PT - JOURNAL ARTICLE AU - Nancy S Jecker TI - Vaccine passports and health disparities: a perilous journey AID - 10.1136/medethics-2021-107491 DP - 2022 Dec 01 TA - Journal of Medical Ethics PG - 957--960 VI - 48 IP - 12 4099 - http://jme.bmj.com/content/48/12/957.short 4100 - http://jme.bmj.com/content/48/12/957.full SO - J Med Ethics2022 Dec 01; 48 AB - This paper raises health equity concerns about the use of passports for domestic and international travel to certify COVID-19 vaccination. Part I argues that for international travel, health equity objections undercut arguments defending vaccine passports, which are based on tholding people responsible, protecting global health, safeguarding individual liberty and continuing current practice. Part II entertains a proposal for a scaled down vaccine passport for domestic use in countries where vaccines are widely and equitably available. It raises health equity concerns related to racial profiling and fairness to people who are vaccine cautious. Part III sets forth a proposal for a flexible pass that certifies people who have been vaccinated, tested, previously infected or granted a conscientious objection. It sets ethical guidelines for the timing and use of flexible passes that promote equity, public health education, antidiscrimination, privacy and flexibility.There are no data in this work.