In Ben Davies, Gabriel De Marco, Neil Levy & Julian Savulescu (eds.),
Responsibility and Healthcare. Oxford University Press USA. pp. 287-304 (
2024)
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Abstract
Why have some countries been able to implement quarantines and roll-out vaccines effectively quickly, while others have suffered with poor widescale public support and compliance? Part of the reason is because of a lack of fair, well-articulated government policies to deal with the costs of necessary lockdowns and other protocols, along with uneven citizen compliance and behaviour. We argue for a progressive reciprocity framework. We argue that governments have a responsibility to make the costs of mandatory restrictions of liberty reasonable and this provides a reciprocal responsibility to comply and sacrifice freedom and some level of well-being for the common good. We introduce a “Quarantine Bill of Rights”, as both an ethical, economic, and responsible template for governments and citizens responding to pandemics. It provides incentives for greater public quarantine and vaccine compliance which can end future health crises faster, thereby reducing overall societal harm. We ask individuals to take responsibility during a pandemic, but this is a reasonable demand only if states themselves take responsibility for the ongoing welfare of their citizens, including those who bear the costs of government strategy to address pandemic threats, such as lockdowns and vaccination efforts. Our proposal also addresses the long-term economic damage when such crises have not been contained quickly enough. Such an accord should become a universal governing principle, perhaps under the auspices of the World Health Organization or another multilateral organization. Governments have responsibilities to all of their citizens, not merely citizens to each other.