For unvaccinated people on the fence, work hurdles could change their minds

With the Delta variant surging, a growing number of employers are tiring of merely cajoling workers to get vaccinated and are following President Joe Biden’s protocol for federal workers: Either show proof of vaccination, or mask up and get regular testing if you want to work on-site.

연방 정부the nation’s largest employerwill require unvaccinated employees to wear masks while working and get regular testing, and take other precautions, like maintaining physical distance from coworkers and restricting work travel. Several states, including Hawaii, 캘리포니아, 메릴랜드, 여자 이름 and Washington, also say unvaccinated state workers must get regular tests.
캘리포니아 정부. Gavin Newsom on Wednesday broadly extended such a 위임 to teachers and all school employees, the first state to do so.
    Those programs, with their testing alternative, differ from outright mandates to get vaccinatedas some health care organizations 포함하는 health care workforce of the Department of Health and Human Services, hospitals and the US military are requiring.
      Employers, fearing a backlash, frame the policy as a choice, with both sides of the equation seen as effective in reducing the spread of Covid-19. Do public health experts think this approach will help?
        All agreed the best solution is universal vaccination. Short of that, many said the moves by employers will add a layer of protectionalthough how much remains to be seen.
        Protesters gather outside St. Joseph Mercy Oakland Hospital in Pontiac, 미시간, 칠월 24. Health care workers and others gathered at several hospitals throughout Michigan protesting Trinity Health and Henry Ford Health systems' recent requirement that nurses and other health workers  receive a Covid-19 vaccine.

        Test results arereally only a snapshot in time,” 박사가 말했다. Gigi Kwik Gronvall, an associate professor at Johns Hopkins Bloomberg School of Public Health. Even testing every day, as was the standard in the Trump White Housewithout other measures like maskingdidn’t prevent staffers from falling ill last fall.
          And daily testing is cumbersome and costly.
          Employers hope the hassles required to remain unvaccinated in the workplace will encourage the reluctant to just get a vaccine. “It’s a forceful nudge,” 박사가 말했다. Georges Benjamin, executive director of the American Public Health Association.
          But there are challenges, 너무. Here’s what several experts had to say:

          Universal vaccination remains the gold standard

          Getting all eligible people vaccinated isthe perfect way out of this whole situation,” 박사가 말했다. Marcus Plescia, chief medical officer at the Association of State and Territorial Health Officers. “그러나, given the realities of the current situation, I think it’s reasonable that employers and others who are setting up vaccine requirements offer some accommodations.
          But much depends, he and others said, on how well the rules are enforced.
          “만약 (unvaccinated) people are wearing masks all day at work, even in the break room, that alone is pretty strong,” 그는 말했다. “When you add in the testing, it’s an alternative that is going to have some value.
          Some employers, 그는 지적했다, are reluctant to set such edicts because they fear losing employees, particularly in areas already suffering shortages, such as nursing homes.

          This approach relies somewhat on the honor system

          일부 주, health care organizations and New York City say they’ll require proof of vaccinationa copy of an employee’s vaccination certificate or a version uploaded into an app on a person’s phone. But other employers say they will allow workers to self-attest that they’ve had the vaccine.
          There will be some folks who fib, no doubt about that,” 박사가 말했다. 윌리엄 샤프너, professor of medicine in the division of infectious diseases at Vanderbilt University School of Medicine in Nashville.
          That will raise the issue of annoyance and concern by the vaccinated people,” Schaffner said. “They will say, ‘Wait a minute, Charlie is here and he’s not wearing a mask and we know he’s not vaccinated.People know that sort of stuff about their coworkers.
          There are other consequences.
          There is online traffic in buying forged vaccination cards, designed to look like the real thing from the Centers for Disease Control and Preventioneven though that is illegal and can lead to fines or even jail time, 그만큼 FBI has warned. Employers could also take disciplinary action against workers who falsely state they’ve been vaccinated.
          As for test results, it’s less clear how the honor system will apply. Some workersespecially those in health care organizationsmay well be able to get their tests done in-house. Other companies may allow workers to find (and pay for) outside testing. It isn’t known whether employers will allow the use of self-administered home tests. And what kind of test companies require matters, since the rapid antigen tests are not as reliable as the standard PCR versions. To complicate matters, rising demand for tests during the surge has led to long lines for both kinds of 테스트 in some parts of the country, and results for the more accurate PCR version may take days.

          Frequency of testing will vary and may not be ideal

          Many of the workplace edictsincluding the one for federal workerscall for weekly or twice-a-week testing. Is that enough? It’s hard to give an exact answer.
          박사. Robert Wachter, professor and chair of the department of medicine at the University of California, 샌프란시스코, prefers tests be performed twice a week, especially given the explosion of cases in many parts of the country.
          If you’re only testing once a week, there will be some cases that slip through,” Wachter said. “You could get tested on a Monday, infected on Tuesday and could infect someone else that Friday or Saturday.

          Who’s paying?

          While some employers may pick up the cost, at least initially, not all will. And workers should not count on testing being fully covered by their health insurers, 어느 한 쪽. They may well have to pay out-of-pocket for employer-required tests.
          “일반적으로, health insurance providers are covering covid tests that are taken for diagnosing or treating a patientif they are displaying symptoms or have had contact with someone who has been diagnosed with covid,” said Kristine Grow, a spokesperson for AHIP (America’s Health Insurance Plans), the industry’s lobbying group.
          CNN Health의 주간 뉴스 레터 받기

          여기에서 가입하세요 결과는 박사와 함께. 산 제이 굽타 매주 화요일 CNN Health 팀에서.

            그러나, she noted, guidance issued last year by several federal agencies said that testingconducted to screen for general workplace health and safety, for public health surveillance, or for any other purpose not primarily intended for diagnosis or treatmentdoes not have to be covered by insurers.
            Bottom line: Employees could have to go through a lot of hoops to remain unvaccinated in the workplace. “That will get old very quickly for a lot of people,” Schaffner said. “That will push a lot of people off the fence and onto the vaccination side.

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