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Collective Paternalism and Vaccination Programs.

Kasper Lippert-Rasmussen1, Viki Lyngby Hvid1, Søren Flinch Midtgaard1

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Summary
This summary is machine-generated.

Vaccination policies using nudges or restrictions are often called paternalistic. However, this objection is weaker than assumed, as these policies primarily involve collective, not individual, paternalism, which is ethically distinct.

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collective paternalismdisrespectindividual paternalismpaternalismvaccination

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Area of Science:

  • Public Health Ethics
  • Vaccinology
  • Behavioral Economics

Background:

  • Vaccination policies frequently employ nudging or coercive measures.
  • Restrictions on unvaccinated individuals accessing public spaces are a common example.
  • Such policies face objections based on paternalism.

Purpose of the Study:

  • To challenge the paternalism objection against vaccination policies.
  • To introduce a distinction between individual and collective paternalism.
  • To argue for the ethical permissibility of collective paternalism in vaccination.

Main Methods:

  • Conceptual analysis of paternalism.
  • Distinguishing individual versus collective paternalism.
  • Applying this distinction to vaccination policies.

Main Results:

  • Vaccination programs predominantly involve collective paternalism.
  • Individual paternalism objections do not directly apply to collective vaccination measures.
  • Collective paternalism is ethically justifiable under specific conditions.

Conclusions:

  • The paternalism objection to vaccination policies is often overstated.
  • Policies like access restrictions are ethically defensible as collective paternalism.
  • Further ethical frameworks are needed to evaluate public health interventions.