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Shaming Vaccine Refusal

Published online by Cambridge University Press:  01 January 2021

Abstract

This piece explores legal, ethical, and policy arguments associated with using interventions that leverage feelings of shame and social exclusion to promote uptake of childhood immunizations by parents.

Type
Symposium Articles
Copyright
Copyright © American Society of Law, Medicine and Ethics 2017

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References

Dowdle, W., “The Principles of Disease Elimination and Eradication,” Morbidity & Mortality Weekly Report 48, Suppl. 1 (December 31, 1999): 23-27.Google Scholar
See Chen, R. T. and Orenstein, W. A., “Epidemiologic Methods in Vaccination Programs,” Epidemiologic Reviews 18, no. 2 (1998): 99-117: 102, 112.CrossRefGoogle Scholar
Fine, P., Eames, K., and Heymann, D. L., “‘Herd Immunity’: A Rough Guide,” Clinical Infectious Diseases 52, no. 7 (2011): 911-916.CrossRefGoogle Scholar
Gostin, L. O. and Wiley, L. F., Public Health Law: Power, Duty, Restraint 3d. .ed. (2016) 359-360.Google Scholar
Fine et al., supra note 3, at 12.Google Scholar
Schlenker, T. L. et al., “Measles Herd Immunity: The Association of Attack Rates with Immunization Rates in Preschool Children,” JAMA 267, no. 6 (1992): 823-826, 826.CrossRefGoogle Scholar
National Center for Health Statistics, Health, United States, 2015, “With Special Feature on Racial and Ethnic Health Disparities,” Hyattsville, MD 2016: 238, 241.Google Scholar
Colgrove, J., “Vaccine Refusal Revisited — The Limits of Public Health Persuasion and Coercion,” New England Journal of Medicine 375, no. 14 (2016): 1316-1317.Google Scholar
See Caplan, A., “Liability for Failure to Vaccinate,” Bill of Health, available at <http://blogs.harvard.edu/billof-health/2013/05/23/liability-for-failure-to-vaccinate/> (last visited Nov. 9, 2017); Reiss, D. R., “Compensating the Victims of Failure to Vaccinate: What are the Options?,” Cornell Journal of Law and Public Policy, 23, no. 3: 595-633 (2014); <https://ldi.upenn.edu/should-we-tax-parents-who-refuse-vaccinate-their-kids>(last visited Nov. 9, 2017).Google Scholar
See, e.g., Attwell, K., Smith, D. T., “Hearts, Minds, Nudges and Shoves: (How) Can We Mobilise Communities for Vaccination in a Marketised Society?, Vaccine, available at <https://doi.org/10.1016/j.vaccine.2017.08.005>, (last visited Nov. 9, 2017); Association of State and Territorial Health Officials, “Communicating Effectively About Vaccines: New Communication Resources for Health Officials,” November 2010, available at <http://www.astho.org/Programs/Immunization/Communicating-Effectively-About-Vaccines--New-Communication-Resources-for-Health-Officials/> (last visited Nov. 9, 2017); New Hampshire Department of Health and Human Services, “Adult Immunization Campaign,” available at <http://www.dhhs.nh.gov/dphs/immunization/campaign>.htm (last visited Nov. 9, 2017). See also Sifferlin, A., “9 Ways Advertisers Think We Could Convince Parents to Vaccinate,” Time, Feb. 6, 2015, available at http://time.com/3693767/ad-campaigns-promoting-vaccines/ (last visited Nov. 9, 2017).,+(last+visited+Nov.+9,+2017);+Association+of+State+and+Territorial+Health+Officials,+“Communicating+Effectively+About+Vaccines:+New+Communication+Resources+for+Health+Officials,”+November+2010,+available+at++(last+visited+Nov.+9,+2017);+New+Hampshire+Department+of+Health+and+Human+Services,+“Adult+Immunization+Campaign,”+available+at+.htm+(last+visited+Nov.+9,+2017).+See+also+Sifferlin,+A.,+“9+Ways+Advertisers+Think+We+Could+Convince+Parents+to+Vaccinate,”+Time,+Feb.+6,+2015,+available+at+http://time.com/3693767/ad-campaigns-promoting-vaccines/+(last+visited+Nov.+9,+2017).>Google Scholar
See Gostin, and Wiley, , supra note 4, at 353-355.Google Scholar
