CEPDISC - Centre for the Experimental-Philosophical Study of Discrimination, Department of Political Science, Aarhus University, Denmark.
Department of Political Science, University College London, United Kingdom and Department of Political Science, University of Copenhagen, Denmark.
Soc Sci Med. 2022 Jul;305:115101. doi: 10.1016/j.socscimed.2022.115101. Epub 2022 Jun 1.
While billions have been vaccinated against COVID-19, unvaccinated citizens remain a challenge to public health given their higher likelihood of passing on the virus. One way for governments to reduce this concern is to enact more restrictive rules and regulations for the unvaccinated citizens in order to incentivize them to become vaccinated and/or reduce their spread of the virus. However, such rule differentiation conflicts with liberal principles of equal treatment, thereby raising a trade-off between material (public health) and principled concerns. To gain legitimacy in trading off these difficult concerns, governments are likely to look to preferences in the general population. We therefore analyze to what extent unequal treatment of the unvaccinated in terms of differentiation of various rules and regulations finds support among the general public. In a pre-registered survey experiment, we investigate public support for various COVID-19 regulations (e.g., test fees, isolation pay, and hospital prioritization). In the experiment, we randomly assign respondents to evaluate regulations that either (i) apply to adults in general or (ii) only to those adults who deliberately have chosen not to be vaccinated. This design provides a valid means to assess support for unequal treatment of the unvaccinated by minimizing various concerns relating to survey responding. Furthermore, we examine how these preferences vary by individual vaccination status, trust in institutions, as well as over-time changes in severity of the pandemic. We find significantly (both statistically and substantively) higher support for restrictive policies when targeted exclusively toward the unvaccinated, which we interpret as support for unequal treatment of this group. We also uncover strong polarization in these preferences between the vaccinated and the unvaccinated, but a much more limited role for trust and severity of the pandemic.
尽管数十亿人已接种了 COVID-19 疫苗,但由于未接种疫苗的公民更有可能传播病毒,他们仍然对公共卫生构成挑战。政府减少这种担忧的一种方法是对未接种疫苗的公民制定更严格的规则和规定,以激励他们接种疫苗和/或减少病毒传播。然而,这种规则差异与平等对待的自由原则相冲突,从而在物质(公共卫生)和原则性关注之间产生了权衡。为了在权衡这些困难的关注点时获得合法性,政府可能会关注公众的偏好。因此,我们分析了在各种规则和规定方面对未接种疫苗者的不平等对待在多大程度上得到了公众的支持。在一项预先注册的调查实验中,我们调查了公众对各种 COVID-19 规定(例如,测试费用、隔离工资和医院优先排序)的支持程度。在实验中,我们随机分配受访者评估适用于一般成年人的规定或仅适用于那些故意选择不接种疫苗的成年人的规定。这种设计通过最小化与调查回应相关的各种问题,为评估对未接种疫苗者的不平等对待提供了有效的手段。此外,我们还研究了这些偏好如何因个人接种状况、对机构的信任以及大流行严重程度的随时间变化而变化。我们发现,当专门针对未接种疫苗者的限制政策时,支持率显著(无论是在统计学上还是在实质上)更高,我们将其解释为对该群体的不平等对待的支持。我们还发现,在已接种疫苗者和未接种疫苗者之间,这种偏好存在强烈的两极分化,但信任和大流行的严重程度对这种偏好的影响要小得多。