About a vaccine
mandate argument: Fallible thoughts from an old and tired (and retired) philosopher
By Hendrik van der Breggen
September 15, 2021
Last week, U.S. President Joe Biden defended
his Covid19 vaccine mandate with this statement: “The unvaccinated overcrowd
our hospitals, they’re overrunning emergency rooms and intensive care units,
leaving no room for someone with a heart attack or pancreatitis or cancer.”
In Canada, the argument is similar and
oft-heard: We should require vaccinations because our hospitals and ICUs are being
overwhelmed (primarily by the unvaccinated), causing those who need treatment
for other medical issues to be neglected.
In other words, the unvaccinated are
causing grave danger to others by using scarce medical resources, so we should require—mandate—Covid19
vaccines. Or else.
Or so the argument goes.
I find this argument puzzling.
First, two clarifications.
(1) As the #MeToo movement has made
clear, an unwanted touch is a serious infringement on bodily autonomy and
freedom. By implication, it seems to me, so too is an unwanted injection (and
perhaps even an unwanted swab pushed deep—really deep—up one’s nose).
(2) Coercion includes, among other
things, the threat or duress of possible job loss. Such threats may be
presented benignly as an “option.” Or as a “reasonable” encroachment of Charter
rights in times of a pandemic.
Okay, let’s think.
A piece of the puzzle that seems to go unnoticed
in the above argument has to do with the apparently static health care
resources that are, we are told, being stretched to their limits in our war against
Covid.
I don’t doubt the resources are being
stretched. But it’s the oft-assumed static part that I find problematic.
It’s odd to me that in our war against
Covid—an ongoing war—we continue with “peacetime” health care resources. It
seems to me that we (as a society) should re-direct resources to the war effort
in a huge and unprecedented way.
It also seems to me that we should not quash
precious hard-won freedoms paid for in other wars by the blood of our forebears
and guaranteed by Canada’s Charter (or the U.S. Constitution). Indeed, if we
take Canada’s Charter seriously, such quashing could be illegal, and, if we
take #MeToo seriously, immoral.
So instead of possibly infringing on
bodily autonomy and freedom by embracing coerced vaccine injections (and coerced
eye-watering, bodily invasive nasal swabs) maybe we should first be making huge efforts to increase significantly our health
care resources. Efforts to pursue the latter should be exhausted before we embrace the former.
In other serious health matters—and
there are many—we ensure health care is available, though we advise (i.e., persuade
with reason, not coercion) that people choose not to engage in behaviours with
high health risks.
I’m thinking of the health concerns
arising from obesity, sexually transmitted diseases, smoking, excess alcohol drinking,
not taking prescribed medicines, diabetics who don’t manage diet properly, cervical
cancer patients who didn’t get Pap smears, etc.
Our health care system is there for
them, thank goodness. And we don’t coerce them to change their behaviours by
taking away their jobs. Rather, we persuade with reason.
We don’t coerce, yet we care. Basic
healthcare is a human right, after all, for all.
So why treat differently a minority of generally
good and decent citizens (included are some of my family members and friends, some
with PhDs) who have serious and perhaps legitimate concerns about Covid
vaccines and thus haven’t yet chosen to be vaccinated? Why take the coercive
authoritarian route via vaccine mandate?
Indeed, won’t taking the coercive
authoritarian route make those who are vaccine hesitant even more hesitant?
Reasonable persuasion, not coercion,
would seem to be the way forward. The fact is that intelligent people of good
will have different thresholds for being reasonably persuaded. A free and open
society, it seems to me, should recognize this.
Also in a free and open society, differences
of view and debates should be encouraged to flourish, so if a view is correct
then knowing that it’s correct will help the rest of us, and if it’s incorrect
then that knowledge will also help the rest of us. (I’m pretty sure I’m
following philosopher John Stuart Mill on this matter; see his 1859 essay “On
Liberty.”)
If we allow debates and open inquiry to
flourish, then truth instead of mere power will prevail—and, as a bonus,
conspiracy theories will tend to die off instead of get reinforced.
At this juncture, one might object that,
unlike those suffering from obesity and unlike others who engage in high risk
health behaviours, the unvaxxed may spread Covid19.