Reiss, D. and Weithorn, L. A., “Responding to the Childhood Vaccination Crisis: Legal Frameworks and Tools in the Context of Parental Vaccine Refusal,” Buffalo Law Review, 63: 881-980, 955 (2015).Google Scholar
Sobo, E. J., “Social Cultivation of Vaccine Refusal and Delay Among Waldorf (Steiner) School Parents,” Medical Anthropology Quarterly 29, no 3 (2015): 381-399.CrossRefGoogle Scholar
As discussed infra, we use the term “shaming” to avoid conclusively characterizing efforts by policymakers, public officials, or private parties to create or reinforce social norms against vaccine refusal as “stigmatization.”Google Scholar
Birnbaum, M. S., Jacobs, E. T., Ralston-King, J., Erns, K. C., “Correlates of High Vaccination Exemption Rates Among Kindergartens,” Vaccine 31, no. 5 (2013): 750-756.CrossRefGoogle Scholar
Parker, L., “The Anti-Vaccine Generation: How a Movement Against Shots Got its Start,” National Geographic, Feb. 6, 2015, available at <http://news.nationalgeographic.com/news/2015/02/150206-measles-vaccine-disney-outbreak-polio-health-science-infocus/> (last visited December 10, 2017); “Stakeholder Concerns Related to the Safety of the Immunization Schedule,” Institute of Medicine, The Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies (2013) at 71.+(last+visited+December+10,+2017);+“Stakeholder+Concerns+Related+to+the+Safety+of+the+Immunization+Schedule,”+Institute+of+Medicine,+The+Childhood+Immunization+Schedule+and+Safety:+Stakeholder+Concerns,+Scientific+Evidence,+and+Future+Studies+(2013)+at+71.>Google Scholar
The goal of vaccine communication efforts is to instill and maintain confidence in the recommended preventive care guidelines, and while experts prefer focusing on describing the population in terms of these goals, rather than using a label like “vaccine hesitant,” which focuses on the presence of a perceived negative characteristic, the term “vaccine hesitant” will be used periodically in this paper to describe the population to whom outreach is focused. See National Vaccine Advisory Committee, “Assessing the State of Vaccine Confidence in the United States: Recommendations from the National Vaccine Advisory Committee,” Public Health Reports 130 no. 6, (Nov.-Dec. 2015): 573595.Google Scholar
See, e.g., Boyer, K., “’The Way to Break the Taboo is to do the Taboo Thing’: Breastfeeding in Public and Citizen-Activism in the UK,” Health and Place 17, no. 2 (2011): 430-437.Google Scholar
See, e.g., Kim, S. and Shanahan, J., “Stigmatizing Smokers: Public Sentiment Toward Cigarette Smoking and its Relationship to Smoking Behaviors,” Journal of Health Communication 8, no. 343 (2003): 343-367; Hammond, D. et al., “Tobacco Denormalization and Industry Beliefs Among Smokers from Four Countries,” American Journal of Preventative Medicine 31, no. 225 (2006): 229 (2006).CrossRefGoogle Scholar
See, e.g., Burris, S., “Law and the Social Risk of Health Care: Lessons from HIV Testing,” Albany Law Review 61 (1997): 831, 835-836.Google Scholar
See Lefebvre, R. C. and Flora, J. A., “Social Marketing and Public Health Intervention,” Health Education Quarterly 15, no. 3 (1988): 299-315.CrossRefGoogle Scholar
The original post at LivingWhole.org appears to have been removed, but it was reposted by several other natural health advocacy sites, including NaturalNews. “LivingWhole blogger Megan Heimer on #TeamVax from CDC,” Natural News, available at <http://www.naturalnews.com/053155_CDC_vaccine_industry_chronic_disease.html> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
“Anti-Vaccination Society Invitation,” The History of Vaccines, available at <https://www.historyofvaccines.org/content/anti-vaccination-society-invitation> (last visited Nov. 9, 2017)+(last+visited+Nov.+9,+2017)>Google Scholar
