JAMA Forum: When do externalities matter in health care?

Most people feel that the negative externality that anti-vaxxers impose on society—endangering those who cannot be vaccinated and threatening loss of herd immunity—warrants some government coercion to vaccinate. Yet, in many other instances in which externalities arise, including due to lack of purchase of health insurance, government coercion not as widely accepted. Why the difference? I discuss over on the JAMA Forum.


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