Historically, the link between legal barriers and nonmedical exemptions rates has long been established in public school systems in several states. Meanwhile, opposing COVID-19 vaccinations has become a matter of political identity for many on the political right. 2002. The most stringent standard is that the government should not require people to violate their conscience without a compelling reason. A majority of Americans (53%) agree with the statement Because getting vaccinated against COVID-19 helps protect everyone, it is a way to live out the religious principle of loving my neighbors, while 44% disagree with the statement. What are the options available to public health officials, and more broadly to policy makers, who want to promote safety and human flourishing, in a shifting legal landscape according to which personally held beliefs can likely no longer be checked by reasonable constraint? PDF University of Pennsylvania Request for Religious Exemption from COVID Available online: Adams, Carolyn E., and Michael B. Leverland. These questions become even more pointed in a legal and cultural environment in which religion and religious belief are increasingly fragmented, individualized, and divorced from traditional religious institutions and communities. Religious exemptions are defined as seriously professed exceptions to state or federal laws, which appeal to Title VII of the Civil Rights Act of 1964, allowing workers to request an exception to a job requirement, including a health-protective . Religious exemptions will require more than just a sincere belief. Six states prohibit K-12 schools from granting exemptions to vaccine requirements on religious grounds, according to the National Conference of State Legislatures. Please note: A student who has been exempt from a vaccination is still considered susceptible to the disease (s) for which the vaccine offers protection. As employers, colleges and school systems across the U.S. mandate COVID-19 vaccinations, a variety of organizations are clamoring to help people use religious exemptions to avoid getting shots. By avoiding medical complications, those exceptions actually serve the governments interests. It may be that liberty is emblematic of the American way, a familiar and prized value for which there is historical precedent. For more information regarding Haverford College's vaccination requirement for students, please visit . Religions 14, no. The aim is to provide a snapshot of some of the Available online: Council on Foreign Relations. Under the current law of the Constitution, people have no right to a religious exemption from a rule unless there is also a secular exception or gap in coverage that would undermine the governments interests just as much. Urgent Action Needed to Prevent Measles, Polio Resurgence. As of Sept. 27, more than 213 million people nationwide had received at least one dose of a COVID-19 vaccine 64% of the population, data from the U.S. Centers for Disease Control and Prevention show. Vaccine Mandates and Religious Accommodations - New York Law Journal Current Revision Date: 02/2022 Authority or Regulation: 5 U.S.C. According to the suit, Princeton told her in June 2021 that receiving a COVID-19 vaccine would become a mandatory requirement of employment, though it granted her a religious exemption to the . A medical exemption is allowed when a child has a medical condition that prevents them from receiving a vaccine. Sincerely held beliefs, I conclude, appear no longer to constitute the standard for religious accommodation in the era of COVID-19. This is far from an anything goes standard. That means workplace administrators must let employees request an exemption if vaccines are required for work, but dont have to grant them. In the United States, religious exemptions to health-driven mandates enjoy, and should enjoy, protected status in medical ethics and healthcare law. Religious exemptions are not obligated. A 2013 paper in the academic journal Vaccine offers a broad overview of how the teachings of various religions apply to vaccines. It is not possible to properly love a person and act so as to unnecessarily jeopardize their health. But when there are likely to be many exemption claims both true and false courts reject them because the difficult task of judging the sincerity of one or a few claimants becomes impossible when there are thousands or millions. COVID-19 in rural America: Impacts of politics and disadvantage. What caught my eye was a Washington Post report Thursday on how up to 12,000 Air Force personnel have failed to comply with orders to get a Covid-19 . States With Religious and Philosophical Exemptions From School To the extent that there are deeply held cultural or individual justifications to be hesitant about vaccination mandates, these should be balanced against other reasons. Thou Shalt Not Take the Name of the Lord Thy God in Vain: Use and Abuse of Religious Exemptions from School Immunization Requirements. Below this map are examples