Herd immunity and the harm principle: Too narrow or too broad.

IF 4.3 3区 哲学 Q2 ETHICS
Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI:10.1093/phe/phag014
Justin Bernstein
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Abstract

In this commentary, I will contend that one of Pierik and Verweij's central arguments for vaccine mandates faces significant obstacles because of their attempt to apply Mill's harm principle. More specifically, they argue that vaccine refusal is harmful because of its relationship to the collective good of herd immunity. I suggest that Pierik and Verweij oscillate between two interpretations of the harm principle: a narrow interpretation and a broad one. The narrow interpretation, however, does not justify mandates because it is implausible that one individual's act of vaccine refusal makes a meaningful difference to whether herd immunity is achieved. The broad interpretation avoids this problem, but it risks abandoning the authors' aspiration to advance a distinctively liberal argument. I conclude that those who wish to defend vaccine mandates by appealing to their role in achieving or maintaining herd immunity face a choice: they need to either (i) find argumentative resources within the liberal tradition that are more promising than the harm principle or (ii) develop defenses that are not liberal but indicate why this does not constitute a problem.

群体免疫和危害原则:太窄或太宽。
在这篇评论中,我将争辩说,Pierik和Verweij关于疫苗授权的核心论点之一面临着重大障碍,因为他们试图应用密尔的伤害原则。更具体地说,他们认为拒绝接种疫苗是有害的,因为它关系到群体免疫的集体利益。我认为Pierik和Verweij在对伤害原则的两种解释之间摇摆:一种狭义的解释和一种广义的解释。然而,这种狭隘的解释并不能成为授权的理由,因为一个人拒绝接种疫苗的行为对是否实现群体免疫产生有意义的影响是不可能的。广义的解释避免了这个问题,但它冒着放弃作者提出一种独特的自由主义论点的愿望的风险。我的结论是,那些希望通过呼吁疫苗在实现或维持群体免疫方面的作用来为疫苗授权辩护的人面临一个选择:他们需要(I)在自由主义传统中找到比伤害原则更有希望的论证资源,或者(ii)提出不自由的辩护,但表明为什么这不会构成问题。
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来源期刊
Public Health Ethics
Public Health Ethics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICAL ETHICS
CiteScore
3.10
自引率
9.50%
发文量
28
审稿时长
>12 weeks
期刊介绍: Public Health Ethics invites submission of papers on any topic that is relevant for ethical reflection about public health practice and theory. Our aim is to publish readable papers of high scientific quality which will stimulate debate and discussion about ethical issues relating to all aspects of public health. Our main criteria for grading manuscripts include originality and potential impact, quality of philosophical analysis, and relevance to debates in public health ethics and practice. Manuscripts are accepted for publication on the understanding that they have been submitted solely to Public Health Ethics and that they have not been previously published either in whole or in part. Authors may not submit papers that are under consideration for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made. The editorial office will make every effort to deal with submissions to the journal as quickly as possible. All papers will be acknowledged on receipt by email and will receive preliminary editorial review within 2 weeks. Papers of high interest will be sent out for external review. Authors will normally be notified of acceptance, rejection, or need for revision within 8 weeks of submission. Contributors will be provided with electronic access to their proof via email; corrections should be returned within 48 hours.
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