Business
How a blunder by a respected medical journal is fueling an anti-vaccine lie
The paper published by the respected British Medical Journal earlier this month was eye-opening, to say the least. It questioned why excess deaths in Western countries remained unusually elevated during the COVID-19 pandemic even after vaccines were introduced in 2021.
The implication seemed clear: Rather than reducing cases and deaths, the COVID vaccines had fueled the tragic tide.
That finding was picked up within 48 hours by the Telegraph, a conservative British daily. It leaped across the Atlantic Ocean to the New York Post, a part of the Murdoch media empire, one day later.
Various news outlets have claimed that this research implies a direct causal link between COVID-19 vaccination and mortality. This study does not establish any such link.
— British Medical Journal
Since then, it has been widely spread on social media by the anti-vaccination camp. The repetitions have become increasingly febrile, with some tweets blaming the vaccines for tens of millions of deaths.
Here’s what you need to know: There is no truth to this finding, or to the anti-vaccine camp’s interpretation of the BMJ paper.
The journal, which posted the paper on its Public Health webpage on June 3, has acknowledged that. In a public statement issued June 6, after the faulty interpretation began to spread worldwide, the journal observed: “Various news outlets have claimed that this research implies a direct causal link between COVID-19 vaccination and mortality. This study does not establish any such link.”
On the contrary, the journal wrote, “Vaccines have, in fact, been instrumental in reducing the severe illness and death associated with COVID-19 infection.”
Alas, the journal’s warning came too late. As I write, the Telegraph’s June 4 tweet hawking its misleading story has received 1.5 million views on X (formerly-Twitter), but the BMJ’s warning notice, only 388,000 views.
These figures are proof positive of the old saw (attributed to Winston Churchill, among many others) that “a lie can make it halfway around the world before the truth can get its boots on.”
Some researchers argue that the original paper, by a team of Dutch scientists, was so shoddy and inconsequential that it should not have been published at all.
Among the critics is Ariel Karlinsky, an Israeli economist and statistician whose data constituted the core of the Dutch paper. Karlinsky has written that the BMJ should retract the paper and “open an inquiry into what happened there with editors and reviewers.” The journal hasn’t responded.
The use that anti-vaccine propagandists have made of the BMJ paper underscores the dangers of disinformation in public health today.
A recent study in Science analyzed the impact of what its authors labeled “vaccine-skeptical” published content on vaccine refusal. The authors examined anti-vaccine posts on Facebook during the first three months of the COVID vaccine rollout in early 2021.
They found that posts flagged by third-party fact-checkers as false received a relatively minimal 8.7 million views in that period. Posts that were not flagged by fact-checkers but “nonetheless implied that vaccines were harmful to health — many of which were from credible mainstream news outlets — were viewed hundreds of millions of times.”
The flagged posts were more likely to inspire vaccine resistance, the authors wrote. Although unflagged posts individually had less impact on vaccine sentiment, the volume of those posts was so immense that cumulatively they did more damage to vaccine rates.
A single vaccine-skeptical article in the Chicago Tribune — headlined “A healthy doctor died two weeks after getting a COVID vaccine; CDC is investigating why” — was viewed by more than 50 million users on Facebook, more than 20% of the platform’s U.S. user base. That was “more than six times the number of views than all flagged misinformation combined.”
It’s also true that articles that may be innocuous or inconclusive at their core can be distorted and magnified into explicitly anti-vaccine messages by being passed through the anti-vax network.
Something of the kind happened with the BMJ paper. Its language alluding to “serious concerns” about the impact of vaccines and “containment measures” such as lockdowns on excess deaths was transmogrified into the Telegram’s headline stating that “Covid vaccines may have helped fuel rise in excess deaths” and similar language in the New York Post.
The anti-vaxx camp, in repeating these claims, did so after removing or minimizing most of the qualifying language. The headline on a report published by Robert F. Kennedy Jr.’s anti-vaccine organization, Children’s Health Defense, stated that the COVID vaccines “likely fueled rise in excess deaths,” attributing that conclusion to “mainstream media.”