“Media Struggles to Pin Stupid Label on Well-Educated Vaccine Dissenters,” The Vaccine Reaction, available at <http://www.thevaccinereaction.org/2016/02/media-struggles-topin-stupid-label-on-well-educated-vaccine-dissenters/> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
The Daily Show with Jon Stewart, Season 20, Ep. 58, “Les Measlesrables.” Aired Feb. 3, 2015 on Comedy Central, available at <http://www.cc.com/video-clips/5t2dw1/the-daily-show-with-jon-stewart-les-measlesrables> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
“I Don’t Vaccinate My Child Because It’s My Right To Decide What Eliminated Diseases Come Roaring Back,” The Onion, Jan. 23, 2015, available at <http://www.theonion.com/blogpost/i-dont-vaccinate-my-child-because-its-my-right-to--37839> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
Jimmy Kimmel Live, “A Message for the Anti-Vaccine Movement.” Aired Feb. 27, 2015, on ABC, available at <https://www.youtube.com/watch?v=QgpfNScEd3M> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
Powell, C., “The Selfish Delusion Of White, Privileged Anti-Vaxxers,” available at <http://www.ravishly.com/2015/07/23/selfish-delusion-white-privileged-anti-vaxxers> (last accessed Nov. 9, 2017); Williams, K. I., “If You Are Not Vaccinating Your Children, You Are Selfish,” Huffington Post, updated April 8, 2015, available at <http://www.huffingtonpost.com/kiara-imani-williams/vaccines-children-selfish_b_6617542.html> (last visited Nov. 9, 2017); Suh, J., “People Who Don’t Vaccinate Their Kids Are Selfish,” Cosmopolitan, April 11, 2017, available at <http://www.cosmopolitan.com/politics/a9256115/vaccinations-mandate-anti-vaxxers-selfish/> (last visited Nov. 9, 2017).+(last+accessed+Nov.+9,+2017);+Williams,+K.+I.,+“If+You+Are+Not+Vaccinating+Your+Children,+You+Are+Selfish,”+Huffington+Post,+updated+April+8,+2015,+available+at++(last+visited+Nov.+9,+2017);+Suh,+J.,+“People+Who+Don’t+Vaccinate+Their+Kids+Are+Selfish,”+Cosmopolitan,+April+11,+2017,+available+at++(last+visited+Nov.+9,+2017).>Google Scholar
Cáceres, M., “Media Struggles to Pin Stupid Label on Well-Educated Vaccine Dissenters,” Feb. 21, 2016, available at <http://www.thevaccinereaction.org/2016/02/media-struggles-to-pin-stupid-label-on-well-educated-vaccine-dissenters/> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
Kahan, D. M., “A Risky Science Communication Environment for Vaccines,” Science 342, no. 6154, (October 4, 2013): 53-54; Sobo, E. J., “Theorizing (Vaccine) Refusal: Through the Looking Glass,” Cultural Anthropology 31, no. 3 (2016): 342–350.Google Scholar
E.J. Sobo, supra note 14 at 383.Google Scholar
Id. at 390.Google Scholar
Sobo, E. J., “What is Herd Immunity and How Does it Relate to Pediatric Vaccination Uptake? US Parent Perspectives,” Social Science & Medicine 165 (2016):187-195; Reich, J. A., “Neoliberal Mothering and Vaccine Refusal: Imagined Gated Communities and the Privilege of Choice,” Gender & Society 28, no. 5 (2014): 679–704.CrossRefGoogle Scholar
Carrel, M. and Bitterman, P., “Personal Belief Exemptions to Vaccination in California: A Spatial Analysis,” Pediatrics 136, no. 1 (May 2015): 80-88, available at <http://pediatrics.aap-publications.org/content/early/2015/05/26/peds.2015-0831> (last visited Nov. 9, 2017); Brunson, E. K., “The Impact of Social Networks on Parents’ Vaccination Decisions,” Pediatrics 131, no. 5 (2013): e1397-e1404.Google Scholar
Biss, E., On Immunity (Minneapolis: Greywolf Press, 2014).Google Scholar
Reich, , supra note 31.Google Scholar
Kitta, A., Vaccinations and Public Concern in History: Legend, Rumor, and Risk Perception (London: Routledge, 2011): 123; Nichols, T., The Death of Expertise (Oxford, UK: Oxford University Press, 2017); Attwell, K., Leask, J., Meyer, S. B., Rokkas, P., Ward, P., “Vaccine Rejecting Parents’ Engagement with Expert Systems that Inform Vaccination Programs,” Journal of Bioethical Inquiry 14, no. 1 (2017): 65–76.Google Scholar
