Zywicki vs Wade

by John Q on August 6, 2021

Back in the day, we at Crooked Timber had fairly regular exchanges with Todd Zywicki of the Volokh conspiracy group blog (which still exists, now hosted by Reason.com). So, I was interested to learn that he was taking his employer, George Mason University, to court over a requirement to get vaccinated against Covid-19.

The factual part of Zywicki’s case is that having had the disease and recovered he is already immune. More interesting is the claim that the requirement violates his right to privacy under the 9th and 14th Amendments to the US Constitutional. I Am Not A Lawyer, but this claim seems almost identical to that used in Roe v Wade, which seems certain to come before the Supreme Court soon. However, Zywicki’s brief does not mention what seems like the most relevant precedent.

My guess is that finding a majority willing to both reaffirm a constitutional right to privacy and second-guess the authorities on pandemic protection will prove too difficult. However, as Zywicki is asking for urgent relief we should find out soon.

{ 56 comments }

1

jsrtheta 08.06.21 at 5:23 am

I assume by “most relevant precedent” you mean Jacobson v. Massachusetts, 197 U.S. 11 (1905).

2

John Quiggin 08.06.21 at 9:38 am

@jsrtheta I meant to say “the most relevant precedent consistent with Zywicki’s argument”.

3

Lee A. Arnold 08.06.21 at 10:59 am

If you don’t get vaccinated, you will pass this virus on, and it may mutate into something worse, and you could get sick and even die.

Why should he think he is immune? We don’t know how long immunity lasts. Some who were sick get reinfected anyway. Some vaccinated are getting infected anyway, and passing it on.

4

Lee A. Arnold 08.06.21 at 11:07 am

Everybody should get vaccinated to reduce your individual chance of getting sick, and increase society’s chance of wiping this out, by stopping the spread.

5

AnthonyB 08.06.21 at 12:14 pm

I am not a lawyer, but the opinions in Griswold v. Connecticut also cite the 9th and 14th Amendments.

6

hix 08.06.21 at 1:50 pm

“The factual part of Zywicki’s case is that having had the disease and recovered he is already immune”
Isn’t the consensus that the immunity from having had the disease is weaker than the one from getting vaccinated?

7

JimV 08.06.21 at 2:59 pm

Off-topic question: why does JQ, an Australian, know so much more than I do about USA politics and policies? I guess the answer is probably he works much harder at it.

I would (probably wrongly) think that the reason Z should lose his case is that it involves a contract between him the employee and GMU the employer and if he doesn’t like the requirements of said employment he is free to quit. (Given that the requirement is a reasonable one scientifically and morally, which I believe it is.) (Speaking as someone who had a mild case of Covid in May of 2020 and got vaccinated this year as soon as I could get a local appointment.) No doubt Z does not accept this personally, but I think I’m where the will of the majority is, and that’s democracy. (And no, we don’t have one, but are closer to one than to Z’s anarchy.)

8

Glen Tomkins 08.06.21 at 4:00 pm

No one is even contemplating imposing any legal requirement that anybody be vaccinated.

Laws that criminalize abortion impose a legal requirement to not get an abortion, on pain or imprisonment or death, if any state wants to take it that far.

GMU seeks to have its employees meet yet one more of the many standards it imposes as conditions of employment. It probably doesn’t let its professors teach in the nude either, which admittedly in the case of many of its professors might create permanent psychic harm in their students, but at least won’t give them a disease that has a 2% case-fatality rate.

I don’t think these are almost identical requirements.

9

BruceJ 08.06.21 at 4:28 pm

The factual part of Zywicki’s case is that having had the disease and recovered he is already immune.

Well, this is not “factual” on a medical basis; the clinical evidence gathered so far is that naturally acquired immunity seems to be less effective and shorter lasting than the vaccination.

I am honestly glad that this sort of toxic libertarian “my individual rights trump everyone else’s” nonsense wasn’t widespread in the past or we’d still be facing annual polio and smallpox outbreaks, our graveyards would still be getting filled with children dying of diphtheria, measles, etc etc etc.

If he wishes to proclaim his individual rights as supreme in all matters, he’s cordially invited to exit himself from society, if the requirements of being part of a society are so terribly onerous.

10

Peter Dorman 08.06.21 at 4:50 pm

I Am Not a Lawyer either, but it seems to me that the core difference between Zywicki v GMU and Roe v Wade is the identity of the thirty party whose potential harm is used to justify state intervention in “bodily affairs”. In Roe it’s a fetus given the legal status of a protected individual. In Zywicki it’s his community, whose risk of illness, economic well-being and freedom of action (as curtailed by the virus) depend on how infectious he could be. One is essentially invented — a fetus is not an autonomous human being in any sense other than an imaginary/ideological/religious one — and the other is real with thousands of years of experience to back it up.

But you are right, the harm on the other side of the ledger is state intervention in the private sphere of bodily self-determination.

11

GG 08.06.21 at 8:09 pm

Lee A. Arnold et. al. –

It seems that once you argue that someone should get vaccinated for the benefit of society at large that opens the door to a number of similar calculations. Is there any sort of limiting principle to your argument? Should people be obligated to subject themselves to any medical procedure provided the benefit to society is high enough?

12

John Quiggin 08.06.21 at 8:25 pm

TBC, when I referred to the “factual basis” of Zywicki’s claim, I didn’t mean to suggest it was factually correct.

13

LFC 08.06.21 at 9:35 pm

As has already been noted, the (Constitutional) right to privacy didn’t originate with Roe v. Wade. In terms of SCOTUS precedent, it goes back at least to the contraception cases (Eisenstadt v. Baird and Griswold v. Connecticut). The ur-article is Warren and Brandeis, “The Right to Privacy,” Harv. L. Rev., 1890.

14

nastywoman 08.06.21 at 9:58 pm

the GREATEST thing about the GREAT American Service Industry –
IS –
that we can solve this Z-Problem by just hanging a sign outside of the door of
every Service Providing University –
which says:

NO SHOES – NO SHIRT – NO VACCINE – NO TEACHING!

