Coercion and liability waivers for vaccines may be defended on utilitarian grounds if the costs to the individual exceed the benefits, but the benefits to society exceed the costs, that is, as a solution to a Prisoner’s Dilemma.

But this is a short-run calculation: by taking away the incentives to safety, it will not work in the longer run.

Generally, maximizing “utility” in the short run only will kill you.

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