The CHD report cited a blog post by anti-vaxx crusader Meryl Nass, republishing the Telegraph article. The Nass post was headlined “The Dam Has Broken,” suggesting that major news sources were now accepting the dangers of the COVID vaccines.
Nass, by the way, is a Maine physician who has had her license suspended and been fined $10,000 for having prescribed ivermectin and hydroxychloroquine, two medicines known to be useless in treating COVID-19, to patients.
Put it all together, and the evolution of the BMJ paper into a brief claiming that the COVID vaccines are harmful to health plays into the most extreme anti-vaccine disinformation in circulation — such as the incredibly ignorant and dangerous recommendation by Joseph Ladapo, the anti-vaccine quack appointed as Florida surgeon general by Gov. Ron DeSantis, that no one under 65 take a COVID vaccine.
The medical and immunological communities have overwhelmingly concluded that the COVID-19 vaccines have massively reduced hospitalizations and death from the disease. A December 2022 report card by the Commonwealth Fund concluded that after two years of administration, the vaccines had prevented more than 18 million additional hospitalizations and more than 3 million additional deaths.
This is the progress placed at risk by the torrent of anti-vaccine propaganda purveyed by RFK Jr.’s organization and other vaccination opponents.
That brings us back to the BMJ paper and its manifest flaws.
“Excess deaths,” the metric purportedly examined by the Dutch authors, is simply the number of deaths in a country during a given period over and above those that would have been expected “under normal conditions,” based on historical patterns.
In more than 40 Western countries during the three peak years of the pandemic, the authors reported, there were 1.033 million excess deaths in 2020, about 1.26 million in 2021 and 808,000 in 2022.
The authors expressed perplexity about why excess deaths actually rose in 2021, despite the arrival of the vaccines and the implementation of social anti-pandemic measures, and remained elevated the following year. “Government leaders and policymakers,” the authors wrote, “ need to thoroughly investigate underlying causes of persistent excess mortality.”
The authors further commented that “consensus is also lacking in the medical community regarding concerns that mRNA vaccines might cause more harm than initially forecasted.” That’s a gross misrepresentation.
The consensus in the medical community is indisputably that the vaccines are safe and effective. Although they do cause occasional side effects (as do all vaccines), the health threats caused by COVID-19 itself are immeasurably more hazardous.
The truth is that the factors causing elevated excess mortality throughout the pandemic are not mysterious, but well-understood. Statistical data scientist Jeffrey S. Morris of the University of Pennsylvania put his finger on some of the most important.
One is that far more people were exposed to COVID-19 in 2021 than in 2020. By the end of 2020, according to the World Health Organization, there were about 10,000 cases and about 238 deaths per million population; one year later, there 35,186 cases and 683 deaths per million. Furthermore, the COVID variants that appeared in 2021 — the Delta and Omicron waves — were far more transmissible and virulent (causing more hospitalization and death) than the initial variants.
Also in 2021, many of the most stringent anti-pandemic measures implemented in 2020 — school closings, lockdowns, business closures, mask mandates — were getting lifted by local authorities. This raised the level of exposure to the virus in the general public.
As for the vaccines, the Dutch authors seemed to conjecture that vaccination happened as if with the turning of a switch in January 2021. Of course that’s untrue.
Figures compiled by the independent statistical clearinghouse Our World in Data — which were used by the Dutch researchers — show that the vaccines were rolled out only gradually through 2021. By mid-year, only about 20% of the population of countries that submitted figures had received even a single dose; by the end of 2021, nearly 50% were still unvaccinated.
“Even with a 100% effective vaccine, we would have seen high levels of morbidity and mortality from COVID-19 in 2021, leading to high number of excess deaths,” Morris observes.
Statisticians have shown that the peaks and valleys of excess mortality during the pandemic coincide almost exactly with the emergence and peaks of Delta, Omicron and other variants of concern, indicating that excess deaths are almost certainly the result of COVID, not the COVID vaccines.