15

Jake Gibson 08.07.21 at 12:18 am

Exhibit eleventy trillion that rightwingers are full of shit.

16

John Quiggin 08.07.21 at 2:15 am

Again, IANAL, but from my reading the specific reliance on the 9th and 14th Amendments seems to have crystallized with Roe v Wade. Griswold v Connecticut drew on lots of different claims.

17

J-D 08.07.21 at 3:01 am

I Am Not A Lawyer …

The opinions of some people who are (and who agree with you about the likely outcome) are quoted here:
https://news.bloomberglaw.com/daily-labor-report/antibodies-wont-exempt-workers-from-jab-mandates-observers-say

18

LFC 08.07.21 at 3:23 am

JQ,

It’s been many years since I had to read these cases, so I probably shouldn’t have said anything.

I don’t know, frankly, how much precedential value Roe has any more, esp given the presumed, or in the case of certain Justices, more than presumed hostility to it in the current Sup Ct. When it comes to abortion specifically, anyone who has listened to a Sup Ct confirmation hearing in recent years will have heard the nominees reference the “undue burden” standard of Planned Parenthood v. Casey, a case from the early or mid 90s (I forget the exact date).

19

Alan White 08.07.21 at 4:53 am

I get the right to privacy that entails risk of self-harm by endangerment of oneself–free-climbing shouldn’t be prohibited by law especially for trained individuals. But one reason for seat-belt laws (e.g.) is that failing to have and enforce them for similar anti-paternalistic reasons for a particular careful unbelted driver just encourages too many others to accept that risk without any reflection or care as to their driving behavior. Seat belt laws collectively save lives; vaccines do too for similar reasons. I wonder if Zywicki obeys seat belt laws. If he doesn’t, well then perhaps too bad for him if he “contracts” a horrible accident. If he does, then it’s probably because he worries for himself about all those other bad drivers. But also apparently he doesn’t care if those drivers might kill unbelted others if his reasoning is parallel here.

20

nastywoman 08.07.21 at 5:37 am

Mr. Z –
Ups? –
I mean Mr. DeSantis successfully sued the Centers for Disease Control and Prevention over its requirement that cruise ship passengers be vaccinated, though some of the cruise lines were keeping the mandate anyway. He opposes mandating vaccines for hospital workers, saying that would result in worsening staff shortages.

“We can either have a free society, or we can have a biomedical security state,” Mr. DeSantis said this week in Panama City, Fla. “And I can tell you: Florida, we’re a free state. People are going to be free to choose to make their own decisions.”

AND (from the NYT)
‘If, however, Florida comes through another virus peak with both its hospital system and economy intact, Mr. DeSantis’s game of chicken with the deadly pandemic could become a model for how to coexist with a virus that is unlikely to ever fully vanish’.

Or in other words:
Who wants to bet on the Crazy Right-Wing Racist Science Denying Philosophy
NOT
me dead Great Great Uncle G. -(who died in a Florida hospital from Covid)

21

Jake Gibson 08.07.21 at 12:18 pm

I have come to the conclusion that, at some level, these anti Vax arguments are trolling the left.

22

Seekonk 08.07.21 at 4:34 pm

Next he can help us get rid of those silly signs in restaurant bathrooms: ‘Employees must wash hands.’

Freedom!

23

PatinIowa 08.07.21 at 4:59 pm

I believe Peter Dorman captures the difference between abortion and vaccination quite nicely, for us non-lawyers.

In the case of seat belt laws, I’ve always thought that you could make the case that un-seat-belted drivers and passengers drive the cost of emergency services and insurance up. I suspect the argument, “Unbelted drivers and passengers make your insurance bill higher,” would resonate more than “Seatbelts prevent unnecessary death, injury and suffering,” with the Reason crowd, but then, I’m not a libertarian.

I believe that the proper response to this sort of thing from someone who supports at will employment is, “Tough shit, bud.” I have no idea if Zywicki fits that description.

24

Tm 08.07.21 at 5:19 pm

GG 11 „Should people be obligated to subject themselves to any medical procedure provided the benefit to society is high enough?“

This is really not hard to answer: in a liberal society, a requirement is justifiable if it is necessary for the protection of society and does not place an undue burden on the individual. Obviously, what is necessary and what is an undue burden will be contested. It seems obvious to me that a requirement to carry a pregnancy to term against the person’s will is the very definition of an undue burden, whereas a requirement to undergo a vaccination that has been proven to be safe and effective and beneficial – it’s hard to even see that as a burden let alone an undue one (this has been recognized by US courts for more than a century). Mr Z obviously will disagree but his arguments are grotesquely weak. I hope somebody will make him explain why he thinks women should be forced to carry a pregnancy to term, sacrificing their bodies to the state for many months, but an injection in His precious arm, that is just a step too far.

It’s important to point out that Mr Z is suing not the state but his employer. Employers have immense latitude to impose conditions on their employees. Employees are free to leave.

But equally important to point out that vaccination mandates have a long history, are totally commonplace in almost all US states (and many other countries), have been found constitutional long ago and are hardly controversial or even noteworthy (*) This whole brouhaha around the COVID vaccination is really a new phenomenon and it has nothing to do with actual arguments whether of fact or law. It’s entirely a politically fabricated controversy over common sense measures that have been successfully used for generations.

It has long been understood that public health requires collective action that cannot be left to individual tastes. In fact, our forebears would probably not even have understood our discourse that seems to frame vaccination as a private consumer choice rather than a public health measure.

(*) Note that these mandates usually have medical and religious exceptions.

25

Dr. Hilarius 08.07.21 at 6:46 pm

jsrtheta @1 has already cited to the Jacobson case which held that mandatory vaccination did not offend the constitution. The US 7th Circuit Court of Appeals just upheld Indiana University’s covid vaccination requirement, relying upon Jacobson. The plaintiffs were making a 14th Amendment argument similar to that of Zywicki. https://www.abajournal.com/news/article/7th-circuit-sees-no-constitutional-problem-with-indiana-universitys-vaccine-requirements

As the 7th Circuit pointed out, if you don’t want to be vaccinated you are free not to attend Indiana University. Zywicki, being of a libertarian ilk, probably supports “at will” employment, freedom to contract and all that. He is not being forcibly vaccinated (or convicted of a crime for refusing like Jacobson), it is a condition of his employment. He can seek other employment more in tune with his beliefs.

