Vaccineskepsis, forældreautonomi og ytringsfrihed

Forfattere

  • Frej Klem Thomsen

DOI:

https://doi.org/10.7146/politica.v50i2.131198

Resumé

Denne artikel skitserer en alvorlig udfordring for folkesundheden: utilstrækkelig vaccinationsdækning på grund af vaccineskepsis. Den argumenterer for, at liberale stater kan tillade sig og bør indføre juridiske begrænsninger for at løse problemet. Den præsenterer først et argument for at gøre det til et krav, at børn følger det anbefalede vaccinationsprogram for at kunne indskrives i skoler og institutioner, begrundet ved at denne politik med stor sandsynlighed vil øge vaccinationsdækningen og derved forhindre, at børn lider skade. Artiklen undersøger de to mest indlysende indvendinger mod dette argument – at en sådan politik vil være urimeligt paternalistisk, og at den på problematisk vis vil gribe ind i forældres ret til at bestemme over deres børn – og konkluderer, at indvendingerne ikke er overbevisende. Artiklen præsenterer dernæst et ækvivalensargument for, at vaccineskeptisk misinformation ikke bør beskyttes af ytringsfriheden, eftersom den gør skade på samme måde som konventionelt forbudte former for ytringer. Den undersøger fem potentielt moralsk relevante forskelle mellem vaccineskeptisk misinformation og sammenlignelige former for konventionelt forbudte ytringer og argumenterer for, at ingen af dem udgør en egentlig relevant forskel. Artiklen konkluderer, at såfremt der ikke dukker overbevisende indvendinger op, så er begge restriktioner både tilladelige og ønskelige.

Referencer

Archard, David. (1990). Child abuse: Parental rights and the interests of the child. Journal of Applied Philosophy 7 (2): 183-194.

Arneson, Richard J. (2005). Joel Feinberg and the justification of hard paternalism. Legal Theory 11 (3): 259-284.

Ashcroft et al. (2015).

Bennett, Jonathan F. (1995). The act itself. Oxford University Press.

Bentham, Jeremy (1996). An introduction to the principles of morals and legislation. Oxford: Clarendon Press.

Betsch, Cornelia, Frank Renkewitz, Tilmann Betsch og Corina Ulshöfer (2010). The influence of vaccine-critical websites on perceiving vaccination risks. Journal of Health Psychology 15 (3): 446-455.

Blank, Nina R., Arthur L. Caplan og Catherine Constable (2013). Exempting schoolchildren from immunizations: States with few barriers had highest rates of nonmedical exemptions. Health Affairs (Millwood) 32 (7): 1282-1290.

Brennan, Jason (2016). A libertarian case for mandatory vaccination. Journal of Medical Ethics. http://dx.doi.org/10.1136/medethics-2016-103486

Brighouse, Harry og Adam Swift (2009). Legitimate parental partiality. Philosophy and Public Affairs 37 (1): 43-80.

Brown, Katrina et al. (2010). Omission bias and vaccine rejection by parents of healthy children: Implications for the influenza A/H1N1 vaccination programme. Vaccine 28 (25): 4181-4185.

Calandrillo, Steve P. (2004). Vanishing vaccinations: Why are so many Americans opting out of vaccinating their children? University of Michigan Journal of Law Reform 37 (2): 353-440.

Demicheli, Vittorio et al. (2012). Vaccines for measles, mumps and rubella in children. Cochrane Database of Systematic Reviews 2: CD004407.

Dixon, Graham og Christopher Clarke (2013). The effect of falsely balanced reporting of the autism-vaccine controversy on vaccine safety perceptions and behavioral intentions. Health Education Research 28 (2): 352-359.

Downs, Julie S., Wändi B. de Bruin og Baruch Fischoff (2008). Parents’ vaccination comprehension and decisions. Vaccine 26 (12): 1595-1607.

Dubé, Eve, Maryline Vivion og Noni E. MacDonald (2015). Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Review of Vaccines 14 (1): 99-117.

Dworkin, Gerald (2014). Paternalism. Stanford Encyclopedia of Philosophy. E. N. Zalta.

Feinberg, Joel (1986). Harm to self. Oxford: Oxford University Press.

Fine, Paul, Ken Eames og David L. Heymann (2011). Herd immunity: A rough guide. Clinical Infectious Diseases 52 (7): 911-916.

Flanigan, Jessica (2014). A defense of compulsory vaccination. HEC Forum 26 (1): 5-25.

Grill, Kalle (2010). Anti-paternalism and Invalidation of Reasons. Public Reason 2 (2): 3-20.

Gruen, Lori (2014). The moral status of animals. The Stanford Encyclopedia of Philosophy. E. Zalta.

