超越团结的伦理界限

Nili Karako-Eyal
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摘要

强制性疫苗接种法要求儿童在上学前必须接种预防某些传染病的疫苗。这些法律还规定了学校疫苗接种要求的豁免。所有州都因医疗原因豁免儿童接种疫苗,大多数州还因宗教和/或其他个人原因豁免儿童接种疫苗。七个州在其宗教或哲学豁免程序中纳入了教育内容,要求家长了解接种疫苗的好处和不接种疫苗的风险。在这七个州中,五个州要求向父母提供有关疫苗接种的社会效益的信息。这种类型的立法是收紧疫苗豁免程序的总体趋势的一部分,这反映在越来越多的州的疫苗接种法中。事实证明,通过增加行政要求来收紧疫苗豁免程序可以降低豁免率。但这不是本文的重点。相反,该条侧重于立法教育部分的一个方面,即教育家长了解疫苗的社会效益。本文探讨了接受有关疫苗的社会效益教育的义务的性质,以及这项立法对父母接种疫苗决策的潜在影响。我主张,这项立法应该通过团结的概念加以概念化和理解。根据这一结论,我将探讨团结立法对父母接种疫苗行为的潜在影响。为此目的,将讨论立法的两个方面。首先,我将讨论这些法律中包含的语言,它们明确宣布疫苗具有社会效益。我将探讨这种语言的表达功能及其对父母的态度、信仰和行为的潜在影响。我将继续讨论这项立法所要求的教育过程。针对立法的这一方面,我将研究通过教育接触向父母提供有关疫苗的社会效益的信息是否有望增加他们为孩子接种疫苗的动机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beyond The Ethical Boundaries Of Solidarity
Mandatory vaccination laws require children to be vaccinated against certain communicable diseases to attend school. These laws also provide exemptions to school vaccination requirements. All states exempt children from vaccination requirements for medical reasons, and most states also provide an exemption for religious and/or other personal reasons. Seven states include an educational component in their religious or philosophical exemption process, requiring that parents receive information regarding the benefits of vaccination and the risks of not being vaccinated. Of these seven states, five require that information regarding the social benefits of vaccination will be provided to parents. This type of legislation is part of an overall trend to tighten the vac- cine exemption process, which is reflected in the vaccination laws of an increasing number of states. Tightening the vaccine exemption process through the addition of administrative requirements has been proven to decrease exemption rates. But this is not the focus of this Article. Instead, the Article focuses on one aspect of the educational component of the legislation—educating parents regarding the social benefits of vaccines. The Article explores the nature of the obligation to be educated regarding the social benefits of vaccines and the potential influence of this legislation on parents’ vaccination decision making. I claim that this legislation should be conceptualized and under- stood through the concept of solidarity. Following this conclusion, I will explore the potential effects of solidarity legislation on parents’ vaccination behavior. For this purpose, two aspects of the legislation will be addressed. First, I will discuss the language included in these laws, which explicitly declare that vaccines have social benefits. I will explore the expressive functions of this language and their potential influence on parental attitudes, beliefs, and behaviors. I will continue by addressing the educational process that this legislation requires. Addressing this aspect of the legislation, I will examine whether providing parents information regarding the social benefits of vaccines through educational encounters is expected to increase their motivation to vaccinate their child.
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