Hoss, A., “State School Immunization Requirements and Vaccine Exemption Laws,” available at <https://www.cdc.gov/phlp/docs/school-vaccinations.pdf> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
Silverman, R. D., “No More Kidding Around: Restructuring Non-Medical Childhood Immunization Exemptions to Ensure Public Health Protection,” Annals of Health Law 12, no. 2 (Summer 2003):277-294.Google Scholar
Hough-Telford, C., Kimberlin, D. W., Aban, I., Hitchcock, W. P., Almquist, J., Kratz, R., O’Connor, K. G., “Vaccine Delays, Refusals, and Patient Dismissals: A Survey of Pediatricians,” Pediatrics 138, no. 3 (August 2016): 1-9, available at <http://pediatrics.aappublications.org/content/early/2016/08/25/peds.2016-2127> (last visited Nov. 9, 2017); Kempe, A., Daley, M. F., McCauley, M. M. et al., “Prevalence of Parental Concerns About Childhood Vaccines: The Experience of Primary Care Physicians,” American Journal of Preventive Medicine 40, no. 5 (2011):548–555.CrossRefGoogle Scholar
Hough-Telford et al., supra note 42.Google Scholar
See, e.g., American Academy of Pediatrics, available at <https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/immunizations/Pages/vaccine-hesitant-parents.aspx>; Leask, J., Kinnersley, P., Jackson, C., Cheater, F., Bedford, H. and Rowles, G., “Communicating with Parents about Vaccination: A Framework for Health Professionals,” BMC Pediatrics 12 (2012):154; Opel, D. J. et al., “The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits,” Pediatrics 132. no. 6 (2013): 1037–1046.Google Scholar
Diasio, C., “Pediatric Vaccination: Who Bears The Burden?,” Health Affairs Blog, February 9, 2016, available at <http://healthaffairs.org/blog/2016/02/09/pediatric-vaccinationwho-bears-the-burden/> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
American Academy of Pediatrics, “Medical Versus Nonmedical Immunization Exemptions for Child Care and School Attendance,” Pediatrics 138, no 3 (2016), available at <http://pediatrics.aappublications.org/content/138/3/e20162145> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
“Progress in Immunization Information Systems — United States, 2012,” Morbidity & Mortality Weekly Report 62, no. 49 (December 13, 2013): 1005-1008, available at <https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6249a4.htm> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
Brandeis, L. D., Other People’s Money and How the Bankers Use It (New York: Frederick A. Stokes Company, 1914): 92.Google Scholar
“Database: Check your School’s Measles Immunization Rate,” Chicago Tribune, available at <http://www.chicagotribune.com/news/chi-school-immunization-database-20150207-htmlstory.html>(last accessed on Nov. 9, 2017).(last+accessed+on+Nov.+9,+2017).>Google Scholar
“National Vaccine Advisory Committee, Assessing the State of Vaccine Confidence in the United States: Recommendations from the National Vaccine Advisory Committee,” Public Health Reports 130, no. 6(2015): 573, 591.Google Scholar
<http://www.shotsforschool.org/k-12/how-doing/>(last accessed on Dec. 4, 2017).(last+accessed+on+Dec.+4,+2017).>Google Scholar
See, e.g., Smith, M. and Daniel, A., “Which Texas Schools Have the Highest Rates of Vaccine Exemptions?,” Texas Tribune, July 14, 2016, available at <https://www.texastribune.org/2016/07/14/see-studnet-vaccine-exemptions-school/> (last accessed Nov. 9, 2017); Reese, P., “See Sacramento Schools where Parents Most often Choose not to Vaccinate their Children,” Sac. Bee, January 19, 2016, available at <http://www.sacbee.com/site-services/databases/article8203365.html> (last visited Nov. 9, 2017); Choi, A., “Interactive: How Many South Florida Parents aren’t Vaccinating their Kids?,” Sun Sentinel, Feb. 20, 2015, available at <http://www.sun-sentinel.com/health/sfl-interactive-south-floridas-kindergartensvaccination-rate-20150210-htmlstory.html>(last visited Nov. 9, 2017) Wahlberg, D., “Vaccine Exemption Rates at Some Madison-Area Schools Raise Concern,” Wisconsin State Journal, Feb. 8, 2015, available at <http://host.madison.com/wsj/news/local/health_med_fit/vaccine-exemption-rates-at-some-madison-area-schools-raise-concern/article_1fb11058-124c-5b6d-803a-a19df066e578.html> (last visited Nov. 9, 2017).