No jab, no access? Is differential treatment based on vaccination (wrongfully) discriminatory?

During the COVID-19 pandemic, many countries introduced policies that disadvantaged unvaccinated individuals, including fines, restrictions on access to public spaces, and lower healthcare priority. This article examines whether such differential treatment constitutes wrongful discrimination. Drawing on prominent philosophical accounts of discrimination, we argue that these policies qualify as direct discrimination against the unvaccinated under pandemic conditions, because vaccination status became socially salient in this context. Additionally, it is argued that the policies may constitute indirect discrimination when vaccine hesitancy strongly correlates with socioeconomic and racial disparities. The article then assesses whether the policies constitute wrongful discrimination on prominent accounts of this. We argue that, even though the policies did make unvaccinated individuals worse off and may potentially express demeaningness, mitigating factors such as personal responsibility or respect for individual autonomy were also present. As a result, these policies can only be considered as direct discrimination under some accounts of the wrongness of discrimination, but not under others. In contrast, concerns about indirect discrimination are more justified, at least when the group of the unvaccinated overlaps with the individuals affected by socioeconomic and racial disparities.

Authors

Institutions

Publication Details

Journal
Journal of Medical Ethics
Published
2026-03-27
DOI
https://doi.org/10.1136/jme-2025-111195
Primary Topic
Vaccine Coverage and Hesitancy
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

No jab, no access? Is differential treatment based on vaccination (wrongfully) discriminatory?

Lydia Tsiakiri, Andreas Albertsen
Journal of Medical Ethics
Vaccine Coverage and Hesitancy
article

No jab, no access? Is differential treatment based on vaccination (wrongfully) discriminatory?

Lydia Tsiakiri, Andreas Albertsen
article en

Abstract

During the COVID-19 pandemic, many countries introduced policies that disadvantaged unvaccinated individuals, including fines, restrictions on access to public spaces, and lower healthcare priority. This article examines whether such differential treatment constitutes wrongful discrimination. Drawing on prominent philosophical accounts of discrimination, we argue that these policies qualify as direct discrimination against the unvaccinated under pandemic conditions, because vaccination status became socially salient in this context. Additionally, it is argued that the policies may constitute indirect discrimination when vaccine hesitancy strongly correlates with socioeconomic and racial disparities. The article then assesses whether the policies constitute wrongful discrimination on prominent accounts of this. We argue that, even though the policies did make unvaccinated individuals worse off and may potentially express demeaningness, mitigating factors such as personal responsibility or respect for individual autonomy were also present. As a result, these policies can only be considered as direct discrimination under some accounts of the wrongness of discrimination, but not under others. In contrast, concerns about indirect discrimination are more justified, at least when the group of the unvaccinated overlaps with the individuals affected by socioeconomic and racial disparities.

Journal of Medical Ethics
National University of Singapore (SG), Aarhus University (DK)
Reduced inequalities
Openalex Percentile: Top 8%
Vaccine Coverage and Hesitancy
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.