Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Mar;27(1):107-119.
doi: 10.1007/s11019-023-10188-2. Epub 2024 Jan 8.

COVID-19 vaccine refusal as unfair free-riding

Affiliations

COVID-19 vaccine refusal as unfair free-riding

Joshua Kelsall. Med Health Care Philos. 2024 Mar.

Abstract

Contributions to COVID-19 vaccination programmes promise valuable collective goods. They can support public and individual health by creating herd immunity and taking the pressure off overwhelmed public health services; support freedom of movement by enabling governments to remove restrictive lockdown policies; and improve economic and social well-being by allowing businesses, schools, and other essential public services to re-open. The vaccinated can contribute to the production of these goods. The unvaccinated, who benefit from, but who do not contribute to these goods can be morally criticised as free-riders. In this paper defends the claim that in the case of COVID-19, the unvaccinated are unfair free-riders. I defend the claim against two objections. First, that they are not unfair free-riders because they lack the subjective attitudes and intentions of free-riders; second, that although the unvaccinated may be free-riders, their free-riding is not unfair.

Keywords: COVID-19; Fairness; Free-riding; Vaccine hesitancy; Vaccines.

PubMed Disclaimer

Conflict of interest statement

None.

Similar articles

Cited by

References

    1. Alvarez-Zuzek LG, Zipfel CM, Bansal S. Spatial clustering in vaccination hesitancy: The role of social influence and social selection. PLoS Computational Biology. 2022;18(10):e1010437. doi: 10.1371/journal.pcbi.1010437. - DOI - PMC - PubMed
    1. Arneson Richard J. The principle of fairness and free-rider problems. Ethics. 1982;92(4):616–633. doi: 10.1086/292379. - DOI
    1. Attwell Katie, Freeman Melanie. I immunise: An evaluation of a values-based campaign to change attitudes and beliefs. Vaccine. 2015;33(46):6235–6240. doi: 10.1016/j.vaccine.2015.09.092. - DOI - PubMed
    1. BBC. 2021. COVID report: What is herd immunity? https://www.bbc.co.uk/news/57229390. Accessed 09 June 2023
    1. Bauch, Chris T., Samit Bhattacharyya, Robert F. Ball. 2010. Rapid emergence of free-riding behavior in new pediatric immunization programs. PLoS ONE5 (9): 2594. - PMC - PubMed

Substances