+(last+accessed+Nov.+9,+2017);+Reese,+P.,+“See+Sacramento+Schools+where+Parents+Most+often+Choose+not+to+Vaccinate+their+Children,”+Sac.+Bee,+January+19,+2016,+available+at++(last+visited+Nov.+9,+2017);+Choi,+A.,+“Interactive:+How+Many+South+Florida+Parents+aren’t+Vaccinating+their+Kids?,”+Sun+Sentinel,+Feb.+20,+2015,+available+at+(last+visited+Nov.+9,+2017)+Wahlberg,+D.,+“Vaccine+Exemption+Rates+at+Some+Madison-Area+Schools+Raise+Concern,”+Wisconsin+State+Journal,+Feb.+8,+2015,+available+at++(last+visited+Nov.+9,+2017).>Google Scholar
Sobo, , supra note 14.Google Scholar
Id. at 393.Google Scholar
Hoss, , supra note 40 at 3.Google Scholar
Aliferis, L., “To Protect His Son, A Father Asks School To Bar Unvaccinated Children,” NPR, January 27, 2015, available at <http://www.npr.org/sections/health-shots/2015/01/27/381888697/to-protect-his-son-a-father-asks-school-to-bar-unvaccinated-children> (Last visited on Nov. 9, 2017).+(Last+visited+on+Nov.+9,+2017).>Google Scholar
Hough-Telford, supra note 42.Google Scholar
Edwards, K. M., Hackell, J. M., et al., “Countering Vaccine Hesitancy,” Pediatrics 138, no. 3 (Sept. 2016); available at <http://pediatrics.aappublications.org/content/138/3/e20162146> (Last visited Nov. 9, 2017).CrossRefGoogle Scholar
“Pediatrician’s Message Goes Viral: ‘In My Practice You Will Vaccinate And You Will Vaccinate On Time,’” Scary Mommy, available at <http://www.scarymommy.com/pediatricians-message-goes-viral-in-my-practice-you-will-vaccinate/> (Last visited Nov. 9, 2017); see also “Meet The Doctors Who Are Rejecting Unvaccinated Patients,” Buzzfeed, available at <https://www.buzzfeed.com/azeenghorayshi/meet-the-doctors-who-are-rejecting-unvaccinated-patients?utm_term=.to4rprJgj#.suk5q5R6N> (last visited Nov. 9, 2017).+(Last+visited+Nov.+9,+2017);+see+also+“Meet+The+Doctors+Who+Are+Rejecting+Unvaccinated+Patients,”+Buzzfeed,+available+at++(last+visited+Nov.+9,+2017).>Google Scholar
See Bayer, R. and Stuber, J., “Tobacco Control, Stigma and Public Health: Rethinking the Relations,” American Journal of Public Health 96, no. 1 (2006): 47, 48.CrossRefGoogle Scholar
See Bell, K. et al., “Smoking, Stigma and Tobacco ‘Denormalization’: Further Reflections on the Use of Stigma as a Public Health Tool,” Social Science & Medicine 70, no. 6 (2010): 795, 795; Bell, K. et al., “‘Every Space is Claimed’: Smokers’ Experiences of Tobacco Denormalization,” Sociology of Health & Illness 32, no. 6 (2010): 914–929.Google Scholar
U.S. Department of Health and Human Services, “Public Service Campaign to Promote Breastfeeding Awareness Launched,” Ad Council, June 4, 2004, available at <https://archive.hhs.gov/news/press/2004pres/20040604.html> (last visited Nov. 9, 2017).+(last+visited+Nov.+9,+2017).>Google Scholar
Rabin, R., “Breast-Feed or Else,” New York Times (June 13, 2016), available at <http://www.nytimes.com/2006/06/13/health/13brea.html> (last visited Nov. 9, 2017)+(last+visited+Nov.+9,+2017)>Google Scholar
Faden, R. R., “Ethical Issues in Government Sponsored Public Health Campaigns,” Health Education Quarterly 14, no. 1 (1987): 27-37.Google Scholar
Kim, and Shanahan, , supra note 59, at 349.Google Scholar
Kass, N. E., “An Ethics Framework for Public Health,” Am. J. Public Health 91, no. 11(2001):1776, 1776.Google Scholar
Childress, J. E. et al., “Public Health Ethics: Mapping the Terrain,” Journal of Law, Medicine & Ethics 30, no. 2 (2002): 170, 173.Google Scholar
