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Dan Mehan, president of the Missouri Chamber of Commerce and Industry, a pro-business group in a state where national vaccination rates are declining, told companies “vaccination promotion” awarding them bronze, silver or gold level certificates based on the percentage of vaccinated employees. Employers can then display their status to encourage customer traffic. “We think vaccination is essential to surviving the pandemic,” Mr Mehan said.

The grieving relatives of children and unvaccinated adults who succumb to the delta variant even undertake to sponsor vaccination campaigns. This summer, some held vaccination events at funerals.

But with the massive closure of mass vaccination centers, the burden of persuasion increasingly fell on primary care providers. Dr. David Priest, infectious disease specialist New HealthHe has repeatedly interviewed patients who are hesitant about Covid vaccines, with multiple clinics in North Carolina.

“You have to be incredibly over-communicating,” said Dr. Priest says, “because we still get questions about things where I think ‘This was known 18 months ago’. But that’s where people are, so you have to keep answering and answering and answering that question.”

He added that it is critical that doctors have a vaccine available. “So when the patient finally says, ‘I think I will,’ we can seal the deal. Because if there is no filming in your clinic at that moment, people get in their car, get busy with other things, forget or change their minds.”

Alison ButtenheimThe behavioral health expert from the University of Pennsylvania, although primary care doctors as reliable sources for patients play a crucial role at this stage of vaccine purchase, “this raises the question of what happens to people who are absolutely not immune. You don’t have a usual source of care.”