include("cmp.php");

Vaccine Apartheid – Part 2

Should the unvaccinated be liable for the cost of their hospitalisation if they get infected? Are there economic grounds to demand another person get vaccinated or otherwise pay the price for being unvaccinated?

These issues came up in my earlier commentary on this subject and gave me cause to pen down my thoughts as follows.

Both moral hazard and adverse selection are consumer based market arguments used in economics, risk management and insurance to describe situations where one party is at a disadvantage as a result of another party’s behaviour and price is the mechanism that should be used to address this disadvantage.

In terms of vaccine differentiation, some have argued therefore using such market based ideas that the voluntarily unvaccinated should opt-out of receiving medical attention if they contract serious Covid or otherwise be liable for the full cost of medical treatment.

The problem with the market solution is the classic moral hazard dilemma which arises when some individuals face less personal risk of harm or bear greater personal costs of taking precautions.

It’s a question of fairness. What is fair in these circumstances? Should everyone not be made to pay for the burden equally?

Quite simply put, economic arguments should not apply to the management of a global public health crisis.

There’s a natural inclination to think that the unvaccinated deserve to pay for their “sin of omission”. It may seem like a logical — even necessary – step to take or otherwise seem to be a seductive argument, but it’s nevertheless utterly wrong thinking that must be debunked and entirely rejected.

Such thinking involves a slippery slope consumerist argument based on subjective pejorative moral judgment on the use of tax payers money to treat individuals for the health choices they make.

It is my view that Singapore must take a principled approach in resolving the ethical dilemma that has arisen with respect to healthcare and COVID-19 treatment for the unvaccinated. The unvaccinated are tax payers too and must be entitled to public health care.

I would like to offer three objective non – fault based principles that I feel Singapore must apply in rejecting such callous economic arguments.

Healthcare is a human right

The right to health for all people means that everyone should have access to the health services they need, when and where they need them, without suffering financial hardship.

No one should get sick and die just because they are unvaccinated, poor, or because they cannot access the health services they need.

Save as many lives as possible

This must always be the goal of any health care system. We must also therefore apply the principles of triage which always follows the modern interpretation of the Hippocratic oath and remain grounded upon the likelihood of survival to determine priority of need and proper place of treatment.

Take your victim as you find him

Pricing healthcare based on individual risk or choices they make is reprehensible.

The thin skull rule or eggshell doctrine is a well-established legal principle in common law to establish causation for compensation in certain tortious situations based on the idea that you take your victim as you find him and cannot complain about pre-existing frailties or defaults.

The eggshell skull rule says that the frailty, weakness, sensitivity, or feebleness of a victim cannot be used as a defense in a claim.

I am applying this doctrine generally as simply a principle to guide our thinking on how society should treat the needs of the unvaccinated for healthcare.

The rule protects people with pre-existing vulnerabilities. Similarly we must reject adverse selection arguments.

Health and the choices people make are socially produced and they must also be socially addressed. We must reject the idea of “individual responsibility” for the quality of health a person enjoys as a basis on which to provide public healthcare altogether. Charging unvaccinated people or charging them more reopens the door for Government to sanction other health behaviours and pre-existing conditions.

If you ask this question of pricing the unvaccinated, should we not ask obese people, smokers, alcoholics etc. as well? All make their own choices and then end up “taxing the system”.

Where do you draw the line?

Individual actions don’t make a meaningful difference to large structural problems. The vaccination of the minority unvaccinated in Singapore will not resolve the global COVID-19 pandemic.

 

Khush Chopra

 

 

yyy
READER COMMENTS BELOW

17 Responses to “Vaccine Apartheid – Part 2”

  • slippery road:

    From someone who is vaccinated…The action against the unvaccinated is on slippery path of no return…
    Will not help but make matters worse…
    Will create more division rather than united the people …
    Should not proceed on this path….

    GD Star Rating
    loading...
  • Harder Truths:

    Are people responsible for the diseases they get? Is it anyone’s fault if they get cancer or dementia? Are people also responsible for being born handicapped?

    By blaming someone for a disease that could infect anyone and not taking a trial drug that cannot cure them is the sign of a diseased mind. And there re plenty to be found in Parleement.

    The Jews were persecuted for many things not their fault before WWII in this same manner by Nazi Germany. It appears the unvaccinated are in the same boat?

