免费接种疫苗的公平性。

IF 1.4 3区 哲学 Q2 ETHICS Public Health Ethics Pub Date : 2022-11-01 DOI:10.1093/phe/phac028
Marcel Verweij
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引用次数: 1

摘要

对于像麻疹这样的传染病,一个成功的免疫规划可以产生群体保护。小规模暴发仍可能发生,但很快就会消退,因为病原体在“群体”中传播的可能性非常小。这意味着,拒绝参与此类计划的人仍将受益于该计划提供的保护,但他们没有尽自己的一份力量来维持保护。这难道不是一个搭便车的例子吗?对所有合作的人来说,这不是不公平吗?如果是这样,这可能被视为强制或强制接种疫苗的另一个理由。在本文中,我认为拒绝接种疫苗可以被视为搭便车,但这可能并不公平。群体保护的公共利益是一种特殊的公共利益,因为它监督所有选择接种疫苗的人享有的私人利益。对于接种疫苗的个人来说,群体保护带来的额外好处可以说是免费的,因此他们不能抱怨其他人受益而不分担负担。然而,强制接种疫苗,或者至少将拒绝接种视为道德上错误的选择,还有其他理由。
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The (Un)fairness of Vaccination Freeriding.

For contagious diseases like measles a successful immunization program can result in herd protection. Small outbreaks may still occur but fade out soon, because the possibilities for the pathogen to spread in the 'herd' are very small. This implies that people who refuse to participate in such a program will still benefit from the protection it offers, but they don't do their part in maintaining protection. Isn't that a case of freeriding-and isn't that unfair towards all the people who do collaborate? If so, that might be considered an additional ground for making vaccination mandatory or compulsory. In this paper I argue that vaccination refusal can be considered as freeriding, but that this might not be unfair. The public good of herd protection is a peculiar public good because it supervenes on private benefits that are enjoyed by all who do opt for vaccination. For vaccinated individuals, the additional benefit of herd protection comes about, as it were, for free, and hence they can't complain that others benefit without sharing in the burdens. There are however still other grounds for making vaccination compulsory or at least for seeing refusal as a morally wrong choice.

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来源期刊
Public Health Ethics
Public Health Ethics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICAL ETHICS
CiteScore
3.10
自引率
9.50%
发文量
28
审稿时长
>12 weeks
期刊介绍: Public Health Ethics invites submission of papers on any topic that is relevant for ethical reflection about public health practice and theory. Our aim is to publish readable papers of high scientific quality which will stimulate debate and discussion about ethical issues relating to all aspects of public health. Our main criteria for grading manuscripts include originality and potential impact, quality of philosophical analysis, and relevance to debates in public health ethics and practice. Manuscripts are accepted for publication on the understanding that they have been submitted solely to Public Health Ethics and that they have not been previously published either in whole or in part. Authors may not submit papers that are under consideration for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made. The editorial office will make every effort to deal with submissions to the journal as quickly as possible. All papers will be acknowledged on receipt by email and will receive preliminary editorial review within 2 weeks. Papers of high interest will be sent out for external review. Authors will normally be notified of acceptance, rejection, or need for revision within 8 weeks of submission. Contributors will be provided with electronic access to their proof via email; corrections should be returned within 48 hours.
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