Gust, Deborah, Natalie Darling, Allison Kennedy og Ben Schwartz (2008). Parents with doubts about vaccines: Which vaccines and reasons why. Pediatrics 122 (4): 718-725.

Hanna, Jason (2012). Paternalism and the ill-informed agent. Journal of Ethics 16 (4): 421-439.

Jacobson, Robert M., Paul V. Targonski og Gregory A. Poland (2007). A taxonomy of reasoning flaws in the anti-vaccine movement. Vaccine 25 (16): 3146-3152.

Kagan, Shelly (1988). Normative ethics. Boulder: Westview Press.

Kata, Anna (2012). Anti-vaccine activists, Web 2.0, and the postmodern paradigm: An overview of tactics and tropes used online by the anti-vaccination movement. Vaccine 30 (25): 3778-3789.

Lantos, John D., Mary Anne Jackson og Christopher J. Harrison (2012). Why we should eliminate personal belief exemptions to vaccine mandates. Journal of Health Politics, Policy and Law 37 (1): 131-140.

Larson, Heidi J. et al. (2014). Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007-2012. Vaccine 32 (19): 2150-2159.

Lipson, Morris og Peter Vallentyne (1991). Libertarianism, autonomy, and children. Public Affairs Quarterly 5 (4): 333-352.

Maglione, Margaret A. et al. (2014). Safety of vaccines used for routine immunization of U.S. children: A systematic review. Pediatrics 134 (2): 325-337.

McNaughton, David A. og J. Piers Rawling (2015). Deontology, pp. 65-72 i Richard E. Ashcroft, Angus Dawson, Heather Draper og John McMillan (red.), Principles of Health Care Ethics. Chichester, Wiley.

Mill, John. S. (2009). On liberty and other writings. Cambridge: Cambridge University Press.

Montague, Phillip (2000). The myth of parental rights. Social Theory and Practice 26 (1): 47-68.

Nagel, Thomas (1988). Autonomy and deontology, i Samuel Scheffler (red.), Consequentialism and its Critics. Oxford University Press.

Omer, Saad B. et al. (2012). Vaccination policies and rates of exemption from immunization, 2005–2011. New England Journal of Medicine 367 (12): 1170-1171.

Pierik, Roland (2016). Mandatory vaccination: An unqualified defense. Journal of Applied Philosophy. doi:10.1111/japp.12215.

Plotkin, S. Allan et al. (2017). Vaccines. Elsevier.

Rachels, James (1975). Active and passive euthanasia. New England Journal of Medicine 292 (2): 78-80.

Rao, T. S. Sathyanarayana og Chittaranjan Andrade (2011). The MMR vaccine and autism: Sensation, refutation, retraction, and fraud. Indian Journal of Psychiatry 53 (2): 95-96.

Schenk v. United States (1919). U.S. Supreme Court.

Silverman, Ross D. (2003). No more kidding around: Restructuring non-medical childhood immunization exemptions to ensure public health protection. Annals of Health Law 12 (2): 277-294.

Singer, Peter (1995). Animal liberation. London, Pimlico.

Stratton, Kathleen et al. (2012). Adverse effects of vaccines: Evidence and causality. National Academies of Science, Engineering and Medicine: 892.

Sun, Lena. H. (2017). Anti-vaccine activists spark a state’s worst measles outbreak in decades. The Washington Post, 5. maj.

Thomsen, Frej K. (2017). Childhood immunisation, vaccine hesitancy, and pro-vaccination policies in high-income countries. Psychology, Public Policy and Law 23 (3): 324-335.

Thomsen, Frej K. (under udgivelse). Beneficence, paternalism, and parental autonomy: The ethics of mandatory childhood vaccination.

Unterreiner, Miles (2016). Going viral: Vaccines, free speech, and the harm principle. Journal of Practical Ethics 4 (1).

Wei, Feifei et al. (2009). Identification and characteristics of vaccine refusers. BMC Pediatrics 9: 18.

Wilson, James (2011). Why it’s time to stop worrying about paternalism in health policy. Public Health Ethics 4 (3): 269-279.

Woollard, Fiona (2015). Doing and allowing harm. Oxford University Press.

World Health Organization (2015). WHO UNICEF review of national immunization coverage, 1980-2014. World Health Organization.

Zhou, Fangjun et al. (2014). Economic evaluation of the routine childhood immunization program in the United States, 2009. Pediatrics 133 (4): 577-585.

Downloads

Publiceret

2018-06-04

Citation/Eksport

Thomsen, F. K. (2018). Vaccineskepsis, forældreautonomi og ytringsfrihed. Politica, 50(2). https://doi.org/10.7146/politica.v50i2.131198