One other data point: As the British actuary Stuart McDonald points out, of the 47 countries surveyed by the Dutch researchers, the 10 with the lowest rates of excess deaths are those with the highest vaccine uptakes, such as Canada (83% vaccination rate in 2022 and only 5% excess deaths in 2020-22) and Germany (76% vaccinated and 6% excess deaths). By contrast, those with the lowest vaccination rates tended to have the most excess deaths, including North Macedonia (40% vaccinated at 28% excess deaths) and Albania (45% vaccinated, 24% excess deaths).
Is there a remedy for claptrap like the BMJ article? Sadly, very little. Qualified scientists and epidemiologists have risen up almost as one to expose the flaws of the BMJ paper. But the first line of defense against disinformation must be scientific journals themselves. In this case, if not for the first time, the BMJ has failed its responsibility for being a gatekeeper of sound science.
Business
A tale of two Ralphs — Lauren and the supermarket — shows the reality of a K-shaped economy
John and Theresa Anderson meandered through the sprawling Ralph Lauren clothing store on Rodeo Drive, shopping for holiday gifts.
They emerged carrying boxy blue bags. John scored quarter-zip sweaters for himself and his father-in-law, and his wife splurged on a tweed jacket for Christmas Day.
“I’m going for quality over quantity this year,” said John, an apparel company executive and Palos Verdes Estates resident.
They strolled through the world-famous Beverly Hills shopping mecca, where there was little evidence of any big sales.
John Anderson holds his shopping bags from Ralph Lauren and Gucci at Rodeo Drive.
(Juliana Yamada / Los Angeles Times)
One mile away, shoppers at a Ralphs grocery store in West Hollywood were hunting for bargains. The chain’s website has been advertising discounts on a wide variety of products, including wine and wrapping paper.
Massi Gharibian was there looking for cream cheese and ways to save money.
“I’m buying less this year,” she said. “Everything is expensive.”
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The tale of two Ralphs shows how Americans are experiencing radically different realities this holiday season. It represents the country’s K-shaped economy — the growing divide between those who are affluent and those trying to stretch their budgets.
Some Los Angeles residents are tightening their belts and prioritizing necessities such as groceries. Others are frequenting pricey stores such as Ralph Lauren, where doormen hand out hot chocolate and a cashmere-silk necktie sells for $250.
People shop at Ralphs in West Hollywood.
(Juliana Yamada / Los Angeles Times)
In the K-shaped economy, high-income households sit on the upward arm of the “K,” benefiting from rising pay as well as the value of their stock and property holdings. At the same time, lower-income families occupy the downward stroke, squeezed by inflation and lackluster income gains.
The model captures the country’s contradictions. Growth looks healthy on paper, yet hiring has slowed and unemployment is edging higher. Investment is booming in artificial intelligence data centers, while factories cut jobs and home sales stall.
The divide is most visible in affordability. Inflation remains a far heavier burden for households lower on the income distribution, a frustration that has spilled into politics. Voters are angry about expensive rents, groceries and imported goods.
“People in lower incomes are becoming more and more conservative in their spending patterns, and people in the upper incomes are actually driving spending and spending more,” said Kevin Klowden, an executive director at the Milken Institute, an economic think tank.
“Inflationary pressures have been much higher on lower- and middle-income people, and that has been adding up,” he said.
According to a Bank of America report released this month, higher-income employees saw their after-tax wages grow 4% from last year, while lower-income groups saw a jump of just 1.4%. Higher-income households also increased their spending year over year by 2.6%, while lower-income groups increased spending by 0.6%.
The executives at the companies behind the two Ralphs say they are seeing the trend nationwide.
Ralph Lauren reported better-than-expected quarterly sales last month and raised its forecasts, while Kroger, the grocery giant that owns Ralphs and Food 4 Less, said it sometimes struggles to attract cash-strapped customers.
