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Duties to Vaccinate, Duties to Inform

image of 2021 with vaccine vial and syringe representing two of the numbers

The news these days has been dominated by information about the development of a vaccine for COVID-19, something that has felt like the first really good bit of news pertaining to the pandemic since it started. While there is reason for optimism, however, it is not as though the deployment of a vaccine will end the pandemic overnight: in addition to logistical problems of production and distribution, recent research suggests that it may still be possible that vaccinated individuals could spread the disease, even if they themselves will not contract it. As such, it’s not as though we can all just throw our masks in the garbage and start going to music festivals the day the vaccines start to roll out. This is not to say that things won’t get better, but that it might take a while.

You would think that the development of a vaccine would be universally regarded as good news, and that pretty much everyone would want to get vaccinated. However, when surveyed, large portions of the US population have responded that they would be hesitant to receive a vaccine, or else would outright refuse it. These numbers have varied over the months: according to the PEW research center, in May 27% said they would “probably not” or “definitely not” get the vaccine, while that number increased to 49% in September, before going back down to 39% in November. It’s not clear whether these numbers will change as more information becomes available, however; similarly, when people actually start receiving the vaccine and seeing that it’s not dangerous one might expect these numbers to go down.

Reasons for current levels of skepticism vary: while much has been made about the wildest conspiracy theories floating around Facebook – Bill Gates is trying to mind control you, or something – it seems more likely that the majority of skeptics are driven more by concerns about making the best decisions given limited information, combined perhaps with a distrust of medical experts. The question then becomes how we can best communicate scientific information to those who are skeptical. Indeed, this is a problem that we have been facing since the pandemic started: first it was information regarding the need for social distancing, then for wearing masks, and now for getting vaccinated. While at no point have we found the magic solution, it is worth considering what our roles in this process should be.

I think we have a certain obligation in this regard: beyond getting the vaccine itself, we also ought to try to inform others as best we can.

Here’s why I think this. Part of the problem in communicating information to a lot of skeptical people is that it will be difficult to find sources of information that everyone finds trustworthy. To try to address this concern, former presidents Barack Obama, George W. Bush, and Bill Clinton have stated that they would all receive the vaccine on camera to show that it is safe, with the goal of appealing to as politically diverse a population as possible. Given that a number of issues surrounding COVID-19 have become politicized, this seems like a good strategy: if those on one side of the political spectrum are less likely to trust someone from the other side, then having representatives of both sides together to present a unified message may help convince a larger audience.

(Other campaigns seem less promising: Trump, for instance, reportedly attempted to develop videos to be played on YouTube promoting the vaccine using only celebrities that were not critical of Trump or some of the causes that he does not support, such as having voted for Obama in the past or being in favor of gay rights. The number of people who met these criteria turned out to be very short.)

While trust can be affected by one’s general political position, there are additional divisions that may affect who one deems trustworthy. This can be seen in recent polls measuring Americans’ willingness to receive the vaccines that target more specific demographics. For instance, some have expressed concern that Black Americans may be particularly prone to skepticism regarding the vaccine, prompting members of various Black communities to attempt to communicate the importance of getting vaccinated. In an even more specific study, one recent poll reported that over half of New York City firefighters would refuse a vaccine. Here union leaders seem to be going in the wrong direction, stating that they would not require first respondents to be vaccinated, and that they would respect the decisions of their members.

We can see, then, that while major figures like former U.S. presidents may be seen as trustworthy sources, there is also a role for less prominent individuals to convey information to skeptical individuals. Given the importance of having as many people receive the vaccine as possible, the duty to try to inform others extends, I think, to pretty much everyone: while not everyone is a community leader, one may nevertheless be considered a trustworthy source of information by one’s friends and family, and may be able to communicate such information more effectively than former presidents or celebrities, given that one may share more values with those one is close to. When it comes to the COVID vaccine, then, one’s obligations may extend beyond just getting the vaccine oneself, and may include duties to help inform others.

Trump, Puerto Rico, and the Ethics of Skepticism

Arial photograph of destruction caused by Hurricane Maria

In September, Donald Trump claimed on Twitter that the number of deaths in Puerto Rico caused by Hurricane Maria reported by the media was exaggerated: instead of the widely cited number of approximately 3000, Trump claimed that the real death toll was closer to 16. According to Trump the number was inflated by his political opponents with the intention of making him look bad. To support such a bold claim one would expect to be presented with a significant amount of evidence, but Trump presented none. Instead, it seems that he merely raised the possibility of a conspiracy and appealed to his supporters’ distrust of the political left in order to try to deflect criticism that he did not sufficiently address the problems created by Hurricane Maria.

