RT Journal Article SR Electronic T1 ‘VaxTax’: a follow-up proposal for a global vaccine pandemic response fund JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP jme-2022-108491 DO 10.1136/jme-2022-108491 A1 Federico Germani A1 Felicitas Holzer A1 Ivette Ortiz A1 Nikola Biller-Andorno A1 Julian W März YR 2022 UL http://jme.bmj.com/content/early/2022/11/22/jme-2022-108491.abstract AB Equal access to vaccines has been one of the key ethical challenges during the COVID-19 pandemic. Most scholars consider the massive purchase and hoarding of vaccines by high-income countries, especially at the beginning of the pandemic, to be unjust towards the vulnerable living in low-income countries. A recent proposal by Andreas Albertsen of a vaccine tax has been put forward to remedy this problem. Under such a scheme, high-income countries would pay a contribution, conceptualised as a vaccine tax, dedicated to buying vaccines and distributing them to low and middle-income countries. Proceeding from this proposal, we critically assess the feasibility of a vaccine tax and suggest how to conceptualise and implement a vaccine tax in practice. We present our ‘VaxTax model’ and explore its comparative advantages and disadvantages while considering other possible measures to address the global vaccine access problem, also in view of future pandemics and disease outbreaks.