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Gordon Hughes's avatar

I fully agree. Ultimately this is an issue of accountability. Commentators and politicians who say that more must be done are entirely unaccountable. On the other hand, strict liability or tort systems are extremely blunt and inefficient ways of imposing accountability. Class actions work occasionally but in the UK they have almost all been driven by retrospective changes in rules which is a stupid way of proceeding.

Compensation schemes are a bit better but only if they are not sabotaged in the ways that I discussed. Even worse are the examples of compensation for contaminated blood transfusions which are a classic example of "justice delayed is justice denied".

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Jaime Jessop's avatar

"However, this is not the issue. Even if the two events were independent, a signalling arrangement only works if the general population believes it. What matters is not some sophisticated professional judgement, but how the signals are understood. That means that compensation must be paid in all cases for which the public – not doctors or statisticians – believe that it is more likely than not that the vaccination caused the harm which occurred.

If claims that seem clear-cut to a reasonable outsider are denied, then the signal given is not the one intended but the exact opposite. Instead of conveying confidence that the benefits of vaccination greatly outweigh potential harms, the bureaucracy is saying, though probably unintentionally, that it fears the cost of compensation will be high because the harm caused by vaccination is large."

Suppose that the two events are not independent, that the government knows for sure that they are not independent and knows for sure that a huge number of similar events are also not independent. Suppose that the government knows, in the case of Covid-19 vaccination, that the population wide benefits do not outweigh the harms and that the harms are significant, serious and potentially extremely costly if the government was to offer compensation for all those harms which are publicly perceived to be caused by the vaccine, because in fact, the vast majority of those perceived to be caused by vaccination, are indeed caused by vaccination, and the government knows it. In that case the government is going to be desperate to maintain the entirely false perception that benefits outweigh harms, and they are damned if they do open the floodgates to compensation, but also damned if they resist opening those floodgates, even an inch. Public trust is going to be lost either way, so what the government has decided to do is carefully manage public DISTRUST.

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