In cases like this, where a near-frivolous legal claim is made, I suspect the true purpose of the suit isn’t legal relief. It’s a public performance of claimed persecution followed up by a GoFundMe campaign and a speaking tour.

26

Austin George Loomis 08.08.21 at 1:47 am

In cases like this, where a near-frivolous legal claim is made, I suspect the true purpose of the suit isn’t legal relief. It’s a public performance of claimed persecution followed up by a GoFundMe campaign and a speaking tour.

“You sit here in Matherion in protected luxury feeling sorry for yourself and secretly consumed with a gnawing envy that you’re being denied martyrdom. Well, if you want to be a martyr so badly, Salla, I can arrange it for you.”
— Eddings, David and Leigh. Domes of Fire: Book One of the Tamuli. New York: Del Rey, 1992, p.399.

27

Mark Pontin 08.08.21 at 2:49 am

Zywicki will almost certainly argue at some point that the vaccines don’t provide sterilizing immunity and a person with antibodies — whether via vaccination or from previous infection — can, with Delta, still carry a viral load and infect others.

Unfortunately, he’ll be correct.

Hence, he’ll then argue that GM’s vaccine mandate is an arbitrary, useless abuse of power.

Now, my impression — or guess, frankly — as I watch the emerging statistics is that because (a) Delta produces viral loads more than 1,000 times greater than previous variants, that is strongly correlated to its increased transmissibility and the breakthrough cases, and (b) the vaccines still act to mitigate and lessen viral loads of Delta and, consequently, transmission of the virus — but it can be argued that (b) is not the case; I certainly haven’t seen conclusive data on this yet (if others here have, please link to it).

In any case, that’s where this is going. The anti-vaccine “resistance” is increasingly adopting that as its position.

28

John Quiggin 08.08.21 at 2:53 am

FWIW, GMU is a public university, which is why Zywicki can appeal to the Constitution. But, there are some interesting intellectual gymnastics going on here. It would be overly demanding to suggest that propertarians shouldn’t take government employment. But it’s certainly striking that he is relying on remedies which he would (I assume) oppose being available to employees of a private firm.

And, TBC again, I think he should fail on the merits and will fail in court. I’m more interested to see how, if at all, the large group of rightwingers who oppose both vaccine mandates and Roe v Wade will react to this case.

29

GG 08.08.21 at 4:11 am

@Tm –

Lest the remainder of this comment be taken for anti-vax trolling, let me say it loud and clear: Vaccines save lives. Get vaccinated, people, please! That said…

“Obviously, what is necessary and what is an undue burden will be contested.”

And that’s the sticking point, isn’t it? I happen to agree with you that vaccination poses a de minimis burden. But at the same time there appear to be lots of jurisdictions that provide for religious exemptions to vaccine requirements. Some of those exemptions are required by law, for sure, but their existence also indicates that some non-trivial segment of society believes that vaccination requirements impermissibly burden the exercise of religion. Clearly, they and we are in disagreement vis-a-vis burden, and I don’t see an obvious way to break the impasse.

To take an even thornier example, what about the forcible medication of the mentally ill? There are lots and lots of people who are against this practice. At the same time, however, its not terribly difficult to come up with a plausible argument in favor of the practice which passes your “burden vs. benefit” test.

Balancing an individual’s burdens vs. the benefits to society requires making trades-offs between things which are subjective and/or incommensurable. How many QALYs does it take before we can abridge someone’s autonomy, or diminish their dignity? I am highly doubtful of the proposition that, outside of certain highly-circumscribed scenarios, a third party can make these sorts of decisions for someone. And its certainly not a function that government is competent to exercise. Which is why, despite the fact that I think vaccines are 100% awesome, I’ve (reluctantly) decided that I can’t support vaccines mandates.

I would be happy for you to convince me that I’m wrong. If you feel up to the challenge demonstrate that the benefits outweight the burdens in the case of Zwyicki. In particular, show how you calculate the incremental benefit to society given that he already has partial immunity, and how you trade this benefit off against his dignity/bodily autonomy interests.

30

Lee Arnold 08.08.21 at 11:12 am

GG #11: “similar calculations”

Taking the calculations in their entirety, I doubt they are similar, except when dealing with other infectious deadly diseases.

The decider is the public health authority, and your liberty may be curtailed.

The current regime will change when children can be vaccinated and the threat of covid-19 is reduced to the disease rate and the death rate of the seasonal flu. After that, covid vaccination requirements will depend upon the future: prevalence, susceptibility, mutation virulence, studies of long-haul covid, new developments in vaccine technology.

I am not familiar with the philosophy of law, but somewhere in it there must already be the recognition that circumstances in life are variegated and sometimes incommensurate, and that objectives like public health and national defense require unique and changeable methods.

31

Peter T 08.08.21 at 1:24 pm

I think the animating sentiment here is not focused on the merits of particular issues, but a more general ‘Rule or Ruin’ – since they lack the numbers to rule within the current system, they will seize on any and every possible means of ruin.

32

Ebenezer Scrooge 08.08.21 at 9:05 pm

I haven’t read Roe v. Wade in decades, but last I remember, it was more about the right to practice medicine than anything else. Technically, it was a truly abominable opinion. Of course, that doesn’t make it wrong. Sam Alito is a good technician, and that never makes him right.

33

J-D 08.09.21 at 1:30 am

Technically, it was a truly abominable opinion. Of course, that doesn’t make it wrong.

It is possible for a later Supreme Court opinion to determine that an earlier Supreme Court case was ‘wrongly decided’; therefore, it would be in line with the way legal procedure works to argue, in a Supreme Court case, that an earlier case was ‘wrongly decided’. I’ve never read the opinion in Roe v Wade at all, but if there are features in it that would justify describing it as technically abominable, those features could be used as a basis for an argument (to the Supreme Court) that it was ‘wrongly decided’ (although it obviously doesn’t automatically follow that a Supreme Court majority would rule in favour of such an argument).

