Mandatory HPV Vaccine for Girls
An article in the Sunday, February 11 edition of the Washington Post says that 17 states may now be poised to mandate and legislate law that would require all girls, some as young as sixth graders, to receive the human papillomavirus vaccine. HPV has been connected to certain forms of cervical cancer, but what gives me cause for alarm is the way that pharmaceutical giant Merck is pushing federal and state lawmakers to enact such mandatory vaccinations, and I’m very concerned at the way the Gardasil vaccine seems to have been pushed thru the FDA approval process.
Some of us are old enough to remember the smallpox vaccines we received as children, we still bear the scars on our upper arms where the gun was placed against our skin and we were injected with the vaccine, and still others might remember receiving the oral polio vaccination in school, often administered by the school nurse in neat little plastic vials. I also remember being screened for scoliosis. The girls all lined up on one side of the room behind a curtain away from the boys and we had to take our shirts off, bend over, and have our spines checked for any abnormalities; so using the public school system to administer public health treatments isn’t anything new, but that was then, and this is now, and what concerns me is the profit motive.
Merck, which posted revenues of $22.6 billion last year, stands to earn hundreds of millions of dollars annually on Gardasil, according to Wall Street estimates. And the public, research shows, stands to reap the benefits of the first vaccine against cancer. It is one of those moments in the public discourse, say several advocates for the mandatory vaccine, in which the interests of a deep-pocketed private company converge with the public good.
I don’t mean to suggest that Merck shouldn’t make money on such a vaccine, but I begin to take notice when the state is assisting in those profits by making the vaccine mandatory. Do we really know enough about Gardasil? I’m all for anything which could help prevent cervical cancer, or any kind of cancer women are at risk for, but perhaps this is moving too fast.
In Texas, Gov. Rick Perry (R) was criticized last week for issuing an executive order that made his state the first to mandate the vaccine for sixth-grade girls. Perry has also been accused of being influenced by his former chief of staff, Mike Toomey, who is now a lobbyist for Merck.
Unfortunately in our world today we have to question the motives of everything. Gone are the days where we can trust that our government has our best interests at heart, and when it comes to women’s health, this is a subject I’m quite passionate about.
Prior to my database crash, I wrote a post about discovering a condom in my son’s wallet, and at the time, I also wrote some things about HPV and the Gardasil vaccine. From that post:
Which brings us to the next example of scary marketing executives preying on our sexuality to try and make a buck, HPV. I’m sure many of you have seen the Tell Someone commercial which is about telling a woman you know to go get herself checked by her ob/gyn for HPV, which is a virus that can cause certain types of cervical cancer. All good and important information, except that the commercial is produced by pharmaceutical giant Merck, which also makes, coincidentally, the HPV vaccine.
HPV is scary and every one of us should get checked and we absolutely should talk to our ob/gyn about getting the vaccine, but am I just being too cynical about all this or is this just healthy skepticism?
I’m all for getting information out there, especially as it relates to our health/sexual health issues. It’s something I’m deeply passionate about, and as any of my girlfriends will attest, I’ve nagged them all to go get checked, but if my nagging helps save a life, I’ll nag them all day long, and all of you too, but I really hate being a shill for an evil drug company, and I hate that they use scare tactics like this and that they make clever commercials at the expense of our health.
I’m still all for getting information out there, but I think we need to ask more questions before we accept mandatory vaccinations of our daughters.


1Redwraith
wrote on 13 February 2007 at 19:45
I got a maybe very stupid question about that : Who is paying for it ? Is it the state ? Or is it the parents ?
In Austria (where i live) we have the same debate at the moment. But here they decided to make the vaccination non-mandatory which means that health organisations (which are mandatory) wont pay for it. Trouble is the vaccine costs about 600 USD / dose. So there are lots of parents who simply cant afford it / dont want to afford it / have no idea about it.
Which means that at least some young woman whos live could be saved will get cervical cancer just because it is non mandatory.
From a pure scientic - emontion less Point of View there is just one question to be asked in the end : Will the vaccination save more lives or will more people die due to problems concuring because of the vaccination.
And if we talk about money: What is the price lets say the State of Texas will pay for the vaccine ? Will it be the 600 USD / dose that you have to pay privatly (I hope not since they should get Bulk-Buyer prices). So how much profit will Merck actually make ? I mean they will make a lot of profit from it… But Pharmaceutical companies in general make a lot more money from sick people than from vaccinated people.
2nina
wrote on 14 February 2007 at 23:45
Redwraith,
Thanks for this comment. I did a little more research on this topic and found an article in this week’s issue of Time Magazine. Presumably the cost of these vaccinations will be picked up by the state, especially if they become mandatory, so that means taxpayer funded.
According to the Time article; Gardasil protects against several strains of the HPV virus which causes 70% of the cases of cervical cancer. So far Texas is the only state to make it mandatory, but 10 others are considering it, and the target will be sixth grade girls, who presumably are all virgins at that age. But also according to the article; some ob/gyn’s are refusing to stock Gardasil because insurance companies reimburse such a small percentage of the cost, which is $360.00 for three doses (the required prescription). From what I understand, parents can opt out of the mandatory vaccination with a signed affidavit. But there’s a big push by Merck and their lobbyist to make this mandatory.
You’ve raised a lot of good points, and considering how much money Merck is spending on lobbyists and commercials they’re trying to recoup their R&D costs for developing Gardasil. I’m at a real crossroads with this, because anything that can help prevent cervical cancer is fantastic, and I’m not so against making it mandatory, but my biggest concern is how Gardasil was pushed thru the FDA approval process, and I’m a bit concerned about anything that the state says is mandatory.
If Gardasil can save women’s lives then we should do it, but I think we need to ask more questions about the drug.
Thanks for sharing your thoughts with me,
xoxo,
nina
3Olivia
wrote on 6 April 2007 at 12:44
My name is Olivia, i am a freshmen. I am recieving the vaccine now. I was actually wondering where I could get one of those shirts from the commercials. I want one so bad. if anyone can tell me where to look that would be great!
4nina
wrote on 9 April 2007 at 14:44
Olivia,
Glad to hear that you’re getting the vaccine. I assume you’re talking about the Tell Someone t-shirt put out by Merck. Not sure where you could get that. Try Merck maybe? Good luck!
xoxo,
nina