There are five reasons why millions of Americans refuse to wear masks during a deadly pandemic:

1.  A feeling of solidarity against authority.
2. “If liberals do it, it’s fascistic.”
3. Rejection of the death-toll caused by COVID-19.
4. Disdain for education in general—and science in particular.
5. Religious fanaticism.

To these must be added:

Sixth: Hypocrisy. Since the Supreme Court legalized abortion in 1973, the Right has demanded that even women who are pregnant due to rape or incest carry the fetus to term.

Yet now that Right-wingers are being asked to wear masks in public—to protect themselves and others from a deadly plague—they’ve suddenly discovered the mantra: “It’s my body!”

Seventh: Identifying with Donald Trump. Trump has made it clear that his followers don’t wear masks. And they have fallen into line, refusing to mask up even in crowded, indoor arenas where infection is most likely.

As winter approaches, more than 80% of hospital beds in the United States are filled—with patients suffering from COVID-19 and respiratory syncytial virus, or RSV, a common virus that causes lung infections.

Nearly 26,000 people were admitted to hospitals with the flu during the week ending December 3, an increase of 32% compared with the week prior.

Hospitalizations of people with Covid have increased about 14% week over week, to more than 4,800 admissions per day on average.

Yet many people refuse to mask up.

During the initial spread of COVID-19, fights erupted before mask-less and mask-wearing customers—and sometimes store employees—who asked them to put on a mask before entering.

• Two men were arrested for felony battery after starting a fight with employees at a Los Angeles Target store over wearing masks inside the store.
• A woman entered Curbside Eatery in La Mesa, California, without a mask, pulling her T-shirt over her face. When the owner told her to mask up or leave, the woman yelled: “This is ridiculous! You’re discriminating against me!’ and threatened a lawsuit.
• In a Costco in Fort Myers, Florida, a masked man asked an unmasked customer to wear a mask. The unmasked man screamed that he was being harassed: “I feel threatened!”

On February 2, 2021, the Transportation Safety Administration (TSA) required all airline travelers to wear masks. By December, the TSA had logged more than 4,100 mask-related air-rage incidents. 

So: How should those who refuse to wear a mask—and thus present a clear and present danger to others—be dealt with?

Ideally, President Joe Biden could issue a mandatory emergency order requiring everyone to wear a mask when in public. But the President lacks the legal authority to do so.

Governors, mayors and business owners should issue emergency orders mandating the wearing of masks in public. And these orders should be forcibly backed up by the following:

• Stop stressing that a mask will protect others from “you.” Most people don’t care about strangers. Emphasize that wearing a mask will protect “you and your family” from others. 
• Don’t give tickets to mask-evaders. They will simply ignore them—or consider them a cheap price for going without a mask. 
• Major retailers should hire professional guards to arrest mask-evaders—and turn them over to police.
• Police should arrest everyone not wearing a mask in public and jail them—without bond—until the plague is over. 
• Create tip hotlines for reporting mask-evaders.
• Offer rewards for tips that lead to arrests.
• Police and prosecutors should publicize these arrests and jailings—to warn other potential mask-evaders.  
• Arrest, prosecute and imprison Right-wingers who openly display and/or threaten unarmed civilians with firearms.
• Above all: Stop admitting the unmasked and unvaccinated to hospitals. Forcing them to pay the price for their irresponsible behavior will end hospital overcrowding.

It was the failure of German police and courts to abort Right-wing violence during the Weimar Republic that led to even greater violence through the rise of Adolf Hitler and his Nazi party.

This is how United States authorities dealt with “Typhoid Mary” Mallon (September 23, 1869 – November 11, 1938).

Mary Mallon

An Irish-born cook, she was an asymptomatic carrier of typhoid fever and is believed to have infected 53 people, three of whom died. Because she persisted in working as a cook, she exposed others to the disease.

As a result, she was twice forcibly quarantined by authorities, and died after a total of nearly 30 years in isolation at Riverside Hospital on North Brother Island, in New York City.

Laws are useless if citizens believe they are unfairly or unpredictably enforced. As Niccolo Machiavelli warns in his classic work, The Discourses:

All those who have written upon civil institutions demonstrate…that whoever desires to found a state and give it laws, must start with assuming that all men are bad and ever ready to display their vicious nature, whenever they may find occasion for it. 

If their evil disposition remains concealed for a time, it must be attributed to some unknown reason; and we must assume that it lacked occasion to show itself. But time, which has been said to be the father of all truth, does not fail to bring it to light.