34

roger gathmann 08.09.21 at 11:18 am

Hope he loses. Hope that the trump packed court waits before it reveals more of its zombie Qanon tendencies. But who knows? Case law made by lunatics is perhaps what we are in for in this battered republic.

35

Tm 08.09.21 at 11:48 am

GG 29: As I said, vaccine mandates already exist, have existed for a long time, and have been found permissible by democratically legitimate governments and by independent courts in countries that have liberal legal traditions and strong human rights guarantees.

Of course you are still entitled to disagree and come to a different conclusion, and that is an entirely legitimate point of view. Your argument simply seems unconvincing to me because as I read it, it could be used to preclude almost any legal requirement that even somewhat diminishes individual autonomy, from seatbelt laws to health insurance mandates and what not. I don’t really see what supposedly makes vaccination so special compared to all the other things that we are reasonably required to comply with for society to even function. Getting a jab in the arm once or twice a year really isn’t that much of a burden – it just isn’t. Especially if it’s part of a job requirement. Have you ever been forced to do something against your will because your job required it? Of course you have, everybody has!

Not to mention the many requirements that some of us are unreasonably subject to. Many US states already require women seeking an abortion to undergo medical procedures against their will. Just as an example that somehow doesn’t interest the critics of vaccine mandates. What is mystifying is why this debate about vaccine mandates comes up now as if vaccination somehow were an entirely new procedure. There seriously are people out there who claim that they don’t need vaccinations, and yet most of them are vaccinated against polio and tetanus and many other diseases.

Finally. Most states reserve the right to draft citizens into the army and force them to be ready to sacrifice their lives and kill others. It is hardly ever even disputed that the state has the power to demand this, and yet we are discussing whether a safe and beneficial jab in the arm for the good of society is too much to ask for. It is understood that during an emergency, such as war, the calculus about individual rights and responsibilities changes. The Covid pandemic is a public health emergency. Sadly, it now looks as if that emergency has to get much worse again and kill a whole lot more people before society is finally ready to treat is as the emergency it is.

36

Tm 08.09.21 at 12:04 pm

“What is mystifying is why this debate about vaccine mandates comes up now”

To be clear, this isn’t really mystifying. We know that it’s the result of a deliberate misinformation campaign on behalf of right wing extremist political actors who have figured out that every issue can be politicized and turned into a culture war weapon and that by sowing discord and distrust, they can relentlessly weaken democratic institutions in order to prepare the soil for fascism.

37

Phil 08.09.21 at 1:23 pm

I dunno. Does everybody really have to be suing everyone over everything? Should I sue anybody who is suing somebody over something?? We’re lost in an epidemic of pointless melodrama, and I intend to sue the pants off of whoever is responsible!!!

38

notGoodenough 08.09.21 at 1:23 pm

GG @ 29

I find your framing rather odd, and in many ways rather problematic. In order to try and be a little more brief than normal, I will try to explain why with three main points:

Point 1: both prongs of a dilemma require justification

If you insist that the burden of proof for supporting a vaccine mandate requires calculation that the benefits to society outweigh any burdens, then to oppose a vaccine mandate must surely require calculation that the burdens outweigh the benefits to society? That being the case, if you wish to make a convincing case for your argument, I think it only fair that you show your calculations justifying your position – I look forward to seeing your working.

Point 2: balancing burdens and benefits

It is certainly true that societies do have to balance burdens and benefits – these come into conflict all the time. The burden imposed upon me by requiring me to pass a driving test is balanced against the benefit to society of not having a lot of people driving around without (at least in theory) having demonstrated at least some minimal level of competence. And so on.

You repeatedly talk about “abridging someone’s autonomy” and “diminishing their dignity”, yet oddly you make no mention of what that would actually entail in this case.

To the best of my knowledge, a vaccine mandate would simply mean that if you refuse to get vaccinated, businesses, schools, and others can legally stop you from entering the building or using their services if they choose to. I’m curious, particularly in light of your comments regarding the need to balance burdens, exactly the degree to which you believe autonomy would be abridged and dignity be diminished. After all, let us be clear here, we are not talking about forcible vaccinations – we are talking about (within the context of a global pandemic) providing a clear mandate for someone who has no wish to be vaccinated to be refused entry or services on their premises by those who wish to do so.

I am, as they say on the internet, not a lawyer, but google suggests (so take this with a pinch of salt, but I’d be interested if any lawyers did wish to weigh in on this) that it has been previously established that legitimate reasons to refuse service to people includes when a customer is “not properly dressed” (e.g. “no shirt, no shoes, no service.”) and when a customer has poor hygiene (such as extreme body odour or being excessively dirty). Do you also view those as undue burdens? After all, if the potential to infect others with a transmissible contagion is insufficient to warrant refusal of service or entry, surely merely smelling unpleasant or not wearing appropriate attire would be trivial by comparison?

You say “I am highly doubtful of the proposition that, outside of certain highly-circumscribed scenarios, a third party can make these sorts of decisions for someone”. But this is a gross misrepresentation – a vaccine mandate is not making the decision regarding the burdens and benefits of vaccination for someone, it is allowing others who have made their own decisions regarding risks to enforce them. We are not talking about Zwyicki’s autonomy with respect to vaccination, we are talking about his autonomy with respect to vaccinationand to avail himself of whichever premises and/or services he wishes to do so. According to your position, this desire for entry/services should be prioritised over the desire of anyone else who wishes to minimise contact with those more likely to transmit an infectious disease.

You also say “And its certainly not a function that government is competent to exercise.” Really? A government should have absolutely no input on the weighing of benefits and burdens in a society? If we were only considering the potential harm to Zwyicki, this might be more reasonable – but we are considering the potential harm by Zwyicki to others. A government (at least in theory) can have access to a vast body of resources, data, and expertise – including some of the most talented and empirically consistently correct people working in relevant fields (such as epidemiology and medicine). While I am certainly not blind to how frequently public health is overridden by political and economic considerations, however incompetent you believe the government may be in exercising such a function I’d be intrigued at how you came to the conclusion that an individual (with far less access to relevant data and knowledge) is better placed to make such evaluations.

