Thanh Neville, M.D., M.S.H.S., in "I'm An ICU Doctor And I Cannot Believe The Things Unvaccinated Patients Are Telling Me":

But the relief was short-lived, the hope was fleeting, and we are amid another surge. A surge that is fueled by a highly transmissible variant and those unvaccinated. My experiences in the ICU these past weeks have left me surprised, disheartened, but most of all, angry.

I am angry that the tragic scenes of prior surges are being played out yet again, but now with ICUs primarily filled with patients who have chosen not to be vaccinated. I am angry that it takes me over an hour to explain to an anti-vaxxer full of misinformation that intubation isn’t what “kills patients” and that their wish for chest compressions without intubation in the event of a respiratory arrest makes no sense. I am angry at those who refuse to wear “muzzles” when grocery shopping for half an hour a week, as I have been so-called “muzzled” for much of the past 18 months.

I cannot understand the simultaneous decision to not get vaccinated and the demand to end the restrictions imposed by a pandemic. I cannot help but recoil as if I’ve been slapped in the face when my ICU patient tells me they didn’t get vaccinated because they “just didn’t get around to it.” Although such individuals do not consider themselves anti-vaxxers, their inaction itself is a decision — a decision to not protect themselves or their families, to fill a precious ICU bed, to let new variants flourish, and to endanger the health care workers and immunosuppressed people around them. Their inaction is a decision to let this pandemic continue to rage.

And meanwhile, immunocompromised people, for whom vaccines don’t generate much immunity, are desperately waiting for herd immunity. I have no way to comfort my rightfully outraged transplant patients who contracted COVID-19 after isolating for over a year and getting fully vaccinated as soon as they could. With angry tears, these patients tell me it’s not fair that there are people who are choosing to endanger both themselves and the vulnerable people around them. They feel betrayed by their fellow citizens and they are bitter and angry. I cannot blame them.

I am at a loss to understand how anyone can look at these past months of the pandemic — more than 600,000 lives lost in the U.S. and more than 4 million worldwide — and not believe it’s real or take it seriously. But the unhappy truth is that there are people who do not. They did not in the beginning and many are doubling down now.