Many interpreted Trump’s claims as abhorrent: not only was Trump apparently attempting to capitalize on a recent tragedy in order to score political points, he was also expressing a complete disregard for a significant loss of life. Carmen Yuliz Cruz, the mayor of San Juan, put the matter succinctly when she tweeted: “Mr Trump you can try and bully us with your tweets BUT WE KNOW OUR LIVES MATTER”.

While many from those on both sides of the political spectrum repudiated Trump’s claims, responses from some diehard Trump supporters differed. It is common to find comments on articles and tweets made by those that praise Trump for what they take to be expressions of truth, and chastise what they take to be bias in reporting. Here are some representative responses on Trump’s follow up to his original tweet:

“I think Puerto Rico needs to show a list of the names .. just like when Hurricane Katrina hit in 2005 … It  only took 5 to 6 days…”

“It’s a rabbit trail designed to distract. Don’t waste time beating that dead horse Mr. President. Time to start tweeting out your MANY success. Let the mainstream media chase its tail.”

“Our President Mr Trump had done nothing wrong when Maria hit Puerto Rico he did exactly what he was supposed to. All the goods he had sent there sat in haulers no one wanted to drive them and you blame this on our President. It was their President that failed them.”

“I am amazed that “fake news” has infiltrated the weather channel. News reporters acting like the wind is about to blow them down with people walking in background at a normal pace. Then, reporters telling about a death toll with so much exaggeration. Shameful scaring of people.”

Of course, these claims are not generally supported with evidence, either. Instead, in the wake of Trump’s tweets, many of his followers have responded in the following way: it is really impossible to know, exactly, how many people died in Hurricane Maria, perhaps because it took a significant amount of time for the death toll numbers to come in, or perhaps because there are suspicions that those in charge of reporting such numbers are corrupt or incompetent. Since his supporters see Trump as trustworthy and his opponents untrustworthy, they claim that it is more plausible that Trump’s numbers are accurate.

It is unclear whether Trump truly believes what he is tweeting, or if he is trying to purposely mislead people. At the very least, what Trump appears to be doing is sowing seeds of doubt in his supporters, in this case by raising the possibility that the officially reported death toll numbers are wrong, solely on the basis of egotism and distrust. He is, then, engaging in a disingenuous form of skepticism. It is sometimes a good thing to be skeptical – we do not want to believe just anything that anyone tells us without thinking about it, and so it is often a good idea to scrutinize information we’re given or to look for additional evidence ourselves. But skepticism without cause and that is based not on trying to get to the truth can be detrimental and, in some cases, even unethical.

When philosophers talk about skeptics they have in mind someone who attempts to convince us that we do not know something (or in general, that we do not know anything) by reminding us of all the ways that we could be mistaken. For instance, the classic philosophical skeptics challenge us to consider whether we could merely be dreaming, or raise that possibility that we could be living a life in the computer simulation like the Matrix. Since these are possibilities that I can’t rule out – I really can’t tell whether I’m dreaming right now or whether I’m awake, and if I were in a computer simulation I would never know it – it seems like I’m stuck: for all I know I could very well be wrong about everything I thought that I knew.

In the real world, skepticism is typically much more narrowly focused: someone expresses a belief, and that belief is called into question because of the possibility that someone could be wrong. Again, this can be a good thing: it is a good practice to call one’s beliefs into questions and to make sure that one has good reason to believe them. But it can also be unhelpful: when we have a significant amount of evidence, raising the mere possibility of being wrong can be a distraction, something that prevents us from believing what’s true. Conspiracies are often based on unfounded skepticism: that the moon landing was faked in a Hollywood studio, or that the roundness of the Earth is a NASA plot are both possibilities, but not ones that most people take seriously. We should only pay attention to the skeptic, it seems, when they have good reasons for their skepticism.

Trump’s skepticism seems to fall squarely into the category of that which we should ignore, as there is significant evidence for the numbers that are widely reported to be accurate – for instance, in the form of an independent report conducted by The George Washington University – and no evidence that they have been fabricated. While it is still true that it is possible that the report was conducted incorrectly, and that it is possible that there is a conspiracy at play in an attempt to further discredit Donald Trump, these possibilities are not ones that we really need to take seriously: there is no evidence for these claims, and so much evidence that they are false, that we should not be worried about being wrong.

One worry with Trump’s recent tweets, then, is that he is spreading false information. However, expressing his skepticism in this way has moral consequences, as well. By convincing others not to believe that the reported death toll is correct, they will not only be less inclined to provide any assistance (say, in the form of donations to those affected by Hurricane Maria), but also threatens to strip from Puerto Ricans the right to seek such assistance. The people of Puerto Rico should be considered victims of a natural disaster, and as such we have certain obligations to help them. Trump’s skepticism, however, attempts to relinquish himself and his followers from any such obligations. The more significant problem behind Trump’s tweets, then, is not merely a dispute about numbers, but rather that an unfounded skepticism of reliable reports can result in lasting damage to people in need of aid.