Gostin and Wiley, supra note 4, at 40; Gostin, L. et al., “Towards the Development of a Human Rights Impact Assessment for the Formulation and Evaluation of Public Health Policies,” Health & Human Rights 1, no. 1 (1994): 58, 59.Google Scholar
National Vaccine Advisory Committee, supra note 50, at 575 (2015).Google Scholar
Dubé, E., Gagnon, D., MacDonald, N. E., the SAGE Working Group on Vaccine Hesitancy, “Strategies Intended to Address Vaccine Hesitancy: Review of Published Reviews,” Vaccine 33, no. 34(2015):4191-4203.CrossRefGoogle Scholar
National Vaccine Advisory Committee, supra note 50, at 588.Google Scholar
See Gostin, and Wiley, , supra note 3, at 353-55.Google Scholar
Nuffield Council on Bioethics, Public Health: Ethical Issues (2007) at 41-42.Google Scholar
Crawford, R., “Healthism and the Medicalization of Everyday Life,” International Journal of Health Services 10, no. 3(1980): 365, 368; Crawford, R., “Health as a Meaningful Social Practice,” Health 10, no. 4 (2006): 401–420.Google Scholar
Skrabanek, P., The Death of Humane Medicine and the Rise of Coercive Healthism (Suffolk, UK: St Edmundsbury Press Ltd., 1994): 11; see also Callahan, D., Promoting Healthy Behavior: How Much Freedom? How Much Responsibility? (Georgetown University Press, 2000): 138-152 (discussing the tyranny of “healthism”); Carter, S. et al., Shared Health Governance: The Potential Danger of Oppressive “Healthism”, American Journal Bioethics 11, no. 7 (2011): 57-59.Google Scholar
Skrabanek, supra note 87, at 15.Google Scholar
Eyal, N., “Nudging by Shaming, Shaming by Nudging,” International Journal of Health Policy & Management 3, no. 2 (2014): 5356, 53.CrossRefGoogle Scholar
Lucas, G. M., “Paternalism and Psychic Taxes: The Government’s Use of Negative Emotions to Save Us from Ourselves,” Southern California Interdisciplinary Law Journal 22, no. 2 (2013): 227, 231-232.Google Scholar
Kahn, J., “Privacy as a Legal Principle of Identity Maintenance,” Seton Hall Law Review 33, no. 2 (2003): 371, 404.Google Scholar
Id. at 844, quoting Watkins v. U.S. Army, 875 F.2d 699, 726 (9th Cir. 1989) (Norris, J. concurring).Google Scholar
Id. at 843.Google Scholar
Id. at 844, quoting Watkins supra note 92.Google Scholar
Braithwaite, J., Crime, Shame, and Reintegration (Cambridge University Press, 1989) at 55.CrossRefGoogle Scholar
Courtwright, A., “Stigmatization and Public Health Ethics,” Bioethics 27, no. 2 (2013): 74-80.CrossRefGoogle Scholar
See Burris, S., “Disease Stigma in U.S. Public Health Law,” Journal of Law, Medicine & Ethics 30, no. 2 (2002): 179-190; Burris, S., “Stigma and the Law,” Lancet 367, no. 9509 (2006): 529–531; Burris, S. “Stigma, Ethics and Policy,” Social Science & Medicine 67 (2008): 473, 475; Bayer and Stuber, supra note 61; Bayer, R., “Stigma and the Ethics of Public Health: Not Can We But Should We,” Social Science & Medicine 67, no. 3 (2008): 463–472.Google Scholar
Wiley, L. F., “Shame, Blame, and the Emerging Law of Obesity Control,” U.C. Davis Law Review 47, no. 1 (2013): 121-188.Google Scholar
Burris, “Disease Stigma,” supra note 88, at 187.Google Scholar
Bayer, supra note 88, at 470.Google Scholar
Annamalai, A., Singh, N., and O’Malley, S.S., “Smoking Use and Cessation Among People with Serious Mental Illness,” Yale Journal of Biology & Medicine 88, no. 3 (2015): 271-277.Google Scholar
Wiley, L. F., “Health Law as Social Justice,” Cornell Journal of Law and Public Policy 24, no. 1 (2014): 47-105 [Hereinafter Wiley “Social Justice”]; Wiley “Patient Rights,” supra note 156; Gostin and Wiley, supra note 3, at 531–50; Wiley, L. F., “Applying the Health Justice Framework to Diabetes as a Community-Managed Social Phenomenon,” Houston Journal of Health Law & Policy 16, no. 1 (2016): 101–138.Google Scholar
Wiley “Social Justice,” supra note 93, at 95–101.Google Scholar
Wiley, L. F., “Shame, Blame, and the Emerging Law of Obesity Control,” U.C. Davis Law Review 47, no. 1 (2013): 121-188.Google Scholar