    GD Star Rating
    loading...
  • Power talks:

    Any group you don’t like, you impose costs on them.

    All private drivers pay their own medical. Why should non-drivers subsidize them!

    All women working outside the homes pay their own medical. Why should these un-whatever people get subsidies.

    And the mother of all (potentially by Goh): All who don’t vote for PAP pay their own medical. Why should those who support PAP and its good healthcare system subsidize them!

    It all boils down to power. Nothing to do with economics or whatever.

    GD Star Rating
    loading...
  • Relax:

    The vaccinated people are also hospitalised and incurring cost, did anyone say unvaccinated people should not pay for them?
    Every argument from unvaccinated people is only about safety issue but majority of vaccinated people is always on money. This shows that unvaccinated people are not calculative and money-minded. People who came out with this idea really have ethical issue.

    GD Star Rating
    loading...
  • about medical cost:

    //It all boils down to power. Nothing to do with economics or whatever.//

    clap clap clap. rules change, fortune (more or less) of different groups will change ?? and it almost always that more powerful who decide the rules (or wayang rules) ??

    all this talk about medical cost on who is more deserving is pure philosophical shiok-shiok mental masturbxxxx by those trying to find “excuses” to punish the “non-complying” unvaccinated ??

    GD Star Rating
    loading...
  • illiterate pap voters:

    We are firm believers in vaxx.

    But according to pap data, both vaxxed and unvaxxed all die. pap in earlier days emphasized that for the vaxxed who died, all had underlying medical conditions.

    Hahaha.

    Lately, the later pap data show for the vaxxed, they now start to die even without underlying medical conditions.

    What are we trying to say?

    We say there is a God and he is unhappy with the turn of behavior in many humans especially the pap kind and is doing the reset button so that a better group of humans live on the earth, especially in pap Singapore.

    A better group of humans?

    Yes.

    We have been hurt very badly by the sheep actions of cotton sheep and so this virus is doing us a very good favor in that all who died all voted pap.

    How do we know?

    Because those who have been trying to tell the world and Singaporeans about the pap evil are all alive. Don’t we notice those loud mouth pap supporters or pap PA paid IBs have mostly disappeared from this TRE forum? They have disappeared, permanently, thanks to the virus.

    Life is fair. There is true justice on earth. Because there is a God and he isn’t happy with what pap is doing to fellow humans here.

    GD Star Rating
    loading...
  • oxygen:

    BRILLIANT MINDS talking in this thread including the author.

    Harder Truths: By blaming someone for a disease that could infect anyone and not taking a trial drug that cannot cure them is the sign of a diseased mind. And there re plenty to be found in Parleement.

    Power talks: It all boils down to power. Nothing to do with economics or whatever.

    Relax: The vaccinated people are also hospitalised and incurring cost, did anyone say unvaccinated people should not pay for them?
    Every argument from unvaccinated people is only about safety issue but majority of vaccinated people is always on money. This shows that unvaccinated people are not calculative and money-minded.

    and this beauty of a BIG SLAP on stupidity.

    about medical cost: all this talk about medical cost on who is more deserving is pure philosophical shiok-shiok mental masturbxxxx by those trying to find “excuses” to punish the “non-complying” unvaccinated ??

    and yes to all.

    about medical cost: clap clap clap

    GD Star Rating
    loading...
  • oxygen:

    POLITICAL COWS are sharing the same beds as vaccine thugs.

    GD Star Rating
    loading...
  • Realistically:

    @ Khush Chopra

    I hv quickly gone through the petition………for all its prolixity, it does not contain the more cogent arguments against the non-justification for the latest ill-thought out policy of banning un-vaccinated people from accessing essential services from companies located in the malls.

    You might like to also read up on how the World Health Organisation defines health……….and then the Constitution guaranteeing the RIGHTS of its citizens.

    GD Star Rating
    loading...
  • Ben the end:

    The right to health care may be true
    The right to subsidies is not
    That is up to the emperor.

    If people have to pay their own medical care, then there should be zero tax, zero GST, zero petrol duties. etc…
    There should not be any national service either.
    If war breaks out or an invasion starts… everyone is on their own.

    That is the best.
    Survival of the fittest.

