TY - JOUR

T1 - Public support for unequal treatment of unvaccinated citizens

T2 - Evidence from Denmark

AU - Schuessler, Julian

AU - Dinesen, Peter Thisted

AU - Østergaard, Søren Dinesen

AU - Sonderskov, Kim Mannemar

PY - 2022

Y1 - 2022

N2 - 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.

AB - 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.

KW - COVID-19

KW - Vaccines

KW - Policy

KW - Trust

U2 - 10.1016/j.socscimed.2022.115101

DO - 10.1016/j.socscimed.2022.115101

M3 - Journal article

C2 - 35691214

VL - 305

JO - Social Science & Medicine

JF - Social Science & Medicine

SN - 0277-9536

M1 - 115101

ER -