Point 3: the benefit vs. burden framing

In your final sentence, you say “In particular, show how you calculate the incremental benefit to society given that he already has partial immunity, and how you trade this benefit off against his dignity/bodily autonomy interests.”

This is a highly loaded and very problematic framing. Firstly, as previously noted, you are unclear about the interests being abridged. I believe these may not unfairly be characterised as whatever dignity and autonomy may be associated with being able to enter whichever premises and obtain whatever services you desire (within the previously existing framework of permissibility) regardless of the degree of risk you present to others, during a global pandemic.

Secondly, your use of “incremental benefit” is doing considerable heavy lifting here. The point of a vaccine mandate is twofold – i) it will help slow future outbreaks by limiting the degree to which potentially infectious people have opportunities to transmit the disease; and ii) it creates an impetus to get vaccinated by resulting in (often relatively mild) inconveniences. A vaccine mandate would, of course, not apply exclusively to Zwyicki, but rather to all unvaccinated or partially vaccinated people – so the benefit being calculated would have to account for that.

I am, frankly speaking, somewhat taken aback by someone using the term “incremental benefit” within such a context. Is it really necessary to go over the concepts of how clusters of unvaccinated people facilitate outbreaks and mutations (which then endanger people who are vaccinated)? Over ideas such as herd immunity, how some people are medically unable to be vaccinated (due to, for example, being immunocompromised), and why it is important for those being able to be vaccinated doing so? Over transmissibility vectors, and why limiting the public’s exposure to more infectious people is vital during a pandemic? Over the effects of COVID19, both risks of death and longer term health issues? Over how, thanks to the likes of Wakefield (or, to give his full medical title, Wakefield), we have empirical data regarding how clusters of unvaccinated people can lead to outbreaks of diseases which had nearly been fully eradicated – and the implications this might have for a disease which is (as of the time of writing) still infecting, causing long term harm and/or death, at rates of hundreds of thousands all around the world, and rates which are increasing yet again? And so on and so forth? To see all this hand waved as an “incremental benefit” seems, to me, to be rhetoric which approaches a degree of dismissiveness as to border on reckless.

Concluding remarks

I will confess I have not made exact numerical calculations – I lack the expertise and time. However, my position is that while individuals are certainly free to decide what degree of vaccination they wish to undergo, it is not unreasonable for there to be consequences. I don’t believe being refused entry and/or service by those who do not wish to incur the degree of risk entailed by the presence of unvaccinated (or partly vaccinated) people is a burden which is outweighed by the benefits to society.

However, you clearly (however reluctantly reached it may have been) have decided the opposite – that the burden of being refused entry to a café or university is so onerous as to warrant overriding the autonomy and dignity of others (who may be placed at risk), and that the benefits with respect to public health are insufficient to justify limiting that degree of freedom. You are, of course, entitled to your evaluation – though I think your case has yet to be made sufficiently to warrant acceptance.

However, I would ask that – in future – you are more precise when describing the benefits and burdens. While exact numerical calculations are (I suspect) not readily possible, I think a far more representative framing than that which you presented is. I would respectfully suggest you consider the way you present your discussion far more carefully in future – perhaps, for example, by being clearer when describing the burdens and benefits you believe are in conflict (you would, I’m sure, not wish to accidently misrepresent the situation, after all).

39

GLEN TOMKINS 08.09.21 at 4:15 pm

@28

“GMU is a public university”

True enough, but GMU is not proposing to take from Z his life or liberty by requiring him to be vaccinated or face criminal prosecution. Z has a right to his life and liberty. He does not have a right to govt employment.

Employment, govt or otherwise, comes with conditions that the employer has wide latitude to set. A govt employer is a bit more constrained in setting conditions in that it is more closely bound to not set conditions that discriminate against any race, creed, or color, but any public accommodation faces similar restrictions. This includes not setting conditions which avoid explicit discrimination, but which a court can discern are mere pretexts to achieve in practice discrimination against a protected class.

Last I heard, folks who claim to know better than public health authorities how to respond to COVID do not constitute a protected class, so I don’t see that a court even has to begin to address the issue of whether Z or the CDC has a better handle on epidemiology and virology. Public health is a political question if ever there was one, and the only place for courts in interfering with the political branches over public health is if an individual can present a reasonable facial presentation that a govt restriction is merely pretending to be a public health measure, but is actually put in place to discriminate against a class of individuals.

“I’m more interested to see how, if at all, the large group of rightwingers who oppose both vaccine mandates and Roe v Wade will react to this case.”

If you’re expecting any sense of shame to keep them from championing Z’s rights to live free by “His body, his choice.”, don’t hold your breath.

Their idea is to indict our side for hypocrisy by making a martyr of Z over his desire to make his own choices concerning his body. The best counter to this is that Z has a right to life and liberty, but no right to govt employment. If abortion is criminalized, the state takes from women life and liberty if they have an abortion, it doesn’t merely deny them employment. These are very different things the govt imposes in these two cases. These two cases are very unlike each other.

What they are getting at is to make vaccine denial define a protected class. They want to portray making someone get vaccinated as a condition of govt employment as a sort of Test Act. Z is asserting his right to identify as a conservative, or libertarian, or whatever label his belief system goes by as a tribal identifier, and the Deep State, secular humanist state religion is trying to make him spit on the Cross, or toss some incense into the fire, just as we did with the Christian martyrs millenia ago. That’s how these people wish to characterize getting the vaccine, obeissance to the state religion. Of course, as followers of a different creed, one that defies the state religion, they cannot be denied govt employment.

Don’t humor them by arguing against this stand as if it were intelligible as a legal issue. They’re just nuts.

40

GG 08.09.21 at 7:48 pm

Lee Arnold @30:

“Taking the calculations in their entirety, I doubt they are similar, except when dealing with other infectious deadly diseases.”

That would suggest that there is a limiting principle, that prevention of infectious diseases is unique in some meaningful fashion. Which would be quite convenient if its true.

