If you want a sense of just how strong the “germ theory” is in the medical profession, try engaging a physician about the subject of vaccination. It’s pretty much an ideological matter. Vaccination is beneficial, no matter how marginal the disease or how many kids have problems, and non-vaccination is dangerous. End of conversation.

I’ve gotten an earful about vaccination over the last couple weeks in the course of reporting and writing a new BusinessWeek.com column about physicians showing the door to patients who resist vaccinating their children because of concerns about autism and other dangerous side effects from vaccination.

My sense is that this whole issue is turning into ever more of a flashpoint for American healthcare, a symptom of patients in conflict with an autocratic system. If physicians can reject parents of autistic children because these parents are understandably worried about vaccinating their children, then these doctors must feel quite threatened.

Yes, we know that some physicians are willing to go along with their patients’ wishes to postpone or avoid vaccination, but that willingness is usually more out of personal sensitivity than any personal objections to vaccination. (See my recent posting about my confrontation with a pediatrician at a media event.)

And if these individuals are part of a larger organization, watch out. I’ve recounted how a supervisor in a healthcare facility, opposed to vaccination for herself, ran into major pressure to push her employees to become vaccinated.

I got into a discussion recently about the necessity of the chicken pox vaccine with a physician I know who is generally open-minded about medical issues, and is willing to abide patients who refuse to have their children vaccinated. Since chicken pox is more an inconvenience than a dreaded disease, why do we need to vaccinate children against it? He immediately launched into a story of about how a pregnant woman he treated years ago died from chicken pox. It’s amazing to me how, when you tell a physician about examples of children showing signs of autism shortly after receiving vaccinations, they say your claim is anecdotal or coincidental, but when you argue against something they are for, they come back with anecdote-based arguments. Anyway, the long and the short is that there was no way to convince this physician.

Something else I heard from mothers of autistic children is how cavalier most physicians tend to be when children show improvement as a result of intensive psychological and/or nutritional therapy. In those situations, the physicians often claim that the children who improve weren’t accurately diagnosed in the first place–presumably to rationalize their stance that autism isn’t treatable.

My sense is that the physicians are so completely indoctrinated about vaccination during medical school that they can’t really entertain dissenting opinions. It’s just too threatening.

Yet the reaction we are seeing—rejection by the system of parents who won’t have their children vaccinated—reminds me of what happens in rigid political systems. As dissent mounts, autocratic rulers only become more autocratic. They impose restrictions on freedom of speech, make curfews, and eventually impose martial law. Are we beginning to see the imposition of martial law on parents who won’t vaccinate?

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The comments on my last posting, advising caution about the Mongolian milk study, are well taken. I suspect that underlying my anxiety is the counter-intuitive aspect of raw milk’s effect on overall health. The idea that you can consume all this fat and lose weight, as several people point out, is hard to believe, even when it happens on a personal level. I recently found that my cholesterol level after six months of drinking raw milk and kefir was unchanged. Definitely not what I expected. So I suppose that on some level I’m waiting for "the other shoe to drop," as it were.