I, too, was disappointed with the response from Republican candidates when the issue of vaccine safety came up in the presidential debate on Wednesday ("Debate revives vaccine dispute," Sept. 18). With all due respect to Drs. Ben Carson and Rand Paul, it's likely they each spent six to eight weeks during medical school doing general pediatrics. In their specialty practices, they would have had no need to keep up with vaccine safety studies nor to counsel parents day to day about this issue, as we do in primary care. In fact, they probably can't tell you the childhood vaccine schedule — it is not their specialty! They trust their children's providers to be up to date on this — and we are. Donald Trump's comments were also irresponsible, but I suspect most parents would not turn to him for medical advice. Vaccines are safe; they do not cause autism, and they prevent illness and death. Even the Autism Speaks organization has a policy statement recommending that kids get vaccinated on time.
The study about whether doctors "let" their patients spread out vaccines is misleading. The recommended schedule has been tested for safety and effectiveness, and that's why we recommend it (and immunize our own children according to it). Some parents request to "spread out" vaccines, and the Minnesota statute technically allows it — it's not really that we "let" them do it. Some primary-care providers have decided to "fire" parents who won't vaccinate; that is certainly an alternative. I'm not aware of any locally, although I'm sure some of us have considered it. But we believe it's right to provide care for those kids, too.
Childhood vaccines are the most rigorously, exhaustively tested medications available. The majority of parents know to trust their kids' doctors on this issue, and most DO vaccinate according to our recommendations. Parents, vote for whomever you like for president, but please trust your kids' providers about vaccines.
Dr. Nancy Waller, Minneapolis
The writer is a pediatrician.
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It was unbelievable to me that CNN missed the crucial issue crowding the headlines today. The debating candidates surely should have been asked what they would do as president about the flood of refugees into Europe, and perhaps the U.S.? Not one candidate was asked about this horrific humanitarian crisis.
Jim Waldo, Duluth
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Just because Carly Fiorina happens to be female is no reason to think she supports issues that matter to women ("Fiorina offers Republicans a chance to reach out to women," Sept. 18). The third paragraph of the article details Republican attempts to restrict health care options for women, and the following paragraph describes more Republican shenanigans that would impose limits on abortion services. Fiorina herself in the recent shouting match — er, "debate" — went after Planned Parenthood in no uncertain terms. The Republican Party can no more "reach out" to women with Fiorina as a candidate than they can reach out to black people with Ben Carson. Gender and skin color do not automatically qualify a candidate as sympathetic to issues that matter to women and people of color. It's their policy that matters.