How do infectious diseases differ from, say, my example above regarding forcible medication of the mentally ill, in light of Tm’s assertion that “in a liberal society, a requirement is justifiable if it is necessary for the protection of society and does not place an undue burden on the individual”?

41

J-D 08.10.21 at 10:41 am

Balancing an individual’s burdens vs. the benefits to society requires making trades-offs between things which are subjective and/or incommensurable. How many QALYs does it take before we can abridge someone’s autonomy, or diminish their dignity? I am highly doubtful of the proposition that, outside of certain highly-circumscribed scenarios, a third party can make these sorts of decisions for someone. And its certainly not a function that government is competent to exercise. Which is why, despite the fact that I think vaccines are 100% awesome, I’ve (reluctantly) decided that I can’t support vaccines mandates.

Mary Mallon spent the last two decades of her life in isolation because when she wasn’t kept in custody she worked as a cook and gave people typhoid. At one stage she did promise not to work as a cook, but she broke that promise. Do you not think that preventing me from infecting people with typhoid justifies detaining me? This is a decision that by definition can only be made by a third party and in practice that third party can only be the government.

Detaining people the way Mary Mallon was detained really would abridge those people’s autonomy and invade their dignity (and yet still be justifiable). Forcibly vaccinating people would also abridge their autonomy and invade their dignity; but creating a requirement for people to be vaccinated before engaging in stipulated activities or performing designated functions does not. Some people don’t want to get vaccinated? Well, they may be free not to get vaccinated, but that doesn’t mean there shouldn’t be a list of things which they can’t do while unvaccinated. Is it an abridgement of autonomy or an invasion of dignity to require serving armed forces personnel to accept service discipline? Well, perhaps some would argue that it is; but in any case, it’s not the same abridgement of autonomy and invasion of dignity for those free to leave the service as it is for those compelled to serve. Why shouldn’t vaccination be an acceptable condition for continuing to serve? It’s no more of a burden than many other compulsory requirements of service discipline; and what is true of service in the armed forces is true of many other things. You’re a police officer and you don’t want to get vaccinated? Perhaps you won’t be forcibly vaccinated, but that doesn’t mean you should be allowed to continue as a police officer unvaccinated. You’re an airline flight attendant and you don’t want to get vaccinated? Perhaps you won’t be forcibly vaccinated, but that doesn’t mean you should be allowed to continue as a flight attendant unvaccinated. You care for children, or wait table, and don’t want to get vaccinated? Perhaps you won’t be forcibly vaccinated, but that doesn’t mean you should be allowed to continue in your job unvaccinated. Where’s the abridgement of autonomy or invasion of dignity in imposing requirements relevant to the job on people who want to hold it (and to continue holding it)?

42

David Duffy 08.10.21 at 11:38 am

Lee Arnold says “…show how you calculate the incremental benefit to society given that he already has partial immunity, and how you trade this benefit off against his dignity/bodily autonomy interests.”

“What if everybody did that?”

43

LFC 08.10.21 at 2:06 pm

@J-D

Not an expert on this by any means, but if you look at the Sup Ct’s abortion jurisprudence over the last 30 years or so, I think you’ll find that Roe has been undercut quite a bit even though it’s still on the books as Sup Ct precedent, never having been formally overruled, at least not yet. Certainly it’s true that in some U.S. states now it’s extremely difficult to get a legal abortion, so the facts on the ground in some states have become very unfavorable for the pro-choice side.

There are cases in the pipeline now, I think, in which some of the parties do argue and will be arguing to SCOTUS that Roe was wrongly decided, though they won’t phrase it as “this was a technically bad opinion, therefore it should be overruled.” The current composition of the Court is such that there may be the votes to overrule Roe, but the right-wing Justices may prefer to keep undercutting it without explicitly overruling it. Except for Justice Thomas, who I think would be happy to overrule it tomorrow, and probably Alito as well.

44

Adam Hammond 08.10.21 at 10:52 pm

“Vaccine Mandate” covers a number of specific official policies. We could put the unvaccinated into penitentiaries or maybe internment camps. We could fine them a little or lot. We could exclude them from specific buildings and transport systems. We could even shame them relentlessly with snarky public service announcements. We could pass a law (see flag burning) that made the unvaccinated status a legal “provocation” so that the penalties were reduced for beating them in public. Is there a stand-your-ground trigger here? I mean, it is a deadly disease.

Does the imposed penalty matter when considering the legality of a mandate? If the burden of the penalty is commensurate with the burden of the behavior, is that better? Can a mandate with no enforcement mechanism be unconstitutional? I really have never thought about this. Although it sounds a bit like the Obamacare mandate fight, now … Oh god, is that what this is about? Is it just the word “mandate”?

45

William Meyer 08.10.21 at 11:34 pm

I am surprised that no one is making an analogy from compulsory vaccination to conscription. If the USA can conscript you to risk your life in defense of the country–a risk in some circumstances so great that is a virtual certainty of death–it can certainly mandate that you take the much lower risk in getting vaccinated. If a remarkably high risk of death–like that experienced by the first wave of troops to land on Omaha Beach in the face of long-prepared German countermeasures–isn’t an undue burden, then getting vaccinated certainly is not. While today we have a professional army, the American government still has conscription laws on the books and maintains the necessary infrastructure to re-activate forced military service (something those of us who came of age in the 1960s and 1970s remember all too well). Surely insisting on compulsory vaccination is a far, far lower bar to clear.

46

Mark Pontin 08.11.21 at 12:04 am

UNfortunately, to be clear —

“Professor Sir Andrew Pollard, director of the Oxford Vaccine Group, says there is nothing “the UK can do to stop the emergence of new variants”.