of enacted legislation related to school immunization requirements for the last several years. I thank an anonoymous reviewer of Religions for calling my attention to this exacerbating nuance about the fragmentation of religious experience in the American context. Please note that many of the page functionalities won't work as expected without javascript enabled. If a medical doctor certifies a vaccine would compromise your health, under most circumstances that's enough for your boss. Hodge, James G., Jr. 2022. And God has given us rights in an exceptional way no other nation has. Religious Discrimination and Accommodation in the Federal Workplace. Available online: Civil Rights Act. 20. Because vaccination, civil liberties, employment law and health policy are all complicated topics, we asked law professor Dorit Reiss for advice on how journalists should think about and cover religious exemptions to vaccine mandates. Faith-Based Approaches Can Positively Impact COVID-19 Vaccination Efforts: Religious Identities and the Race Against the Virus (April 22). Many of those who oppose immunization also are going online to share tips and resources and strategize ways to forgo required vaccinations on religious grounds. 17:170(A); 40:31.16, Okla. Stat. This emerging hypothesis and claim that it is not religion itself which directly influences the opting out of public policy is given even more circumstantial credence by the support the majority of religious leaders have lent in their own voices to public and secular vaccine efforts. 2021. Download Adobe Reader There is surprising and significant agreement among leaders of the worlds major religious traditions that vaccines are not about oneself but the vulnerable other, where great theological weight is placed on the preservation of a communal good in the form of the health and safety of a population. If you dont have a religious exemption, you might get strict scrutiny because these medical contraindications are treated more favorably than the religious objections. As Michelle Mello notes, we are for the first time in our history seeing clergy not only not supporting COVID-19 mandates, but at odds with their flock: Its not that a person is failing to produce a letter from a clergy member saying, yes, I back them up on this claim. If by being vaccinated we can protect others from illness, then we have a corresponding obligation, given our Lords command to love neighbors, to be vaccinated. However, The discussion to this point has not substantively engaged the juridical arguments for or against the permissibility of considering objections to public policy that are religious in nature as legitimate. Even when usual concerns are reported, as in the case of dietary considerations in Muslim traditions, leaders have issued a specification that this consideration should not carry the day. 28 Pa. Code 23.84 - Exemption from immunization AP Photo/Mary Altaffer Offering exemptions For example, a 2018 study in the Journal of Medical Ethics finds that employees sought religious exemptions to a Cincinnati hospitals flu vaccine mandate for various reasons, including concerns about the benefit of the vaccine. Religious Doctrine and Attitudes Toward Vaccination in Jewish Law. 70, 1210.191, 192. Rts. Pope Francis, for example, recently urged people to get inoculated as an act of love. The First Presidency, the highest governing body of the Church of Jesus Christ of Latter-day Saints, also encourages COVID-19 vaccination. Those But federal vaccination requirements override those state laws. A Wall Street Journal reporter discusses the newspapers investigation into secret payoffs Donald Trump and his associates arranged to suppress sexual allegations from two women during the 2016 presidential campaign. The Supreme Court has never been clear about the full range of what counts as compelling, but some cases are clear. I have repeatedly testified in Congress and state legislatures in support of religious exemptions. Employer Handling of Religious Exemptions for the COVID Vaccine In the decision, the Court offered injunctive dispensation against an issuance barring at-home or private-residence Bible studies and comparable settings by restricting the headcount of all congregants. There are no specific disclaimers in any of these instances with regard to the mRNA COVID-19 vaccines. Can Anyone Help?: Parents Strategies for Managing Compulsory Vaccination Laws, sociologist Jennifer Reich describes how parents strategize to use vaccine exemptions and craft claims of religiousness to justify opting out of vaccines, even as they lack religious beliefs that would be violated by using vaccines.. I have filed many friend-of-the-court briefs in support of litigants seeking religious exemptions in the Supreme Court, but again, not from vaccination laws. There is no law . The survey reports that attitudes towards vaccination are strongly influenced by television news consumption, the highest rates of resistance occurring among Republicans who