    GD Star Rating
    loading...
  • Spineless Sinkie Syndrome:

    To Kush Chopra,

    Please stop saying the (mRNA) jabs are “vaccines”. They are NOT by any stretch of the imagination or by definition in any medical dictionary. LOL.

    At best, they can be called EXPERIMENTAL jabs using new chemical/biological substances with TEMPORARY and waning efficacy and having UNKNOWN short-term & long-term side-effects. LOL.

    The fact of the matter is any person with half a brain, can look at our charts and see that right after the MASS jabs with these (mRNA) “stuff”, our new cases and DEATHS skyrocketed! Common sense already tells you this is a super big RED Flag; but PAPies, their cronies and many Sinkies with SSS intentionally turns a blind eye to real-world DATA, and prefers to talk about “social unity” and/or insinuate that the “unvaxx-ed” is causing the spike. LOL.

    Just ask a simple question: Now, Sinkiepore already has 83% or so fully jabbed (in my other comment I actually think the number is closer to 90% already since 7% of our population here are below 12 years old children who have not yet been “poisoned”); so do you think even if 100% ALL fully jabbed, would it have made a significant difference to our spiking number of cases and deaths? Obviously not.

    In other words, if 83% jabbed did NOT help (or made it worse), then what’s the point of pushing for 100%? LOL.

    PAPies has run out of ideas, so they anyhow keep digging the hole deeper or insisting that banging their heads against the wall will yield results. LOL.
    the dare NOT “U-Turn” because that will imply they made a grave error and will be an admission that they have blood on their hands, and so they DIE DIE also keep insisting “jab jab jab”. LOL.

    Now, they even want to POFMA websites talking about a Nobel-prize winning medicine (Ivermectin) and even preventing you from getting this safe & cheap medicine that is on WHO’s list of essential medicines since the 1980s? LOL.
    PAPies so DESPERATE now to hide their mistakes, so they don’t appear to be wrong? LOL.

    Now, for argument sake, lets say IF 100% all jabbed here, and the spike of cases & deaths still happen (which it definitely will with FTL &/or new variants coming in), then will PAPies try to shift blame next to your pet dogs and cats because they are not jabbed yet? LOL.

    Then, Sinkies all rally under PAPies new social program to “Let’s have Unity together and jab our pet Dog & Cats too!”?? Must reach 100% jabbed Cats & Dogs; otherwise your Dog & Cat cannot go wee wee in public parks, yes? LOL.

    GD Star Rating
    loading...
  • SEND FOREIGNERS HOME:

    Straits Times: Latest extension of Covid-19 curbs leaves S’pore’s retailers ‘in deep despair, disrepair’

    The best way to save government resources to help the economy overcome the pandemic is to cancel the work visa of foreigners to force them to leave Singapore. Singaporeans can take over their job. An employed local does not need financial support from the Government. It is that simple. Cancelling the visa of foreigners costs nothing because there are more than enough civil servants that can do this job.

    GD Star Rating
    loading...
  • Harder Truths:

    The petition is a good way to show the Regime there is still basic morality and decency left in $G locals. I support your cause and much respect to you.

    But do not get your hopes up – this WILL be squashed like anything else the Regime is afraid to admit to.

    Like in the USSR, there were people that did not give up. We have 40% who believe the truth not imposed by the Regime.

    GD Star Rating
    loading...
  • Lion City:

    Every body should go take the vaccines as soon as possible, some protection is better than no protection. Opposition parties can say anything they like, they just want make government job difficult. But it is your life at stake, you die your problem, they only want cause troubles for government.

    GD Star Rating
    loading...
  • oxygen:

    @ Lion City

    THERE IS NO SCIENCE OF MUDDLING THROUGH in public policy making. It is, in this instance, just muddling through within constraints of available choice.

    In crisis management, the first “obvious” decision choice (untested vaccine) is almost guaranteed to be “wrong”.

    In case CRISIS MANAGES PAPpypolitics whilst Opposition parties mainly watch on the sidelines of how PAPpy stumbles, lies and attempts to bluff its way around the failed outcome – including the notion of “progressing” from pandemic to “endemic” outcome i.e. wait for your turn to get infected and see what mortality outcome or narrow escape with long-term consequences of the vaccine injected (which is basically its euphemism of face-saving that we screwed it up big time but cannot admit it politically).