“Herd immunity is not a possibility” because the Delta variant “still infects vaccinated individuals”.

https://news.sky.com/story/covid-19-herd-immunity-not-a-possibility-with-delta-variant-says-head-of-oxford-vaccine-group-12378242

https://www.independent.co.uk/news/science/covid-cases-uk-herd-immunity-b1900198.html

https://www.scotsman.com/health/coronavirus/covid-scotland-herd-immunity-not-possible-with-delta-variant-says-oxford-expert-3341379

47

Tm 08.11.21 at 8:52 pm

46: Mutation is a random process. It is always possible that a new virus variant emerges that is more dangerous than the existing ones. (That is possible for other viruses, as well, e. g. flu.) But we have no idea how likely that event is and baseless speculation isn’t helpful imho.

Breakthrough infections occur but at a far lower rate than infections of unvaccinated individuals. The tremendous effectiveness of the vaccines in preventing infections, hospitalizations and death are empirically proven way beyond any reasonable doubt.
E. g. https://www.nytimes.com/interactive/2021/08/10/us/covid-breakthrough-infections-vaccines.html

So in conclusion, let’s all throw up our arms, give up and announce that fighting the epidemic is pointless. In other news, we’re all gonna die anyway. Also, a giant Meteorite might hit any moment. /Sarcasm off.

48

Tm 08.11.21 at 9:10 pm

Re balancing benefits vs burden of vaccination mandates: GG is ridiculously off on that point. That the social benefit of ending a pandemic, preventing suffering and death and protecting public health, far exceeds the individual burden that vaccination represents is more than obvious. It’s one of the easiest cases to make.

However, in a liberal society that calculation isn’t enough. Otherwise we would approve of torture or forced medical experiments if it can be shown that the potential benefit to society outweighs the burden. The liberal concept of human rights puts utilitarian calculations like this off limits. There are things that simply cannot be justified regardless of the potential benefit.

That’s why I gave as second criterion that a mandate must not place an undue burden on the individual. And the vaccination mandates don’t. There is no plausible argument to the contrary. Requiring vaccination as a condition of employment or instruction and denying the latter in the case of noncompliance is not by any stretch an undue burden.

49

Tm 08.11.21 at 9:25 pm

Might also be interesting to some:

Vaccine mandates are coming. Catholics have no moral reason to oppose them.
https://www.americamagazine.org/faith/2021/08/10/covid-vaccine-mandate-exemptions-voluntary-ignorance-241196

“In fact, if a Catholic decides that it would be wrong to receive a Covid-19 vaccine, they are in opposition to the church’s magisterial determination that receiving the vaccine is not only morally acceptable, but also, according to Pope Francis, constitutes a moral obligation in order to protect one’s own health and safeguard the common good. Hence, the Archdiocese of New York recently instructed its priests not to grant religious exemptions for Covid-19 vaccines.“

“ Public health interventions, on the other hand, operate by a complementary but distinct set of ethical principles, in which respect for individual autonomy is attenuated by the moral imperative to protect others from harm. With respect to Covid-19, the epidemiological data clearly demonstrates that the recent rise in infections and deaths, as well as the mutation of the virus into new and more dangerous variants, is correlated with lower levels of vaccination within a population. Choosing not to be vaccinated, unless one has a legitimate medical reason, violates the foundational harm principle of public health ethics. The principle of least restrictive means calls for governmental and institutional authorities to utilize measures to reduce or eliminate harm to others that impinge least on individual autonomy.”
“While, according to Aquinas and as the church continues to teach, every individual should follow their conscience, even if their conscience is in error, doing so does not excuse one’s subsequent behavior if one’s conscience is misinformed by voluntary ignorance.”
“ Governmental and institutional authorities, exercising their rationally informed conscientious duty to safeguard the common good, are not obligated to respect the misinformed consciences of individuals who refuse a demonstrably beneficial vaccine when their refusal threatens to impose excessive risks and burdens on not only themselves but their community.”

You have to give it to the Jesuits – they are capable of clear thinking.

50

Dr. Hilarius 08.11.21 at 11:08 pm

Having had the opportunity to read the complaint filed in Zywicki, albeit quickly, the privacy claim is mentioned but is given little attention and is conflated with the right to refuse medical treatment.

I don’t see Roe v. Wade having much relevance to Zywicki’s position. Roe, after all, is about the right to a medical procedure without state interference where the procedure has no direct impact on public health. (The right wants to create a conflict by giving the fetus legal rights equal to those of its mother.)

Zywicki’s citing to Washington v. Harper is curious. Harper was a prisoner with a long history of psychosis who challenged the prison’s process for involuntary medication. The Washington Supreme Court held that prisoners were entitled to a judicial hearing. The US Supreme Court reversed, finding that that the prison’s non-judicial hearing was sufficient due process given the attenuated rights of prisoners and the need for institutional security. Nothing in Harper seems to support Zywicki’s claims. The other cases cited about nonconsensual medical care being assaults are equally irrelevant, being statements about a general rule subject to numerous exceptions.

The complaint really hinges on Zywicki’s factual claims about his antibody status, claims disputed within current and emerging medical literature. The argument that the lack of full FDA approval for a covid vaccine is even less persuasive given the vast number of people vaccinated with an impressively low number of adverse reactions. This is not a great background when asking a court to substitute its opinion for those of the CDC and other medical experts.

51

Lee A. Arnold 08.11.21 at 11:43 pm

David Duffy #42: “Lee Arnold says”

The quotation is from GG #29.

52

PatinIowa 08.11.21 at 11:59 pm

By the by, this is one of those events where Corey Robin’s stance that “conservatism,” means “defending a version of the hierarchies that (suppposedly) exist,” rather than “adheres to a coherent set of guiding principles.

Here’s one take from a previous devastating global epidemic:

“Everyone detected with AIDS should be tatooed in the upper forearm, to protect common-needle users, and on the buttocks, to prevent the victimization of other homosexuals.”

And

“Our society is generally threatened, and in order to fight AIDS, we need the civil equivalent of universal military training.”

I note that Zywicki namechecks Buckley with some frequency.

https://archive.nytimes.com/www.nytimes.com/books/00/07/16/specials/buckley-aids.html

53

GG 08.12.21 at 10:12 pm

Tm @35 / notGoodenough @ 38 / J-D @ 41 –

Thank you all for the thorough and thoughtful replies. I recognize that there’s lots of case law, custom, etc. in democratic countries which support the concept of vaccine mandates. Tradition is tradition, the law is the law, and I’m not arguing explicitly against either.