trust far-right news sources the most (42%) (, Notably, Title VII, under which religious exemptions are claimed, is not invoked in the comparable case of disabled individuals who are entitled to the same accommodations as refusers considered under religious grounds. With regard to mitigation efforts implemented at the state level early on in the pandemic, on November 2020, in Roman Catholic Diocese of Brooklyn v. Cuomo, the Court determined New Yorks order violated First Amendment free exercise principles despite clear demonstration of exigent public health circumstances justifying the order, while in February 2021, the Court deemed unconstitutional a similar ban on indoor religious gatherings in Southern Bay United Pentecostal Church v. Newsom (, While it remains to be seen what the Supreme Court ultimately does in the case of to upholding mandates with regard FDA approved vaccines shown to be highly effective against contagious and deadly diseases such as COVID-19, it should be noted that the deference in these recent cases given to unqualified assertion of individual religious belief signals a resolution to a tension manifest within the First Amendment. November 7. COVID-19 is a highly communicable, infectious, and serious disease. (. The quick answer is employers can require vaccinations, but, Elzer says, "Title VII of the Civil Rights Act of 1964 and the Pennsylvania Human Relations Act both require employers to make reasonable accommodations to sincerely held religious beliefs if doing so would not cause an undue hardship.". STATUTE-107-Pg1488.pdf. Because religious beliefs can be unique to each person, they also dont have to make sense to the people deciding whether or not to grant exemptions. Please review the following: Information regarding "Sincerely Held Religious Beliefs": Social, political or economic What's behind religious exemptions to the Covid-19 vaccine - CNN The analysis would be otherwise if religious leaders issued some statement about what is problematic about COVID-19 vaccines, as many did in the case of HPV vaccines for reasons relatable, if not convincing, to fellow religious insiders. Such arguments are both theological and ethical in nature, often referring to communal norms and shared understandings of scripture, in general featuring no standing objection to vaccines, with only occasional caveats to known dietary restrictions (. However, few company leaders have taken this approach, at least in part because doing so would break political and business norms. If anything, the opposite is so: Those with disabilities report difficulty obtaining vaccines relative to the general population to the vaccines they, This contrast between religious and disabled communities becomes even more conspicuous in light of new research that establishes the correlation between political orientation, susceptibility to conspiracy theorizing, and vaccine resistance, finding that conservative worldviews that uphold vaccine resistance do so as a symbol of the exercising of freedom in society overrun by big government (. How do you get a religious exemption for the COVID vaccine at work By contrast, there is mounting evidence during the pandemic that the opposite has taken place with regard to individuals seeking religious representatives to sign off on ad hoc requests for religious exemptions for vaccine mandates in healthcare settings, which are petitioned on the basis of no discernable or consistent grounds. 380 U.S. 163. 573 U.S. 682. The Maternal and Child Health (MCH) Fellows program is designed to support legislators who are experienced or emerging leaders on MCH related issues. Thus, what I present here is neither a legal argument nor an argument about the threat we collectively face when we do not respond to a pandemic such as COVID-19 on a population level (which is an empirical argument), nor even an argument about the normative justification for collective action, e.g., that the threat entailed by the contagious and ubiquitous virus of SARS-CoV-2 is so compelling that individual beliefs ought not to take precedence over the public good, even if it is evident that that case can be made. Anti-vaccine advocates, local churches and legal groups have offered their assistance for free or for a fee, even as high-ranking faith leaders worldwide speak out in support of COVID-19 vaccines. But the legal basis of Americans supposed right to a religious exemption to vaccination is less clear than such policies popularity would suggest. Or, rather, the shift reflects the ascension of a particular understanding of religious belief as the template for all others, namely, one that puts the interpretative authority of scripture solely in the hands of the individual believer while preferencing a sense of belief that concentrates on the fate of that believer at the hands of an infinite and all-powerful redeemer. Immunization Schedules, Materials and Resources - Department of Health 1965. Unless otherwise noted, this site and its contents with the exception