In reply, it helps to keep in mind that
it’s the unvaxxed (mostly older folks,
or persons with chronic medical conditions, or those with compromised immune systems) who are primarily at risk. And it’s their
choice not to be vaxxed, so it’s their
risk.
Moreover, the vaxxed—nearly 80% of Canadians aged 12+ are fully vaccinated—are not at risk, or at least not at as great a risk. And
they might transmit Covid, too.
Think of it this way. For me to be concerned
for intelligent adults to such an extent that they must give up their consent and
human agency concerning what happens to them because of my concern for them—this seems to undermine my concern
for them. It strikes me as a case of me being, well, a wee bit bossy. Maybe
even imperialistic.
Also, one might object: Aren’t the
unvaxxed selfish? In my experience
the answer is no. The majority of the unvaxxed whom I know are concerned not
just for themselves but for all of us. They continue to have questions that are
relevant not only to themselves but also to others. Some of their questions are
fueled by past abuses of science: Remember thalidomide (a drug touted as safe
for pregnant women but resulted in severe birth defects in thousands of
children)? Remember the Tuskegee Syphilis Study (which violated the basic ethical
principle of respect for autonomy of African Americans and harmed them by not
treating their syphilis)?
And the unvaxxed I know are vigilant
about our—not just their—freedoms. And they are willing to risk not only their
own health (think of nurses who work with Covid patients but refuse
vaccination) but also marginalization and vilification from the larger
community. This doesn’t sound selfish to me.
It’s important, then, to pause before
we unleash the might of government coercion onto the unvaxxed minority, a
minority of our fellow citizens, of whom some are our family, friends, and
neighbours.
To me, the coercive authoritarian route
seems unfair, discriminatory, and illegal. (I think it’s illegal because it’s
an infringement of Canada’s Charter of Rights and Freedoms, since plausible avenues and efforts to
attain the Charter’s “reasonable limits” in Section 1 which justify violations
of bodily autonomy/ security of the person guaranteed in Section 7 have not yet
been exhausted; more on this below.)
As one of my history professor friends
tells me, the coercive authoritarian route historically has had very serious health
risks and danger, too, and on a massive societal scale. And this is especially so,
when, paradoxically, it is justified in terms of citizens’ safety and good.
C. S. Lewis warns: “Of all tyrannies a
tyranny sincerely exercised for the good of its victims may be the most
oppressive. It may be better to live under robber barons than under omnipotent
moral busybodies. The robber baron's cruelty may sometimes sleep, his cupidity [greed,
avarice] may at some point be satiated; but those who torment us for our own
good will torment us without end for they do so with the approval of their own
conscience.”
So to ensure that seriously ill people
do not die—especially those needing cancer treatments, surgeries, and such—let’s
significantly and rapidly increase (double? triple?) our health care resources.
How?
For starters, Canadians could—and should—demand
governments cut frivolous spending.
I’m thinking we should cut wasteful tax
spending on things like the following: giant boat-sized yellow rubber ducks,
our prime minister’s $1.6 million family trip to India (complete with personal celebrity
chef), our federal government’s $8.1 million temporary hockey rink in front of
Ottawa’s parliament buildings (on which only relatively few skated), etc.
And what about the $610 million waste—Rex
Murphy correctly calls it a sham—of calling a federal
election during a pandemic?
And maybe we could say yes to some pipelines
that would generate huge revenues and increase tax-dollar funding of our hospitals
and ICUs?
Surely, we all should first be
championing the redirection of large amounts of tax money to super-fund our
hospitals. That would be a reasonable third alternative to the false dichotomy
of either (a) coercive vaccination or (b) people dying needlessly because of a
shortage of medical resources.
It would also put a check on government
overreach.
Hendrik van der Breggen, PhD, is a retired philosophy
professor who is double vaccinated, is inclined to think vaccinations are wise
(especially if one has a high-risk profile for Covid19), but probably wouldn’t have
gotten vaccinated if he were mandated to do so by government (because he has
studied history as well as philosophy). Van der Breggen thinks the vaccine
mandate issue not only is a puzzle with difficult parts to piece together but
also a puzzle with moving parts. His mind isn’t as clear as it used to be, yet
he’s pretty sure he sees darkness on the horizon.
For additional thought:
Patricia Janzen Loewen, “Covid vaccine mandates: Reflections from a Canadian historian”
James Bryson, “A Liberal Dose of Compulsory Confusion”