“We’re seeing a split across income groups,” interim Kroger Chief Executive Ron Sargent said on a company earnings call early this month. “Middle-income customers are feeling increased pressure. They’re making smaller, more frequent trips to manage budgets, and they’re cutting back on discretionary purchases.”
People leave Ralphs with their groceries in West Hollywood.
(Juliana Yamada / Los Angeles Times)
Kroger lowered the top end of its full-year sales forecast after reporting mixed third-quarter earnings this month.
On a Ralph Lauren earnings call last month, CEO Patrice Louvet said its brand has benefited from targeting wealthy customers and avoiding discounts.
“Demand remains healthy, and our core consumer is resilient,” Louvet said, “especially as we continue … to shift our recruiting towards more full-price, less price-sensitive, higher-basket-size new customers.”
Investors have noticed the split as well.
The stock charts of the companies behind the two Ralphs also resemble a K. Shares of Ralph Lauren have jumped 37% in the last six months, while Kroger shares have fallen 13%.
To attract increasingly discerning consumers, Kroger has offered a precooked holiday meal for eight of turkey or ham, stuffing, green bean casserole, sweet potatoes, mashed potatoes, cranberry and gravy for about $11 a person.
“Stretch your holiday dollars!” said the company’s weekly newspaper advertisement.
Signs advertising low prices are posted at Ralphs.
(Juliana Yamada / Los Angeles Times)
In the Ralph Lauren on Rodeo Drive, sunglasses and polo shirts were displayed without discounts. Twinkling lights adorned trees in the store’s entryway and employees offered shoppers free cookies for the holidays.
Ralph Lauren and other luxury stores are taking the opposite approach to retailers selling basics to the middle class.
They are boosting profits from sales of full-priced items. Stores that cater to high-end customers don’t offer promotions as frequently, Klowden of the Milken Institute said.
“When the luxury stores are having sales, that’s usually a larger structural symptom of how they’re doing,” he said. “They don’t need to be having sales right now.”
Jerry Nickelsburg, faculty director of the UCLA Anderson Forecast, said upper-income earners are less affected by inflation that has driven up the price of everyday goods, and are less likely to hunt for bargains.
“The low end of the income distribution is being squeezed by inflation and is consuming less,” he said. “The upper end of the income distribution has increasing wealth and increasing income, and so they are less affected, if affected at all.”
The Andersons on Rodeo Drive also picked up presents at Gucci and Dior.
“We’re spending around the same as last year,” John Anderson said.
At Ralphs, Beverly Grove resident Mel, who didn’t want to share her last name, said the grocery store needs to go further for its consumers.
“I am 100% trying to spend less this year,” she said.
Business
Instacart ends AI pricing test that charged shoppers different prices for the same items
Instacart will stop using artificial intelligence to experiment with product pricing after a report showed that customers on the platform were paying different prices for the same items.
The report, published this month by Consumer Reports and Groundwork Collaborative, found that Instacart sometimes offered as many as five different prices for the same item at the same store and on the same day.
In a blog post Monday, Instacart said it was ending the practice effective immediately.
“We understand that the tests we ran with a small number of retail partners that resulted in different prices for the same item at the same store missed the mark for some customers,” the company said. “At a time when families are working exceptionally hard to stretch every grocery dollar, those tests raised concerns.”
Shoppers purchasing the same items from the same store on the same day will now see identical prices, the blog post said.
Instacart’s retail partners will still set product prices and may charge different prices across stores.
The report, which followed more than 400 shoppers in four cities, found that the average difference between the highest and lowest prices for the same item was 13%. Some participants in the study saw prices that were 23% higher than those offered to other shoppers.
At a Safeway supermarket in Washington, D.C., a dozen Lucerne eggs sold for $3.99, $4.28, $4.59, $4.69 and $4.79 on Instacart, depending on the shopper, the study showed.
At a Safeway in Seattle, a box of 10 Clif Chocolate Chip Energy bars sold for $19.43, $19.99 and $21.99 on Instacart.
