The Pfizer vaccine requires extreme cold storage at about minus 70 degrees Celsius. Many rural hospitals cannot afford that expense, and so many communities will receive the vaccine much more slowly. Covid-19 might persist as a largely rural phenomenon.(Reuters photo)
The Pfizer vaccine requires extreme cold storage at about minus 70 degrees Celsius. Many rural hospitals cannot afford that expense, and so many communities will receive the vaccine much more slowly. Covid-19 might persist as a largely rural phenomenon.(Reuters photo)

Covid-19 vaccine could make social divisions worse

Once people start thinking about the imminent prospect of partying and fine dining, they might find it harder to resist the idea of just going ahead with it now, despite the higher risk. The giddiness occasioned by a vaccine might have some counterintuitive and negative effects.
By Bloomberg | Posted by Nilavro Ghosh
PUBLISHED ON NOV 13, 2020 08:01 PM IST

The Pfizer vaccine, along with its likely successors, is a very good thing for the US and the world. Yet it’s also likely to reshape America in some unsettling ways, segregating society more tightly into rational and irrational responders, especially in the short run.

The first issue will be how Americans respond over the course of the next few months. Simple logic suggests that when a good vaccine is pending, you should play it much safer. Instead of putting off that vacation indefinitely, just wait until you’re vaccinated, possibly as soon as next summer. In theory that should be an easier adjustment to make, as indicated by what economists call “intertemporal substitution”: waiting for a short time is easier and less costly than waiting for a long time.

Many people will behave in such a rational fashion. But many will instead take more risk. As the prospect of a post-Covid America becomes more vivid, the temptations of going out and socializing now will become more powerful. Once people start thinking about the imminent prospect of partying and fine dining, they might find it harder to resist the idea of just going ahead with it now, despite the higher risk. The giddiness occasioned by a vaccine might have some counterintuitive and negative effects.

Of course, some truly rational and forward-looking people will realize that some of their friends and contacts will behave in this less responsible manner. The more rational among us thus will take greater care to avoid those whom they do not trust, as well as those who have front-line service jobs and thus cannot avoid contact with these less responsible individuals. The rationalists will cocoon themselves more, most of all from strangers and known irrationalists.

Another possibility is that norms of social scorn will weaken, and confusion will reign for a while. Currently, if you shop without a mask or hog the middle of the jogging path in the park, you will be asked to leave or given dirty looks. These are healthy social reactions that help to keep the virus under control.

Will that remain the case once 10% or 20% of the population has been vaccinated? Furthermore, by then a higher percentage of the population already will have had Covid-19. You could imagine that, by February or March, 30% to 40% of the American population either will have had Covid (a form of vaccination in fact, albeit a dangerous one), or have received a proper vaccine. Many of them will take off their masks in public spaces.

Will you still be so inclined to give non-mask-wearers dirty looks? Their behavior might be just fine and pose no risk to others or you. And the vaccinated will themselves be less likely to give dirty looks to other non-mask-wearers, because they will not personally feel so threatened.

In other words, some highly useful norms may end up weaker during the transition phase. People who remain unvaccinated and vulnerable may temporarily face higher rather than lower risks.

Or what if three vaccinated family members or friends propose going to a movie with a fourth unvaccinated person? Will she so readily say no? The possibility of such situations — the fear of the unknown — will make rational, unvaccinated people all the more determined to limit their social interactions, at least for a while.

These forms of segregation will be reinforced by the economics of the vaccine. The Pfizer vaccine requires extreme cold storage at about minus 70 degrees Celsius. Many rural hospitals cannot afford that expense, and so many communities will receive the vaccine much more slowly. Covid-19 might persist as a largely rural phenomenon.

Or how about colleges and universities? Students should be back on campus by the fall semester, and they will demand that all students and faculty and staff be vaccinated —and they may also help supply the vaccine. Thus a vaccine divide will form between educated and non-educated young Americans. And given that no vaccine is likely to prove 100% effective, many educated Americans will remain risk-averse and avoid contact with rural, lower-income, less-educated Americans.

It almost goes without saying, of course, that a partially vaccinated population is far better than no vaccine at all. So celebration is entirely appropriate. But along the way we are going to face a new set of problems, and now is the time to start thinking about them.

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