Whither the Holdouts?
While Illinois just floated the possibility of taking away health insurance for unvaccinated residents of the state, two hospitals are turning the other direction. After federal courts paused enforcement of the Centers for Medicare and Medicaid Services (CMS) vaccine mandate, two hospital systems suspended their employee vaccine mandates this week.
The hospital systems—AdventHealth, a faith-based healthcare group based in Florida, and Cleveland Clinic, a group which primarily services Ohio—both announced a pause of implementation of the vaccine mandate until there is a more definitive ruling. Both hospital systems have said new religious exemption requests will not be considered while the rules are in flux. AdventHealth still requires employees to report their vaccination status to the hospital.
The CMS rule required all hospitals receiving Medicare or Medicaid funding to mandate the vaccine for their employees, affecting the majority of hospital systems across the nation. With the rule harnessed, it remains to be seen how many will reverse course.
Perhaps it should be heartening to see hospitals back off, but it’s a pretty measly pittance. Enacted so late, the move has marginal impact. The hospitals’ decisions technically affect all 83,000 and 68,700 of their respective employees, but in practice only make a difference for the few who haven’t gotten the shot, resigned, or been fired already. In November, 30 percent of hospital employees remained unvaccinated, though the number is likely fewer now.
While we don’t know how many hospital staff have been fired for refusing the vaccine, we do know that a minimum of 4,000 have, from hospitals and hospital systems that have reported vaccine firing numbers. In addition to those fired, an untold number of Americans have also resigned from hospitals over the mandates, enough for one to temporarily shutter its maternity department after 30 staff left in protest.
But all that is over now, or for the most part. Most vaccination deadlines have long passed. Decisions—to jab, to seek a religious exemption, or to quit—have already been made. How many holdouts are actually affected, and of those, how many will be forced to make a tough choice again, when the rules change again? For those who got the shot unwillingly, too, believing they had no out, surely this comes like a slap in the face.
Don’t get me wrong, it is better that these hospitals suspend their rules, for the sake of those who may still have hung on. But this isn’t the white horse it promises to be.