Like most medical doctors, I am obviously pro-vaccine. I promote its use, its effectiveness and the benefits it has brought to humanity; for instance, the eradication of smallpox (not a small feat). I am not, however, in favor of vaccine mandates for the general public. I am also not in favor of the public shaming of people who chose not to get vaccinated: I don’t think it is effective and I also believe it is absolutely unethical to taunt and harass people who have different views about what goes into their body.
One of the maxims of medicine is “primun non nocere”, a phrase attributed to Hippocrates (the father of medicine). It means that any medical act must be accompanied by a prior reflection on whether the benefit of the treatment (in this case a vaccine) is greater than the damage it can cause. For all the skeptics out there, I am not about to say that vaccines do harm and should be carefully considered. Quite the opposite: the vaccines we have available today, including the Covid vaccines, are completely beneficial and the damage is insignificant. Nevertheless, in medicine, we are taught to have respect for the will and freedom of the patient. That means we must also respect the decisions that they make about their body, however unpopular they may be.
An example. I am a urologist, and recently treated a patient who was 75 years old, who needed to be hospitalized before and after surgery. There was a risk that he could acquire Covid during that time because he was not vaccinated. I explained the reasons why he should get vaccinated, but he continued to refuse. His daughters, who were in consultation with him, wanted to force him to do it. I had to explain that neither they, nor I, could require that he get vaccinated, nor submit him to any other medical treatment against his will. As his doctor, I am the guarantor of his healthcare decisions.
During the pandemic, I have not tired of repeating to my patients over and over again about how much better off they would be if they got the vaccine. I have also publicly written about itsbenefits (direct and tangential), and the drawbacks of not getting vaccinated. Having been on the front line in the fight against Covid, I have personally witnessed, and grieved, the consequences of not getting vaccinated. I watched people my age — doctors my age — die alone and on a ventilator before there was a vaccine available.
Yet we must be consistent. Forcing someone to be vaccinated or applying coercive measures to do so is equivalent to wanting to sterilize someone against their will, while arguing that they are unable to decide for themselves. All this boils down to the fundamental right to freely decide one’s own care, which is a fundamental human right.
My recommendation for anyone struggling with a loved one who won’t get the jab? Be empathetic, listen to their concerns, and base your arguments on science. However, if they persist in their refusal, it is their right to do so. And it is my job, as a doctor, to guarantee that right.
Dr Marcos Del Rosario-Santiago is a urologist in the Mexican Navy, and a writer on medical science and ethics
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