turned to the Tennessee Department of Health’s general counsel, which replied with a doctrine based on a 1987 Tennessee Supreme Court ruling.

The doctrine, which says teens from ages 14-17 don’t need to get their parents’ or guardians’ consent before getting the vaccine, was posted online “and is blessed by the Governor’s office on the subject,” the legal office said, according to Fiscus. The office reportedly added, “This is forward facing so feel free to distribute to anyone.”

But when Fiscus sent a memo sharing that guidance, critics seized on the message and called it a governmental overreach, threatening to disband the state Department of Health, despite the COVID-19 pandemic. At a hearing in Tennessee’s legislature, a Republican legislator said the health department’s ad campaign encouraging teens to get vaccinated amounted to an attempt “to target children.”

State Rep. Iris Rudder told health officials, “I would encourage you, before our next meeting, to get things like this off your website.” Rudder was referring to a photo of a smiling teen with a bandage on her arm.

In addition to Fiscus, much of the conservatives’ anger was directed at Tennessee’s health commissioner, Dr. Lisa Piercey, who insisted her agency’s critics were viewing it through a distorted lens.

“I think there is a sense that we are hiding in dark alleys and whispering to kids, hey, come get vaccinated. We’re not doing that,” Piercey said at the hearing.

The policy was only likely to be invoked for a tiny number of cases, Piercey said, including ones in which parents were unable to care for their children.

The future of the state’s fight against COVID is at stake

In response to Fiscus’ ouster, Democrats in the state Senate issued a statement saying it will “will put more lives at risk,” citing the recent rise in new cases.

“A well-respected member of the public health community was sacrificed in favor of anti-vaccine ideology,” said Sen. Raumesh Akbari (D-Memphis), the chairwoman of the Senate Democratic Caucus.

Only 38% of Tennesseans are fully vaccinated against COVID-19, according to the state health department. That’s a full 10 percentage points lower than the current U.S. total.

Fiscus is a pediatrician who left an established private practice in part because of her fatigue in coping with patients’ families who were skeptical of vaccines.

“I would always ask myself how these parents could think that I would recommend to purposely inject something into their kids that was bad for them,” she said in January of 2020. “Sometimes, we have had this relationship for 11 or even 16 years and they’re actually questioning my intentions now?”

Fiscus was named medical director of Tennessee’s immunization program in early 2019. Later that same year, she was elected to the American Academy of Pediatrics’ board of directors as a district chair, representing five states.

A statement from the academy in support of Fiscus says she was fired in “the most recent example of a concerning trend of politicizing public health expertise.”

“I was told that I should have been more ‘politically aware’ and that I ‘poked the bear’ when I sent a memo to medical providers clarifying a 34-year-old Tennessee Supreme Court ruling,” Fiscus said in her statement.

“I am not a political operative, I am a physician who was, until today, charged with protecting the people of Tennessee, including its children, against preventable diseases like COVID-19.”

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NDP caving to Poilievre on carbon price, has no idea how to fight climate change: PM

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OTTAWA – Prime Minister Justin Trudeau says the NDP is caving to political pressure from Conservative Leader Pierre Poilievre when it comes to their stance on the consumer carbon price.

Trudeau says he believes Jagmeet Singh and the NDP care about the environment, but it’s “increasingly obvious” that they have “no idea” what to do about climate change.

On Thursday, Singh said the NDP is working on a plan that wouldn’t put the burden of fighting climate change on the backs of workers, but wouldn’t say if that plan would include a consumer carbon price.

Singh’s noncommittal position comes as the NDP tries to frame itself as a credible alternative to the Conservatives in the next federal election.

Poilievre responded to that by releasing a video, pointing out that the NDP has voted time and again in favour of the Liberals’ carbon price.

British Columbia Premier David Eby also changed his tune on Thursday, promising that a re-elected NDP government would scrap the long-standing carbon tax and shift the burden to “big polluters,” if the federal government dropped its requirements.

This report by The Canadian Press was first published Sept. 13, 2024.

The Canadian Press. All rights reserved.

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Quebec consumer rights bill to regulate how merchants can ask for tips

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Quebec wants to curb excessive tipping.

Simon Jolin-Barrette, minister responsible for consumer protection, has tabled a bill to force merchants to calculate tips based on the price before tax.

That means on a restaurant bill of $100, suggested tips would be calculated based on $100, not on $114.98 after provincial and federal sales taxes are added.

The bill would also increase the rebate offered to consumers when the price of an item at the cash register is higher than the shelf price, to $15 from $10.

And it would force grocery stores offering a discounted price for several items to clearly list the unit price as well.

Businesses would also have to indicate whether taxes will be added to the price of food products.

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

The Canadian Press. All rights reserved.

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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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