Springer Verlag (2019)

Alberto Giubilini
Università degli Studi di Milano (PhD)
This open access book discusses individual, collective, and institutional responsibilities with regard to vaccination from the perspective of philosophy and public health ethics. It addresses the issue of what it means for a collective to be morally responsible for the realisation of herd immunity and what the implications of collective responsibility are for individual and institutional responsibilities. The first chapter introduces some key concepts in the vaccination debate, such as ‘herd immunity’, ‘public goods’, and ‘vaccine refusal’; and explains why failure to vaccinate raises certain ethical issues. The second chapter analyses, from a philosophical perspective, the relationship between individual, collective, and institutional responsibilities with regard to the realisation of herd immunity. The third chapter is about the principle of least restrictive alternative in public health ethics and its implications for vaccination policies. Finally, the fourth chapter presents an ethical argument for unqualified compulsory vaccination, i.e. for compulsory vaccination that does not allow for any conscientious objection. The book will appeal to philosophers interested in public health ethics and the general public interested in the philosophical underpinning of different arguments about our moral obligations with regard to vaccination.
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ISBN(s) 978-3-030-02067-5   978-3-030-02068-2   1013270401   3030020673   101327041X   9783030020675
DOI 10.1007/978-3-030-02068-2
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Chapters BETA
Fairness, Compulsory Vaccination, and Conscientious Objection

This chapter presents an argument for compulsory vaccination and against allowing non-medical vaccine exemptions. The argument is based on the idea that the proper aim of vaccination policies should be not only herd immunity but also a fair distribution of the burdens entailed by its realization. I ... see more

Vaccination Policies and the Principle of Least Restrictive Alternative: An Intervention Ladder

The principle of least restrictive alternative states that policymakers have significant reason to implement the policy that is effective in achieving a certain result and that is least restrictive of individual liberty or autonomy. This chapter provides a ranking of vaccination policies, or an inte... see more

Vaccination and Herd Immunity: Individual, Collective, and Institutional Responsibilities

This chapter discusses the relation between collective, individual, and institutional responsibilities with regard to the realization of herd immunity from certain infectious diseases. The argument is put forth that there is a form of collective moral obligation to realize herd immunity, that there ... see more

Vaccination: Facts, Relevant Concepts, and Ethical Challenges

This first chapter introduces some ethically relevant concepts that illustrate why we need an “ethics of vaccination”, such as “herd immunity”, “public good”, and “vaccine refusal”. It argues that the choice whether to vaccinate oneself or one’s children is by its own nature an “ethical” choice: it ... see more

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Citations of this work BETA

Good Reasons to Vaccinate: Mandatory or Payment for Risk?Julian Savulescu - 2021 - Journal of Medical Ethics 47 (2):78-85.
Demandingness and Public Health Ethics.Julian Savulescu & Alberto Giubilini - 2019 - Moral Philosophy and Politics 6 (1):65-87.

View all 23 citations / Add more citations

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