For generations we’ve had vaccine mandates, particularly for childhood diseases, in every state plus D.C. Few thought to call this tyranny because communities have a duty to maintain public health, and individuals have a duty to reasonably accommodate the common good — even if this means allowing your child to be injected with a substance carrying a minuscule risk of harm.
So there can be no objection rooted in principle to vaccine mandates, unless you want to question them all the way down to measles, mumps and rubella. The problem must be covid-19 in particular.
If the coronavirus vaccines are risky, experimental concoctions with frequent side effects, then government and business mandates are social coercion run amok. We might as well mandate vaping.
But if these vaccines are carefully tested and encourage greater immunity to a deadly disease, with minimal risk of side effects, then the “heroism” of vaccine resisters takes on a different connotation: It means resisters are less courageous and more selfish than your average 6-year-old getting a second MMR dose. Perhaps vaccine mandates should be modified to include lollipops for whingeing malcontents.
So which view is correct? If only there were empirical means, some scientific method, to test the matter. If only there had been three phases of clinical trials, involving tens of thousands of volunteers, demonstrating the drugs to be safe and effective. If only the Centers for Disease Control and Prevention and the Food and Drug Administration were constantly monitoring safety concerns about the vaccines. If only we could estimate the number of covid deaths that might have been prevented if vaccine uptake were higher.
To break the suspense — we do live in such a world. “From June through September 2021,” concluded a recent Peterson-KFF report, “approximately 90,000 covid-19 deaths among adults likely would have been prevented with vaccination.” So the matter is simple: Who is making vaccination more likely to take place, and who is not?
In this light, it’s hard to blame the small group of workers who have been misled into believing that liberty is the right to infect your neighbors with a deadly pathogen. The main fault lies with the media outlets that spotlight and elevate such people, and with political figures who seek their political dreams by encouraging lethal ignorance.
In the latter category, the Republican governors Ron DeSantis of Florida and Greg Abbott of Texas are the repellent standouts. If the coronavirus could vote, these men would be governors for life. Most recently, Abbott issued an executive order saying “no entity” could impose vaccine mandates in his state. So far, many Texas business entities have treated his order with contempt, preferring to comply with President Biden’s vaccinate-or-test mandate.
In my political youth, conservatives praised state governments as “laboratories of innovation.” Now they’re graveyards of sanity and public spirit. And the actual graveyards provide evidence.
The effectiveness of vaccine mandates is demonstrated by current practice. The United States has generally high rates of coverage for childhood vaccinations. But in states that make it easy to gain an exemption — for religious or sometimes “philosophical” reasons — the rates of coverage decline. And we’ve seen outbreaks of preventable diseases such as measles as a result.
For my part, I’m not even sure what a “religious” exemption means in the case of covid. I understand that a few religious traditions object to receiving medical care entirely. But I don’t think this is the main excuse for evangelicals seeking exemptions from covid vaccinations. What type or tradition of religion asserts the right to avoid minor risks and inconveniences in service to our neighbors? The Church of Perpetual Selfishness? The coven of Ayn Rand? Do Christians really want to be identified as people who permit breast augmentation but frown on vaccination? Getting vaccinated is not only good public health; it is also a small but important act of generosity.
Abbott and his ilk are seeking a morally desolate world in which people demand their autonomy even if it kills their neighbor. But there is a better world in which institutions have duties to the health and safety of citizens, and citizens have obligations to the health and happiness of one another. That is not only a better place to live — it is a place where more of us would remain alive.