Not only did President Donald Trump refuse to wear a mask, but he suspected the loyalty of his staffers and Republican allies who didn’t follow his mask-less example.

On April 28, 2020, Vice President Mike Pence toured the Mayo Clinic in Rochester, Minnesota. Pence, who led the White House task force on the virus, refused to wear a mask, even though all the officials and medical personnel clustered around him did. 

Pence even visited with a patient who had survived the Coronavirus and was going to give blood.

Mike Pence at the Mayo Clinic

Few White House aides wore masks, although they claimed that Trump hadn’t told them not to wear them. Some Republican allies asked Trump’s campaign how they would be seen by Trump if he saw them wearing a mask.

“It’s a vanity thing, I guess, with him,” Nancy Pelosi, speaker of the House of Representatives, said. “You’d think, as the President of the United States, you would have the confidence to honor the guidance he’s giving the country.”

By refusing to wear a mask, Trump convinced untold numbers of Americans—mostly Right-wing males—that ignoring the dangers of Coronavirus was the manly thing to do.

(On July 20, 2020, he tweeted an image of himself wearing a mask and called it “patriotic” to wear one. Hours later, however, he appeared without a mask at a fundraiser at the Trump International Hotel in Washington.)

Meanwhile, former Vice President Joe Biden, the Democratic nominee for President, often appeared in public wearing a mask. During a June 26, 2020 television interview he said that, if he were elected President, he would require wearing face masks in public to prevent the spread of the Coronavirus. 

“The one thing we do know—these masks make a gigantic difference,” Biden said. “I would insist that everybody out in public be wearing that mask.”

Yet even in states such as California and New York, where that was required, many people still refused to do so.  

From May 5 to May 12, 2020, the Centers for Disease Control and Prevention (CDC) surveyed 4,042 adults throughout the country on wearing masks. The agency found that 60.3% of respondents said they always wore a mask when out in public. Another 13.8% said they often wore a mask in public.

But 17.1% said they either rarely or never wore a mask in public.

The CDC found that women were more likely than men to say they always wore a mask in public.

CDC headquarters in Atlanta

There are several reasons why people refuse to wear masks.

First: A feeling of solidarity. According to David Abrams, a professor of social and behavioral sciences at NYU School of Global Public Health: People who don’t wear masks may see it as a sign of solidarity, as if they are taking a stand against authority.

Second: “If liberals do it, it’s fascistic.” Many mask protesters accuse those who wear masks of being fascists. This is a hallmark of Right-wing politics—accusing their opponents of being what they are themselves.

Third: They have utterly rejected the rising death-toll caused by the virus. They claim stories of such deaths are mere “fake news”—the term Trump uses to dismiss any news stories that highlight his mistakes and criminality. 

Fourth: Republicans disdain education in general—and science in particular. In March, 2020, an NBC News poll found that only 30% of Republicans said that they would actually listen to the advice of doctors to stay away from large, crowded areas to avoid Coronavirus. 

These are the same people who get their version of reality from Right-wing sources like Fox News Network and radio broadcaster Rush Limbaugh. 

Rush Limbaugh

On his March 27, 2020 show, Limbaugh—grotesquely fat, suffering from impotence, usually wreathed in polluted cigar smoke—posed as a medical authority.

He dismissed Coronavirus as “the common cold,” then added: “We didn’t elect a president to defer to a bunch of health experts that we don’t know. 

“And how do we know they’re even health experts? Well, they wear white lab coats, and they’ve been in the job for a while, and they’re at the CDC [Centers for Disease Control and Prevention] and they’re at the NIH [National Institutes of Health] and they’re up, well—yeah, they’ve been there, and they are there.

“But has there been any job assessment for them? They’re just assumed to be the best because they’re in government. But, these are all kinds of things that I’ve been questioning.” 

In 2015, Limbaugh said: “Firsthand smoke takes 50 years to kill people, if it does. Not everybody that smokes gets cancer. Now, it’s true that everybody who smokes dies, but so does everyone who eats carrots.”

Six years later, on February 17, 2021, Limbaugh—a longtime and heavy cigar smoker—died from Stage Four lung cancer. 

Fifth: Religious Fanaticism. Many fundamentalist Christians believe that their faith in Jesus will protect them against COVID-19. They continue to attend services indoors in defiance of CDC warnings by meeting in large numbers indoors.

A female member of the Solid Red Rock Church in Monroe, Ohio, told CNN: “I wouldn’t be anywhere else. I’m covered in Jesus’ blood. I’m covered in Jesus’ blood.”

