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Paying people to get the COVID-19 jab to ensure widespread coverage, says leading ethicists

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Government obtains COVID-19 jab to achieve the required level of herd immunity (which can be up to 80% or more of the population) and eradicate infection when the vaccine becomes available Leading ethicists argue that it is necessary to consider encouraging people to do so in opinion pieces approved for publication in Journal of Medical Ethics..

He suggests that the incentive could be either monetary or “payment in kind”, such as being allowed to abandon the need to wear a face mask in public.

Given the increase in deaths worldwide and the arrival of health For pandemics, including the UK, COVID-19 vaccination is required if the jab is approved. The author, Professor Julian Savulescu, points out Professor Julian Savulescu of the Kamihiro Practical Ethics Center, Oxford University, Oxford University.

In general, he says vaccination should be voluntary. However, there are strong cases where vaccination is mandatory (or mandatory) if the following four conditions are met: A serious threat to public health.Include It’s safe and effective. The advantages outweigh the disadvantages of a suitable alternative. The level of coercion is proportional.

Simply put, he suggests that if a voluntary plan fails, it is necessary to move to vaccination plan B.

There is an example of coercion for the public good: wartime conscription. Taxes; wearing seat belts. And mandatory vaccination policies are already in place in different parts of the world, he says.

But, He argues if a coercive approach is adopted. Therefore, if voluntary vaccination turns out to be inadequate, incentives to address these issues should be considered while facilitating vaccination uptake.

Some intake is required to make the vaccination program truly effective and to mitigate the constant pandemic surge.

“To be most effective in protecting the most vulnerable people in the population, vaccination must achieve herd immunity (in populations that need immunity to reach herd immunity). The exact percentage depends on a variety of factors, but the current estimate is in the range of up to 82%), “he wrote.

Although there are obvious logistical issues with the production of the COVID-19 vaccine and its administration to the world’s population, the universal scope is the growing hesitation of the vaccine to hesitate or refuse vaccination due to safety concerns. I am also facing.

“Vaccines are some of the safest and most effective interventions we have and have been incredibly successful. We are no longer facing the disease that killed our ancestors.” He says. “But vaccine hesitation is increasing even with established vaccinations.

“For new vaccines, the problem can be even greater. For established vaccines, some countries are looking to compulsory vaccination schemes. In an ideal world, 100 vaccines % Proven to be safe, but risks may remain, and there are risks that have not yet been identified.

“Therefore, mandatory vaccination programs need to make value judgments about what level of safety and what level of certainty is safe and sufficiently reliable. Of course, it should be very high. , There are few 0% risk options. “He suggests.

“Therefore, it cannot be said whether the mandatory policy of COVID-19 vaccination is ethically justified until the nature of the vaccine, the severity of the problem, and the expected cost / benefit of the alternative can be assessed. Hmm, “he explains.

“But another way of looking at this is that low-risk people are required to work at a very low risk, but with some risk. Therefore, to provide the risk. Should be paid for the risks they are taking. Public goods, “Professor Savresk suggests.

“Anti-vaccines” may never be convinced that they will change their stance, but encouraging vaccination may persuade others who may not have done so to get a jab, He says.

“The advantage of paying risk is that people choose to take it on their own initiative. Determine if they are, as long as they accurately convey the limits of their confidence in the risks and benefits of the vaccine. It’s your personal responsibility to do it, and it’s worth paying, “he says.

He argues that payments are not compulsory. “If people choose that option, they generally believe that vaccination and payment will improve their lives as a whole.

“It’s true that the value of an option may exert force on our reasonable abilities, but it’s the same as offering a lot of money to attract favorable job seekers.” He insists.

This does not encourage people to take unreasonable risks. He emphasizes that vaccine development and testing is being carried out with confidence that the risk is very low.

“If a vaccine is considered safe enough to be voluntarily delivered without payment, the risk is reasonable and must be safe enough to give incentives for payment. Poor people There are money and risks that poorer people may tend to take, but this applies to all risky or unpleasant jobs in the market economy. Minimum wages and fair prices to take on the risks It’s not necessarily exploitation if protection is in place, such as being paid, “he suggests.

“Compared to other methods, the payment model can also be very cheap,” he argues. “The cost of the UK furlough is estimated to reach £ 60 billion by the UK. [original] Scheduled to end in October, the closure of the economy could cost billions more, resulting in the loss of an estimated 200,000 lives.

“It makes financial sense to pay people a fair amount of money and encourage them to vaccinate early rather than later. For example, it will speed up a complete return to work.”

There is precedent for paying people to fulfill their citizens’ obligations. For example, blood donations are paid in some countries, and the UK does not pay donors directly, but imports blood donations from those countries, he points out.

He suggests that incentives can also take the form of “payments in kind.” “One of the fascinating advantages is freedom of travel, not wearing a mask in public places if you carry a vaccination certificate, not social distance,” he said. Suggests. “In addition, it helps improve the risk that unvaccinated people pose to others.”


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For more information:
Current Controversy: Justification for Immunization: Risk Obligation or Payment? Journal of Medical Ethics (2020). jme.bmj.com/lookup/doi/10.1136… edethics-2020-106821

Quote: Paying people to get the COVID-19 jab to be widely reported, a leading ethicist (November 5, 2020) said https://medicalxpress.com/news/2020-11- It says it got November 5, 2020 from people-covid-jab-widespread-Coverage.html

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