In the Next Pandemic, Let’s Pay People to Get Vaccinated

that’s the truth It is widely accepted that people like money. When you show them cash, they are more likely to do what you want in general, like quit smoking, exercise, or stay on your meds.

As vaccines began rolling out of laboratories during the pandemic, governments began to think: How can we encourage as many people as possible to get vaccinated against Covid-19? Countries have tried different approaches. It rolled out a tough public health message, engaged hard-to-reach communities, had celebrities plug in the vaccine, and made it mandatory.

But policy makers and academics have also proposed a controversial alternative approach. This reignited a nasty debate.

Utilitarians say that if more people were vaccinated, the public benefit would outweigh all other harms. But offering people money to do good deeds is no guarantee that they will be persuaded to do so. A 2000 study of Israeli high school students found that when a small fee was paid for charity on a particular day, the group that received the fee actually received less money than the group paid. I just found out that I couldn’t collect it. It influences the urge to do good things.

A major concern is that cash incentive programs may have unintended long-term consequences. Giving people money to do public good deeds can make them less willing to do the same thing for free in the future. It can also lead to mistrust. Unlike blood donations and other public health interventions, vaccines are divisive. And research shows that in paid clinical trials, people associate higher payments with greater risk. There is likely to be.

Finally, ethics are vague. Ethicists argue that financial rewards don’t mean the same for cash-strapped single parents who lost their jobs during the pandemic as they do for comfortably employed middle-class people. Offering money can be viewed as a form of coercion or exploitation because single parents cannot reasonably refuse it. Professor Nancy Jecker of the University School of Medicine said:

However, in a new paper published in the journal Natureresearchers Florian Schneider, Pol Campos Mercado, Armando Meyer, and others have addressed these concerns.

In 2021, Meyer and his colleagues conducted a randomized trial to see if financial incentives increase vaccine uptake. chemistry In October 2021, Meier and his co-authors recruited more than 8,000 people in Sweden, giving some of them $24 to get vaccinated within 30 days, but others nothing. was not offered. Researchers found that cash incentives boosted the percentage of people who got vaccinated by about 4%. Factoring in age, race, ethnicity, education, or income did not change the numbers significantly. Other studies during the pandemic have also found financial incentives to be effective.

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