Masking the Science from Evergreen Family Medicine
We have purposely avoided directly confronting the issue of masks because it is such an emotional and political issue. Like waving a red flag in front of a bull, the topic elicits strong emotions which overwhelms reason. We wear a mask in the hospital and don a N95 mask, gown and gloves when we see a patient known to have COVID-19. Masks are used for source control when patients are admitted with various types of infectious respiratory diseases. After the visit, we dispense of the gown, gloves and change into our regular surgical mask to continue patient rounds. In public, we wear a cloth mask to comply with executive orders and as a courtesy to others who feel afraid and uncomfortable. Like most of you, we rarely wash the mask, we stick it in our pockets, pick it out of the glove compartment or off the floorboard when we need it.
In truth, we wish masks worked. If they did, it would be a cheap, and easy way to control the spread of Covid. The idea that they protect not only their wearer, but also those people around them seems noble. We wished masks worked because citizens are spending billions of dollars on them.
We wish masks worked because most Americans wear them now. Telling them it was unnecessary will not make them happy. We wish masks worked because they have become a symbol for virtue and social responsibility. Anyone who doubts their utility is personally attacked; as though they don’t believe the viral pandemic is real, or don’t care about those who die from it.
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We love helping others and believe that’s one of the reasons we are chosen as Ambassadors of the Kingdom, to serve God’s children. We look to the Greatest Commandment as our Powering force.
We wish masks worked, because they distract from other important Covid related issues such as: school closings, lack of access for non COVID related illness, increased mental illness, elderly dying alone, missed youth experiences, substance abuse, suicides, increased poverty and homelessness, suppression of free speech, censorship of science, disruption of supply chains, government agencies used to oppress small businesses, restriction of religious gatherings, travel disruptions, isolation protocols, modeling over actual data, quarantines, lockdowns, contact tracing, and global harm of the economy that most impacts the working class, vulnerable and poor.
We wish masks worked.
But they don’t.
At least, not the cloth and surgical masks you see in the public arena. They litter the landscape and waterways. They are difficult for people with disabilities and small children. It promotes natural germaphobe tendencies and indoctrinates the young to see their fellow humankind as a sack of germs.
There have been many randomized controlled trials (RCT) and meta-analysis of previous studies that suggest that masks do not work to prevent influenza- like illnesses, or respiratory illness transmitted by droplets and aerosol particles – like Covid. This knowledge was the basis for the WHO and CDC recommending against the public wearing masks in the spring of 2020. It was repeated by authorities and experts at every level.
