Rationing, Responsibility, and Vaccination During COVID-19: A Conceptual Map

American Journal of Bioethics:1-14 (forthcoming)
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Abstract

Throughout the COVID-19 pandemic, shortages of scarce healthcare resources consistently presented significant moral and practical challenges. While the importance of vaccines as a key pharmaceutical intervention to stem pandemic scarcity was widely publicized, a sizable proportion of the population chose not to vaccinate. In response, some have defended the use of vaccination status as a criterion for the allocation of scarce medical resources. In this paper, we critically interpret this burgeoning literature, and describe a framework for thinking about vaccine-sensitive resource allocation using the values of responsibility, reciprocity, and justice. Although our aim here is not to defend a single view of vaccine-sensitive resource allocation, we believe that attending critically with the diversity of arguments in favor (and against) vaccine-sensitivity reveals a number of questions that a vaccine-sensitive approach to allocation should answer in future pandemics.

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Author Profiles

Jin Park
Washington University in St. Louis
Ben Davies
University of Sheffield

References found in this work

What is equality? Part 2: Equality of resources.Ronald Dworkin - 1981 - Philosophy and Public Affairs 10 (4):283 - 345.
What is equality? Part 1: Equality of welfare.Ronald Dworkin - 1981 - Philosophy and Public Affairs 10 (3):185-246.
The Ethics of Vaccination.Alberto Giubilini - 2019 - Cham: Springer Verlag.

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