Vaccine refusal, autonomy, and compulsory vaccination

As a result of _______, people can get all of the benefits of vaccination without getting vaccinated themselves.

 

Epidemiological synergy

 

Herd immunity

 

Pathogen attenuation

 

The free-rider problem

Herd immunity

Which of the following is the strongest argument that vaccine refusal is not a free-rider attempt?

 

The genuine perception by some individuals that the potential risk of vaccine side effects outweighs the risk of contracting a disease that is currently rare.

 

The fact that vaccine refusers often try to convince others to refuse vaccines as well.

 

The belief that natural infection provides a superior and more durable form of immunity than any vaccine.

 

The simple fact that unvaccinated people contribute to the overall diversity of the human gene pool.

The genuine perception by some individuals that the potential risk of vaccine side effects outweighs the risk of contracting a disease that is currently rare.

_____ involves voicing discontent from inside an institution while _____ involves expressing discontent by leaving the institution entirely.

 

Loyalty; Neglect

 

Voice; Exit

 

Neglect; Loyalty

 

Exit; Voice

Voice; Exit

Why can vaccine refusal be viewed as an example of Exit?

 

It is often motivated by the desire to avoid the costs associated with being vaccinated.

 

The individual is actively working to change the performance of the health institution from within.

 

It involves the withdrawal of participation from a collective endeavor (public health).

 

It expresses "Loyalty" to a smaller, non-mainstream community whose values oppose institutional medicine.

It involves the withdrawal of participation from a collective endeavor (public health).