With
COVID-19 vaccination rates slowing, an important story regarding COVID-19 is
the public incentives that are used to entice
people to get vaccinated. The question
is this, “What are the ethics of financial incentives for vaccination?”
It’s
worth noting how effective the current vaccines are. Numbers vary, but the
Pfizer vaccine has a 91 percent efficacy, Moderna is 90 percent, Johnson and
Johnson is 85 percent and AstraZeneca, which has not been approved for use in
the United Sates, is 60 percent effective. This is a phenomenal rate of
success. Last August, Dr. Fauci said
that a efficacy rate of 50 to 60 percent for a vaccine would be acceptable.
Now
that that the supply of effective vaccines is greater than the demand and
people can receive the vaccine without a wait, incentives for people have
appeared. The question that undoubtedly is going through many people’s minds is
“Are incentives to receive vaccination fair to those of us who have already
been vaccination?”
On
a personal note I received two doses of the Moderna vaccine in April. Besides
being a bit under the weather after my second vaccine, I am thrilled that I’m
offered the protection of the Moderna vaccine. But when I see others receive
financial benefits from being vaccinated there is a part of me that wonders,
“Is this fair? Is it just? What are the ethics of vaccination?”
The
financial rewards for vaccination are enticing. In Ohio people who are
vaccinated are entered into a lottery where a person can win one of five
million-dollar prizes. California is giving 116.5 million in incentives to
people who have been vaccinated. In Minnesota anyone vaccinated between June 5
and June 30 can be among 100,000 winners who win one of nine different prizes.
In
some states anyone vaccinated can win a prize; in other states, like Minnesota, only people who have not been vaccinated can win a prize.
A
reasonable ethical question to ask is “Is it fair to people who have already
received a vaccination to offer prizes to people who have waited?”
This
situation of offering financial incentives to people who have not been
vaccinated is similar to the situation that Jesus presented in a parable
called, “The Laborers in the Vineyard.” (Matthew 20:1-16). The story goes like
this. A landowner hired laborers to work in his vineyard for a daily wage. Later in the morning he saw others standing
idle and told them he would pay them to work in the vineyard. He found others
at noon and three o’clock and five o’clock and asked them to work. At the end of the day everyone received the
same wage. The people who had worked the most were not happy. Jesus replied to
the grumblers by saying, “Friend, I am doing you no wrong; did you not agree
with me for the usual daily wage? Take what belongs to you and go.” At the end
of the story he shared this clincher, “Or are you envious because I am
generous?”
The
current story of incentivizing of vaccination for people who could have been
vaccinated before is not an exact fit to this parable. The people who worked at
five in the afternoon did not know at nine in the morning about the opportunity
to work. Everyone who waited to be vaccinated knew about the possibility of
vaccination. And some have waited for good reasons—they had personal health
reasons that prevented them from getting vaccinated or they had concerns that
the vaccine had received emergency approval and had not gone through a complete
vetting process.
But
the parallels between the story of the Laborer in the Vineyard and offering
financial incentives for vaccination are strong.
Is
it right for those of us who got vaccinated early to be envious of those who have
waited and can now receive financial reward?
It
would be beyond the purpose of this blog to look at ethical theories and then
apply them to the benefits of vaccination. An excellent primer on four ethical
theories is here: https://saylordotorg.github.io/text_introduction-to-the-law-of-property-estate-planning-and-insurance/s05-02-major-ethical-perspectives.html
But
asking the question of what is fair and just regarding vaccination is appropriate.
I would love having a drink (for me it would be non-alcholic) and talking late
into the night about how these ethical theories apply to financial incentives
for vaccination.
The
main ethical principles that I apply to my own life and teach others is the
second part of the Great Commandment—the command of Jesus to love our neighbors
as we love ourselves.
When
I got vaccinated in early April I did it as an act of loving myself. My
motivation for getting vaccinated was similar to almost everyone else who got a
shot. I didn’t want to get COVID-19.
Even though the government authorized both Pfizer and Moderna on an emergency
basis, I was willing to say that the risk of getting COVID outweighed the risk
of potential side effects from taking the vaccine.
My
individual act of getting vaccinated was also a reflection of how I can love my
neighbor. Experts have now shared that people
who are vaccinated won’t pass on COVID-19 to others. Until I was vaccinated I
was a threat to unknowingly passing on this potentially deadly disease. I am
benefitting you or loving you by receiving the vaccine.
I
would encourage anyone who hasn’t received a vaccine to think of getting vaccinated
as a way to love your neighbors.
I
believe that if Jesus came back and was applying his command to vaccination he
would encourage people to receive the vaccine. Getting vaccinated is a tangible
way to love our neighbor as we love ourselves.
But
how about financial incentives? What do I believe that Jesus would say about
this?
I
think he would point out to those of us who didn’t receive any financial
incentive for being vaccination that we should be happy for those who are
getting vaccinated. What does it matter
to us that someone else receives money to get vaccinated? Like the people who
worked early in the morning in the parable and received a fair wage, those of
us who have been vaccinated received what we wanted. Does it make a difference
that those late in the game are now rewarded for waiting?
I
think Jesus would also point out that it’s in everyone’s interest for someone
to get vaccinated. In fact every time someone is vaccinated, everyone benefits.
Every person who receives vaccine leads our world closer to her immunity. The
world will be a better place when each of us can go to concerts and ball games
can be offered at full capacity. Schools will be able to more effective when
the threat of COVID-19 is lessened. As a
pastor I am looking forward to when people will not let the threat of COVID-19
prevent them from coming to worship.
It’s
also worth knowing that each of us received a FREE vaccination. Someone else
bore the cost of us receiving a shot.
Someone paid the researchers to do their work; someone paid the medical
professionals to provide a space where the shots can be safely put into our
arms.
Does
it bother me that people who waited to get vaccinated now can be compensated
financially to get a shot? No. Why? Because I want my neighbor to do well.
Letting go of any possible resentment is a way I can love my neighbor. Plus I
benefit when others are vaccinated. The benefits I receive far outweigh any
cost. Even if I went to work early in
the morning, Jesus would most likely tell me to get over myself and rejoice
that others are benefiting too.