    Lion City: Every body should go take the vaccines as soon as possible, some protection is better than no protection. Opposition parties can say anything they like, they just want make government job difficult. But it is your life at stake, you die your problem, they only want cause troubles for government.

    No one causes any trouble for the Government except a few refused to mask which PAPpy lied as unnecessary then suddenly switched to legally mandatory (another proof of PAPpy prata-ing around of lies, bluff and theatric as if it is a circus buskering or carnival jestering show.

    POFMA KEPT SILENT WHILE PUBLIC MIND IS MISINFORMED. So don’t say Opposition want to make life difficult for PAPpy – they PAPpy dug their own graves, fall inside by their stupidity and dig deeper and deeper.

    Now the strategies of PAPpy is PUNITIVE AND VINDICTIVE of those who have legit reasons not to vaccinate. More people got infected as vacccination rate reaches saturation point, and contrary to PAPpy total miscalculation, more vaccinated (& unvaccinated) mortality. The vaccine is useless of TEMPORARY protection, the long-term unknown risks destroying the lives of entire generation (and forever of durable outcome in tail).

    Don’t be nasty and displace blames and failures.

    IT IS CRISIS MANAGED PAPpy and not the other way around now. How to get out of this quagmire now?

    GD Star Rating
    loading...
  • theforgottongeneration:

    Spineless Sinkie Syndrome:
    To Kush Chopra,

    Please stop saying the (mRNA) jabs are “vaccines”. They are NOT by any stretch of the imagination or by definition in any medical dictionary. LOL.

    At best, they can be called EXPERIMENTAL jabs using new chemical/biological substances with TEMPORARY and waning efficacy and having UNKNOWN short-term & long-term side-effects. LOL.

    This is the typical LanJiao brain think they very smart, pushing for own agenda – seemingly against the mRNA tech. Hello stupid CBBrain, did it occur to you that the current vaccines (whether mRNA or not) CAN be effective but it is how the authorities subsequently managed the implementations? I give you $100K to manage but you screw up, lost the money and then say that proves my money is not good, hor? Others take my 100K can make 200K, then how? Gov now said 83% vaccinated, but last week said “near to 90%”, means they are backpedaling after lapses like the Westlite dorm surfaced. Why don’t you question if there are many other MOM-managed “Westlites” bombs out there which are not made known to the public, instead of blaming the vaccines is no good? Maybe you from Monkey Hill, the superior school, hor? (OK, I not from RI, hor.)

    GD Star Rating
    loading...
  • Spineless Sinkie Syndrome:

    theforgottongeneration: This is the typical LanJiao brain think they very smart, pushing for own agenda – seemingly against the mRNA tech. Hello stupid CBBrain, did it occur to you that the current vaccines (whether mRNA or not) CAN be effective but it is how the authorities subsequently managed the implementations?

    This is the typical Losers Sinkies with SSS – who cannot accept facts and then still want to argue with nonsensical points.

    The FACTS and the Science already says these (mRNA) jabs [NOT vaccines] are going to have waning efficacy within 6 months or less! LOL.
    So, waht Lanjiao talk you saying that “current vaccines can be effective?” Thats just word-play on “effective”. Yes, effective for 3~6 months, then after that all your body’s own innate immune system kaput… then yu need to constantly pump jabs every few months?? Lie that your won “CB-Brain” call “effective” ah? LOL.

    That’s like saying Heroin is also “effective in giving you happy life, but then you have to keep injecting heroin, until one day you overdose or you die from it, yeah? LOL. Sinkies with SSS thinking like you really hopeless.

    I said before already – REAL vaccines are those like e.g.) smallpox vaccines, where it grants you LIFETIME Immunity by training your own natural immune system to fight against such diseases; and NOT need constant crux of endless jabs. Common sense tells you that anything that you need to continuously inject into yourself means either Its NOT working OR its going to be BAD for your Health lah. LOL.

    The rest of your comment is all straw-man points trying to divert attention to another topic, when you clearly cannot address my logical argument above. LOL.

    GD Star Rating
    loading...

Leave a Reply

 characters available


Scroll Down For More Interesting Stuff


Member Services
Self-SupportMembers LoginSelf-Support
Sponsored Advertisement
Search On TR Emeritus
Sponsored Advertisement
Announcement
Advertisements
Visitors Statistic
Latest Statistic

UA-67043412-1