The Moneyist: Is It Moral for Cruise Ships, Colleges, or Broadway to Limit Entry to Individuals Not Vaccinated for COVID-19?

It has begun.

Travel and entertainment may be restricted for those who do not want to be vaccinated. The venues face a moral dilemma: should they turn down patrons? Some colleges have already introduced mandatory vaccination guidelines for face-to-face teaching, and public schools are closely monitoring state lawmakers to see if they are introducing similar guidelines. Is that fair

Although airlines do not require passengers to be vaccinated, many countries ask travelers for proof of vaccination to enter. There were exceptions, however: earlier this week, the first fully vaccinated flight took passengers from Florida to New York to reunite families. Those on board said they wanted to do everything in their power to reduce the risk of exposure.

New York restaurant workers have to get vaccinated: A former employee of the Red Hook Tavern in Brooklyn, New York, was fired for refusing to get vaccinated. But the people who eat in restaurants don't need a vaccine. Vaccinated workers protect themselves and the patrons, but who protect non-vaccinated patrons?

“Restaurant workers in New York have to get vaccinated. But the people who eat there aren't. Who is protecting whom? "

Celebrity Cruises, Crystal Cruises, Royal Caribbean
On other lines, adult passengers must be vaccinated before boarding. In fact, investors reacted positively to Norwegian Cruise Line's
Moving to request vaccinations for passengers last month.

In the fall, private and public schools will also ask if children between the ages of 12 and 15 should be vaccinated. Public schools will follow state guidelines. All 50 states have some sort of vaccine mandate, although no US state has yet mandated coronavirus vaccination. Only 44 states and Washington D.C. grant religious exemptions, and even fewer colleges do.

While some institutions limit in-person college tuition to vaccinated students, there is no legal precedent for knowing how courts will judge a dispute between an unvaccinated student and their college. A lawyer previously told MarketWatch, "When a student comes to an institution, they agree to abide by the rules."

Broadway audiences, like cruise ship passengers, tend to get older. On Tuesday, Charlotte St. Martin, president of the Broadway League, the industry's national trade association, told The Daily Beast that no decision had been made on mandatory vaccination cards for viewers. “But that does not mean that this cannot be taken into account. ”

Bottom line: The distribution of the vaccine contradicts the recommendations of the Centers for Disease Control and Prevention and the World Health Organization and makes the goal of herd immunity all the more elusive. It's hard to blame cruise ships, colleges, and possibly even theaters for restricting access to the unvaccinated when governments apply the same guidelines on their borders.

Why should those who do not get vaccinated be denied access? Jacob M. Appel, director of ethics education in psychiatry at the Icahn School of Medicine at Mount Sinai, New York City, writes in the Miami Herald asking: Why should those vaccinated limit their movements and refrain from group activities? protect those who refuse to be vaccinated?

Hardcore holdouts

The proportion of adults who would like to “wait and see” before vaccination – a category that is gradually shrinking as adoption continues – remained virtually unchanged over the past month (15%) compared to March (17%) according to research, according to the Kaiser Family Foundation. Republicans were more reluctant to sign up for the vaccine, but that is slowly changing.

Perhaps openly speaking about concerns, misinformation, resisting the urge to blame people for hesitation, and refusing to toss the vaccine hesitation around as the latest political football helps, and encouraging people to get their information from reliable, from Get expert-reviewed magazines. And yes, maybe the private sector played a role too.

The introduction of the vaccine was not a straight line. The 10-day federal hiatus in managing Johnson & Johnson
+ 0.32%
Vaccines due to blood clot concerns in a tiny percentage of people who received the vaccine at one dose only helped build the resolve of some people who were reluctant or unwilling to get vaccinated, health officials told the Wall Street Journal with.

"The ultimate goal is to destroy the coronavirus as previous vaccines have wiped out smallpox, polio and measles."

In the US, nearly 35% of the total population is fully vaccinated and over 46% have received at least one shot. On one side of the vaccine debate are health officials who reject the "pathologically narcissistic culture" in the US and deplore the luxury of refusing a vaccine, while millions of people around the world, particularly in hot spots like India and Ethiopia, are asking for something more Vaccine doses.

On the flip side, there are holdouts with ideological reasons, religious beliefs, medical conditions, concerns about side effects, or who are simply needle-shy. Many are not reassured until the vaccines are 100% effective or have no likelihood of side effects (as opposed to 0.00009% for serious blood clots associated with the J&J vaccine).

Others crying badly about being denied access to venues could lead a wrinkle in the moral and legal debate: that vaccines from Johnson & Johnson, the Pfizer-BioNTech partnership
+ 1.18%
and Moderna
are all issued under emergency approval, a faster process that is less stringent than full Food and Drug Administration approval.

That's a red herring for hardcore vaccines. The emergency permit is used for precisely such circumstances – a global pandemic like COVID-19 and HIV / AIDS and, according to the FDA, "chemical, biological, radiological and nuclear threats including infectious diseases". Background to this public health crisis: At least 582,848 Americans have died from the disease.

"Who wants an elderly relative to take a cruise when everyone, staff and passengers, is not upset?"

However, it is understandable that people should have questions. “The first time the FDA issued an EEA was in 2005 for an anthrax vaccine, but only for military personnel. In 2009, the FDA issued the first civilian EUA to allow Tamiflu to be given to infants during the H1N1 pandemic, ”wrote Professors Christopher Robertson and Jeremy Greene in a recent article for The Conversation.

In the early years of the AIDS pandemic, protesters urged the FDA to accelerate drug adoption. Remember, AIDS effectively had a death rate close to 100%. Very few people survived these early days before the onset of antiretroviral therapy. COVID-19 vaccines today have a mountain of data and strict safety guidelines for approval for use in an emergency.

The ultimate goal is to destroy the coronavirus as previous vaccines eradicated smallpox, polio and measles. But it requires participation. If you don't want a vaccine, know that you are putting yourself and others at risk of contracting the virus. Brief flu-like side effects may be daunting to some, but how does this compare to a patient who has difficulty breathing with the help of a ventilator?

Cruise lines have decided to insist that all passengers be vaccinated while airports and airlines have declined vaccine requirements. To this end, it is assumed that it is a financial decision as well as an ethical and health decision. Who would want an elderly relative to take a cruise when not all of the staff and crew are upset? A cruise line breakout would be devastating to the industry.

If only there were vaccinated restaurants or flights? Patrons and passengers would line up to book, likely wondering at the companies' bold stance and the financial risk of taking such a move since they were hit by the pandemic. Bravo to those who did this. In 2021, however well-intentioned, one person's abstention could be another person's death sentence.

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