The United States is now entering its third year of COVID-19.  As of December 7, 2022, the number of cases stood at 99 million. More than one million Americans have died.

Wearing a mask and “social distancing”—keeping at least six feet between yourself and others while in public—have been the Golden Rules urged by public health officials from the pandemic’s start.

And yet vast numbers of Americans still refuse to do either. Just as they refuse to get vaccinated, despite three vaccines now widely available.

Surgical mask

In the early weeks and months of the pandemic, cloth face masks weren’t universally endorsed, even by public health experts.

“One, we didn’t know whether they were actually helpful, and two, there was a lot of concern that if people were using medical masks then people like myself, were not going to have access to them,” said Dr. Craig Spencer, director of global health in emergency medicine at Columbia University Medical Center.

No less an authority than Dr. Anthony Fauci,  the country’s leading infectious disease expert, said in March, 2020, that “people should not be walking around with masks.”

Only in early June, 2020, did the World Health Organization (WHO) urge non-healthcare workers to mask up. The WHO advised people to don masks when social distancing was not possible, such as when visiting stores and using public transportation.

According to Dr. Jeremy Faust, the change in attitudes toward masks should be seen as the nature of science, and not as a flaw.

“That is what experts, in fact, do. They don’t just have an opinion and stick to it,” said Faust, an emergency physician at Brigham and Women’s Hospital, in Boston, Massachusetts. “They actually let their opinions develop and evolve as better information becomes available.” 

Only in January, 2022, did the Centers for Disease Control and Prevention (CDC) urge Americans to wear N95 masks—the most effective ones available.

In 2020, the CDC had urged Americans to not use N95s. The reason: They feared this would create a shortage of these masks for doctors, nurses and paramedics working closely with COVID patients.

N95 mask

Scientists have learned, for example, that COVID-19 can be spread by those who show no symptom of the disease. And mounting evidence has proven that masks are essential for protecting people from the virus. 

Coronavirus is spread by respiratory droplets when an infected person coughs, sneezes or talks—especially if large numbers of people are packed indoors. The danger goes up if the talker is shouting or singing loudly.

If not blocked by a face covering, the droplets can travel six to 13 feet, and can remain airborne for hours in some cases.

Researchers at Florida Atlantic University found that some masks were more effective than others. One study showed that well-fitted homemade masks with multiple layers of fabric, as well as off-the-shelf cone style masks, were the most effective in reducing droplet dispersal.

Bandannas turned out to be the least effective in reducing transmission.

Coronavirus

So why do so many Americans refuse to wear a mask?

Start at the top: With Donald Trump, the former President of the United States.

From the outset, Trump refused to wear a mask in public.

A colossal egotist, Trump is orange-skinned, morbidly obese and lacking a neck. Yet he still thinks of himself as dangerously handsome. And he feared that covering his face would diminish his power and appeal.

“Appearing to play it safe contradicts a core principle of masculinity: show no weakness,” wrote social sciences professor Peter Glick at Scientific American magazine. “Defying experts’ warnings about personal danger signals ‘I’m a tough guy, bring it on.’”

On May 21, 2020, Trump refused to wear a face mask as he toured a Ford facility in Michigan that was manufacturing ventilators and personal protective equipment. This violated the policies of the facility, the governor’s executive order and warnings from the state’s attorney general.

After a three-month nationwide “lockdown,” states began “reopening.” So Trump scheduled his first 2020 re-election rally in Tulsa, Oklahoma. 

It was held on June 20 at the BOK Center. Scientists had learned that Coronavirus is more likely to be transmitted indoors than outdoors, when masses of people are packed together, and when people are loudly talking—or, worse, shouting.

Masks were available for those who wanted them. But Trump made it clear that his supporters shouldn’t wear masks, as a sign of support for him. Photos of the rally show men and women densely packed together, with none of them wearing masks.

A Trump rally

The Tulsa event was followed by another indoor rally in Phoenix on June 23. “Students for Trump” featured a packed crowd, with almost no one wearing masks. 

After staging COVID-spreading rallies at Tulsa, Oklahoma, and Phoenix, Arizona, Trump scheduled another one for July 3 at Mount Rushmore, in Keystone, South Dakota.

Such rallies had been put on hold since March, due to the issuing of stay-at-home orders across the country by states’ mayors and governors.

Health experts expressed fears about a large gathering during the Coronavirus pandemic. But South Dakota Governor Kristi Noem said people would “not be social distancing” during the celebration—nor required to wear masks.