The study found that an individual shopper on Instacart could theoretically spend up to $1,200 more on groceries in one year if they had to deal with the price differences observed in the pricing experiments.
The price experimentation was part of a program that Instacart advertised to retailers as a way to maximize revenue.
Instacart probably began adjusting prices in 2022, when the platform acquired the artificial intelligence company Eversight, whose software powers the experiments.
Instacart claimed that the Eversight experimentation would be negligible to consumers but could increase store revenue by up to 3%.
“Advances in AI enable experiments to be automatically designed, deployed, and evaluated, making it possible to rapidly test and analyze millions of price permutations across your physical and digital store network,” Instacart marketing materials said online.
The company said the price chranges were not dynamic pricing, the practice used by airlines and ride-hailing services to charge more when demand surges.
The price changes also were not based on shoppers’ personal information such as income, the company said.
“American grocery shoppers aren’t guinea pigs, and they should be able to expect a fair price when they’re shopping,” Lindsey Owens, executive director of Groundwork Collaborative, said in an interview this month.
Shares of Instacart fell 2% on Monday, closing at $45.02.
Business
Apple, Google and others tell some foreign employees to avoid traveling out of the country
Big Tech companies, including Apple, Google, Microsoft, and ServiceNow, have warned employees on visas to avoid leaving the country amid uncertainty about changing immigration policy and procedures.
Following an attack on National Guard members in Washington, the Trump administration expanded travel bans earlier this month, and beefed up vetting and data collection for visa applicants. The new policy now includes screening the social media history of some visa applicants and their dependents.
Soon after the announcement, U.S. consulates began rescheduling appointments for future dates, some as late as summer 2026, leaving employees who required appointments unable to return.
“Please be aware that some U.S. Embassies and Consulates are experiencing significant visa stamping appointment delays, currently reported as up to 12 months,” noted an email sent by Berry Appleman & Leiden LLC, the immigration firm that represents Google. The advisory also recommended “avoiding international travel at this time.”
Business Insider earlier reported on the travel advisories.
Microsoft’s memo noted that much of the rescheduling is occurring in India, in cities such as Chennai and Hyderabad, and that new stamping dates are as far out as June 2026.
The company advised employees with valid work authorization who were traveling outside the U.S. for stamping to return before their current visa expires. Those still in the U.S. scheduling upcoming travel for visa stamping should “strongly consider” changing their travel plans.
Apple’s immigration team also recommended that employees without a valid H1-B visa stamp avoid international travel for now.
ServiceNow, a business software company, similarly issued an advisory recommending that those with valid visa stamps return to the U.S.
Microsoft declined to comment on its memo. Apple, Google and ServiceNow did not immediately respond to requests for comment.
Companies warned that delays due to enhanced screening is for H-1B, H-4, F, J and M visas.
H-1B is a high-skilled immigration visa program that allows employers to sponsor work visas for individuals with specialized skills. The program, capped at 85,000 new visas per year, is a channel for American tech giants to source skilled workers, such as software engineers.
Big Tech companies such as Amazon, Google, and Meta have consistently topped the charts in terms of the number of H-1B approvals, with Indian nationals as the largest beneficiaries of the program, accounting for 71% of approved H-1 B petitions.
H-1B visas are awarded through a lottery system, which its critics say has been exploited by companies to replace American workers with cheap foreign labor.
In September, the Trump administration announced a $100,000 fee for new H-1B employee hires. But after severe pushback, it clarified that it applied only to employers seeking to use the H-1B visa to hire foreign nationals not already in the U.S.
The H-1B program is an issue that has not only animated the right but also splintered it. Those on the tech-right, such as Elon Musk and David Sacks, are strongly in favor of strengthening skilled immigration, while the core MAGA base is vehemently opposed to it.
Proponents of the program often highlight that skilled worker immigration made the U.S a technological leader, and nearly half of the fortune 500 companies were founded by immigrants or their children, creating jobs for native-born Americans.
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