of photographs are licensed under a Attribution-NoDerivatives 4.0 International (CC BY-ND 4.0) license. But a religious objection is much harder to make. State law generally governs whether college students and kids in kindergarten through high school can ask to be exempted from receiving the various vaccines required for enrollment. Even if the answer is no, however, that may point to longstanding anti-vaccination views rather than sincere religious objections. Last month, Valley Health terminated the employment of 72 employees, out of a workforce of more 6,000, due to noncompliance with its vaccine mandate. In fact, it's just the opposite. The free exercise clause of the First Amendment has long been interpreted to safeguard citizens rights to practice their religion in their own way on the condition that such practicing is compliant with upholding compelling governmental interests (, This historical context perhaps explains why there is no coherent basis, particularly in the Abrahamic traditions on display in the present examination, to reject policies in which COVID-19 vaccines come to be mandated. Vaccine manufacturers use blood to create vaccines. Please let us know what you think of our products and services. Reiss argues there are two major drawbacks to offering religious exemptions to vaccine requirements. Editors select a small number of articles recently published in the journal that they believe will be particularly In the same vein, tying the exhortation to get vaccinated to injunctions to cultivate compassion and keep in mind the vulnerable, the Pope instructs Catholics: Thanks to Gods grace and the work of many, we now have vaccines to protect us against COVID-19 Getting the vaccines that are authorized by the respective authorities is an act of love (. As such, it must allow the same flexibility for comparable religious exemptions, despite the fact that secular activities bear a public character while religious activities are significant only to those individuals engaging in them. Astor, Maggie. August 9, 2021. 2023. As 2021 turned into 2022, many employers in New York City were dealing with an onslaught of requests from employees for an exemption from the City's mandate, compelling employers to require . https://doi.org/10.3390/rel14050569, Subscribe to receive issue release notifications and newsletters from MDPI journals, You can make submissions to other journals. States with fewer barriers to immunization exemption procedures have religious exemption rates more than twice as high as those states where it is legally harder to opt out, with predictable health consequences. With the notable exceptions of white evangelical Protestants (46%) and Hispanic Protestants (49%), majorities of all major religious groups agree that getting vaccinated is a way to live out the religious principle of loving their neighbors. Cal. https://doi.org/10.3390/rel14050569, Flescher, Andrew. "They all take great pains to say, we are responsible for preserving health, for keeping the body healthy, and that's what vaccines do, of course," Grabenstein said. While a majority of every. Most states explicitly authorize religious exemptions to vaccination, and sometimes philosophical exemptions as well regardless of the governments compelling interests. For example, Minnesota allows objections based on conscientiously held beliefs of the parent or guardian.. Available online: Religious Freedom Restoration Act. 1944. Equal Employment Opportunity Commission advises employers to ordinarily assume that an employees request for religious accommodation is based on a sincerely held religious belief.. Harvard Kennedy School's Shorenstein Center, Shorenstein Center on Media, Politics and Public Policy, Creative Commons Attribution-NoDerivatives 4.0 International License, high-ranking faith leaders worldwide speak out, I Have to Write a Statement of Moral Conviction. Immunization Waivers. 5: 569. A project of Harvard Kennedy School's Shorenstein Center, The Journalists Resource curates, summarizes and contextualizes high-quality research on newsy public policy topics. Flescher, A. Available online: Rota, Jennifer S., Daniel A. Salmon, Lance E. Rodewald, Robert T. Chen, Beth F. Hibbs, and Eugene J. Gangarosa. Vaccines and Religious Exemptions: A Source List | IFYC Provide the minimum letter, reiterate the statute and be vague if necessary. (November 16). Burwell v. Hobby Lobby Stores. 