The Ethics of Vaccination by Alberto Giubilini

Author:Alberto Giubilini
Language: eng
Format: epub, pdf
ISBN: 9783030020682
Publisher: Springer International Publishing

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

Alberto Giubilini1

(1)Oxford Martin School and Wellcome Centre for Ethics and Humanities, University of Oxford, Oxford, UK

Alberto Giubilini

Email: [email protected]

Abstract

The principle of least restrictive alternative (PLRA) 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 intervention ladder, on the basis of the PLRA, assessing the level of coercion of each type of policy. The ranking of vaccination policies I suggest, in order of increasing restrictiveness or coerciveness, is as follows: persuasion, nudging, financial incentives, disincentives (including withholding of financial benefits, taxation, and mandatory vaccination), and outright compulsion. Each type of policy suggestion is presented with a discussion of the level of restrictiveness or coerciveness involved and the potential effectiveness.

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