Meanwhile my organization of several thousand employees has decided that employees who have direct contact with patients must either receive the flu vaccine or wear a face mask. One of our receptionists has selected the latter. After a few days of stuffy breathing and difficulty making herself understand, she has allowed the mask to slip; it now just covers her chin. Her rebellion stands unchallenged.Sure, I understand true needle phobia, and initial parental concerns about the many vaccines kids are subjected to. But shouldn't rational decision-making also play a role?

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