U.S. health officials are changing course on COVID-19 messaging. At first, groups like the CDC and experts like Dr. Fauci persuaded all citizens to isolate, wear masks, and get vaccinated. Now that infection and hospitalization rates have declined, messaging is focusing more on individual choice. Those who favor less government intervention have been encouraging a more personal approach from the start.

This strategy complicates communication for doctors, who might now ask patients about their personal goals and risk tolerance before recommending actions. For example, a second booster shot may not be best for everyone. I wonder whether doctors have the skills and will take the time for these conversations. I also wonder whether friends, family, and community members will engage with each other in new ways to support different choices. I’m hopeful but weary.

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