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Three for me and none for you? An ethical argument for delaying COVID-19 boosters
  1. Nancy S Jecker1,
  2. Zohar Lederman2
  1. 1University of Washington School of Medicine, Department of Bioethics & Humanities, Seattle, Washington, USA
  2. 2Medical Ethics and Humanities Unit, Rambam Health Care Campus, Haifa, Israel
  1. Correspondence to Dr Nancy S Jecker, University of Washington School of Medicine, Department of Bioethics & Humanities, Seattle, WA 98195-7120, USA; nsjecker{at}uw.edu

Abstract

This paper argues in support of the WHO’s proposal to forego COVID-19 booster shots until 10% of people in every country are fully vaccinated. The Ethical Argument section shows that we save the most lives and ensure the least amount of suffering by allocating doses first to unvaccinated people. It also argues that there is a duty to support decent lives and to promote health equity, which establish that refraining from boosters is a requirement of justice, not charity. The Replies to Objections section answers objections that appeal to pragmatism, nationalism, ownership, scientific advancement, self-interest, semantics and futility. The Conclusion section emphasizes that for now, wealthy nations should not boost vaccinated people’s immunity and should instead send doses to poorer nations where they are most urgently needed.

  • COVID-19
  • ethics
  • resource allocation

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Data availability statement

No data was used in this study.

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Footnotes

  • Contributors The first author (Nancy S Jecker) is responsible for the overall content as the guarantor and accepts full responsibility for the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.