Collective Paternalism and Vaccination Programs

One important objection to vaccination policies involving nudging or coercive measures such as restrictions on unvaccinated people's access to public spaces is that they are paternalistic. This objection is weaker than is often assumed. We defend this claim by (1) introducing a novel distinction between individual and collective paternalism; (2) showing that, across a range of circumstances, vaccination programs involve collective, not individual, paternalism; and (3) arguing that collective paternalism is not wrong for the reasons that, arguably, individual paternalism is.

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Publication Details

Journal
The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine
Published
2026-02-13
DOI
https://doi.org/10.1093/jmp/jhag009
Primary Topic
Political Philosophy and Ethics
Type
article
Field-Weighted Citation Impact
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article

Collective Paternalism and Vaccination Programs

Didde Boisen Andersen, Søren Flinch Midtgaard, Viki Lyngby Hvid, Kasper Lippert-Rasmussen
The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine
Political Philosophy and Ethics
article

Collective Paternalism and Vaccination Programs

Didde Boisen Andersen, Søren Flinch Midtgaard, Viki Lyngby Hvid, Kasper Lippert-Rasmussen
article en

Abstract

One important objection to vaccination policies involving nudging or coercive measures such as restrictions on unvaccinated people's access to public spaces is that they are paternalistic. This objection is weaker than is often assumed. We defend this claim by (1) introducing a novel distinction between individual and collective paternalism; (2) showing that, across a range of circumstances, vaccination programs involve collective, not individual, paternalism; and (3) arguing that collective paternalism is not wrong for the reasons that, arguably, individual paternalism is.

The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine
Aarhus University (DK), Aarhus University Hospital (DK), VIVE - The Danish Center for Social Science Research (DK)
Gender equality
Openalex Percentile: Top 25%
Political Philosophy and Ethics
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