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Inverse View
It is not the case that Health professionals and first responders should receive high priority for scarce epidemic vaccines on grounds of contribution and reciprocity.
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Reasons For
2 perspectives
Reason for 1 of 2
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1.
Utilitarian triage ethics (Bentham, Mill) holds that scarce medical resources should maximize aggregate lives saved, not reward past service.
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2.
Healthcare workers' higher viral exposure means vaccination yields greater marginal benefit anyway, making reciprocity arguments redundant—utility alone suffices.
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3.
Grounding priority in occupational contribution rather than expected benefit risks entrenching social hierarchies that systematically disadvantage already-marginalized populations.
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Reason for 2 of 2
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1.
Norman Daniels' 'fair innings' and Rawlsian frameworks hold that just allocation must prioritize the worst-off, not those with institutional power or social recognition.
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2.
Reciprocity arguments presuppose voluntariness, but many frontline workers (e.g., underpaid care aides) bear epidemic risk under economic compulsion, not genuine sacrifice.
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Reasons Against
1 perspective
Reason against
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1.
First responders put themselves at increased risk of acquiring infection by working on behalf of others.
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2.
Those who bear special risks for the benefit of others are entitled to special consideration in access to preventive interventions.
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3.
The principle of reciprocity supports compensating those who sacrifice for the common good.
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