Rather, what I wrote was in response to Lee A. Arnold’s early comments (@3 and @4) and Tm’s subsequent response (@24) which I believe are arguing for a much broader, more general principle (hence my question @11 regarding limits). In response to my question

"Should people be obligated to subject themselves to any medical procedure provided the benefit to society is high enough?"

Tm says:

"This is really not hard to answer: in a liberal society, a requirement is justifiable if it is necessary for the protection of society and does not place an undue burden on the individual."

Here are a couple of points about this exchange which are relevant to your various critiques:
* I framed the question in terms of “obligation” i.e. is a person morally obliged to take a positive action (such as getting vaccinated) if specific criteria are met. This is not really about whether someone is going to get turned away from the gym; its about whether people should (in the normative sense) submit to a medical procedure. Note also that the Supreme Court case most frequently cited as supporting vaccination mandates, Jacobson v. Massachusetts, involved compulsory vaccination.
* The “balancing” framing was introduced by Tm. Justification consists of establishing that a requirement 1) is necessary for the protection of society and 2) does not place an undue burden on the individual. I acknowledge that I’m assuming this test includes a balancing element, that there’s a requirement of proportionality between the level of protection provided and the burden on the individual. This needn’t necessarily be the case.

Now, regarding specific comments that aren’t addressed by the observations above:

I’m still thinking through vaccination as a job requirement in the case where such thing aren’t clearly spelled out ahead of time. If your employer tells you prior to accepting the job that you’ll need to get vaccinated, all good.
I support abortion on demand, and think that existing restrictions are bullshit. Tm, its interesting that you bring up abortion, since I think using it as an example helps illustrate my stance. A person seeking an abortion is making a decision for themselves about how a set of (possibly) subjective/incommensurable criteria affect their personal wellbeing. On the other hand, society/government/public health authorities have absolutely no business making that decision for anyone.
“If you insist that the burden of proof for supporting a vaccine mandate requires calculation that the benefits to society outweigh any burdens, then to oppose a vaccine mandate must surely require calculation that the burdens outweigh the benefits to society?” I had to stop and think awhile about this objection, but I’m going to hold my ground because I think that in some ways this is the heart of the issue. I treat it as axiomatic that a preference for bodily autonomy is the (defeasible) default choice for such situations. I’m a little surprised I’m having to raise that here at CT; isn’t that basically the crux of the (moral) argument underpinning the right to abortion?
“We are not talking about Zwyicki’s autonomy with respect to vaccination”. No, really, we are. I don’t know Zwyicki, I don’t care about Zwyicki, but a lot of commenters here seem to be pretty certain that Zwyicki’s behavior is endangering people to a degree that he is morally obligated to get vaccinated. Given the rapidity of the judgement, and the certainty of the verdict, it should be really easy for people to show their work. This was actually part of what prompted me to ask the “limiting principles” question earlier, because it really looks like people are assuming that any incremental protection provided to society is sufficient to require him to get vaccinated.

This paragraph deserves to be quoted in its entirety:

“A government should have absolutely no input on the weighing of benefits and burdens in a society? If we were only considering the potential harm to Zwyicki, this might be more reasonable – but we are considering the potential harm by Zwyicki to others. A government (at least in theory) can have access to a vast body of resources, data, and expertise – including some of the most talented and empirically consistently correct people working in relevant fields (such as epidemiology and medicine). While I am certainly not blind to how frequently public health is overridden by political and economic considerations, however incompetent you believe the government may be in exercising such a function I’d be intrigued at how you came to the conclusion that an individual (with far less access to relevant data and knowledge) is better placed to make such evaluations.”

notGoodenough, explain to me how you have not just reiterated the government’s position from Buck v. Bell? And now I’m going to rant for a few sentences: For the love of god and all that is holy, how can you possibly hold this position given who just left office? Why the hell should I give any public entity that much deference when fucking Cheeto Mussolini might get reelected in 2024? Don’t give more power to your best friend than you’re willing to give to your worst enemy.

Maybe I should have said this up front, instead of burying the lede, but you have to hold the line somewhere. Government necessarily needs to do cost/benefit analyses all the time; I’m down with that. But I draw the line at giving society/government/public health authorities the power to compel medical procedures, because that power has historically lead to abuses. I was hoping that the wise heads here could talk me out of that position in the case of vaccination, but so far I’m not convinced.

54

Tm 08.12.21 at 10:22 pm

Pat 52: what hierarchies are being defended by anti-vaccination conspiracy mongering? I don’t think this framing is particularly helpful. Scientists, the medical establishment, business leaders, they all support vaccination. The anti-vaxers, Qanon and the like, otoh claim to stand against powerhungry elites.

There is nothing “conservative” in any recognizable sense of the word about it. Most nominally conservative politicians and governments support vaccination and masks and also mandates. The Pope calls vaccination a moral obligation. (And he’s no liberal by any stretch, contrary to certain rumors.) It’s the Far Right that has figured out how to exploit a deadly pandemic as culture war fodder.

The GOP isn’t a conservative political party, it’s a fascist death cult.

55

GG 08.12.21 at 10:46 pm

Tm @ 49 –

“That’s why I gave as second criterion that a mandate must not place an undue burden on the individual. And the vaccination mandates don’t. There is no plausible argument to the contrary.”

Do you support getting rid of
* Religious exemptions to vaccination mandates?
* Medical exemptions to vaccination mandates?

56

J-D 08.12.21 at 11:57 pm

UNfortunately, to be clear —

“Professor Sir Andrew Pollard, director of the Oxford Vaccine Group, says there is nothing “the UK can do to stop the emergence of new variants”.

“Herd immunity is not a possibility” because the Delta variant “still infects vaccinated individuals”.

Unfortunately, clear is just what you are not.

It is true that people who have been vaccinated can still get infected, but it is also true that people who have been vaccinated are very much less likely to get infected, are very much less likely to transmit infection if they do get infected, and experience substantially less severe disease if they do get infected.

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