1972. permission is required to reuse all or part of the article published by MDPI, including figures and tables. Majorities of other Protestants of color (58%), white Catholics (57%), Hispanic Catholics (55%), white mainline Protestants (55%), religiously unaffiliated Americans (53%), and Black Protestants (52%) agree. All articles published by MDPI are made immediately available worldwide under an open access license. Multiple requests from the same IP address are counted as one view. Asser, Seth M., and Rita Swan. (Council on Foreign Relations) This logic is part of a self-protective strategy in which no mortal has the prerogative to contravene Gods will: The vaccine is a threat on my liberty and rights as an American, but my rights and liberties as an American come from God, right? Gillon, Raanan. II. Penn Medicine to Require All Health System Employees to Receive Vaccine How can I know that you have one?" While on the substantive issue Burwell v. Hobby Lobby Stores signaled a setback for governmental regulatory health initiatives, sincerity as a criterion itself became reinforced following the decision. Mello concludes that decisions such as this, combined with a surge in applications for exemptions, create a potential catch-22 for any public health organization adopting a medically exigent mandate. If that is their sincere religious belief, it doesnt matter that Pope Francis disagrees. For the safety . If by the minimal burden of wearing a mask, we can potentially protect others from grave illness, then it seems we have a moral obligation to wear a mask. It finds Democrats are much more likely than Republicans to report receiving at least one dose of a COVID-19 vaccine 86% compared to 60%. A 2018 study published in the journal Sociological Perspectives shows how some parents already were gaming the system. All states and the District of Columbia allow a medical exemption. The health care system says more than 95% of . In 2007, The Catholic Medical Association issued a position paper that, while acknowledging the safety and effectiveness of the HPV vaccine Gardasil, opposed any form of a mandate that girls be vaccinated against HPV. the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, Given the amount of misinformation about vaccine safety and the virus, chances are that most of the exemption requests are from people who do not want to get COVID-19 vaccines because of safety concerns or misinformation about the pandemic, Reiss writes in a recent article on the Bill of Health blog, published by the Petrie-Flom Center at Harvard Law School. Mellos suggestion that the recent spate of religious objections to health-protective mandates in proposed legislation which are not on the basis of religious grounds is reminiscent of examples introduced by Dorit Rubenstein Reiss of individuals who strategically attended services held by denominations to which they did not belong in order to acquire sympathy they found lacking in their own congregations (, One of the key concepts on the basis of which exemptions had been evaluated was whether they were sincerely held, a standard formally introduced in Title VII of the Civil Rights Act of 1964 (, This is a standard upheld by ample juridical precedent. Background In granting an employee's request for a religious exemption, an employer is required to provide them with a "reasonable accommodation" as an alternative to getting a COVID-19 vaccine. Since the advent of the COVID-19 vaccines early in 2021, potential religious exemptions to mandatory vaccine requirements have been a challenging legal issue and focus of debate. But the Supreme Court has interpreted undue hardship to mean anything more than a minimal expense, meaning employers dont need a reason anywhere near as strong as a compelling interest. 1990. Stat. Rev. interesting to readers, or important in the respective research area. So employers do not have to allow religious exemptions to their employees. Available online: Kuehn, Bridget M. 2020. 1996-2023 MDPI (Basel, Switzerland) unless otherwise stated. Religious exemptions are defined as seriously professed exceptions to state or federal laws that appeal to Title VII of the Civil Rights Act of 1964, allowing workers to request an exemption to a job requirement, including a health-protective mandate, if it conflicts with their sincerely held religious beliefs, practices, or observances (, Until recently, the answer in our country has been that while one is not required to be forced to stick ones arm out to receive an injectionthere is no, Acknowledging the longstanding category of religious exemptions, and referencing a controversial example that does adhere to its parameters in good faith (namely, that of objections made by some institutions to HPV vaccines), I set out to argue that, to date, no coherent basis of religious exemptions to COVID-19 vaccines has been offered, particularly through appeal to the principle of autonomy, or, in a health care context, to medical freedom. Exempting Schoolchildren from Immunizations: States with Few Barriers Had Highest Rates of Nonmedical Exemptions. Federal law protects employees religious beliefs, observances and practices, regardless of whether workplace administrators are familiar with them. Available online: US Department of Health and Human Services. Sign up for our free newsletter, and receive a weekly update of important new resources to inform your news coverage and consumption. Why do religious vaccine exemptions exist? - NC Health News Ethics Needs PrinciplesFour Can Encompass the RestAnd Respect for Autonomy Should be First Among Equals. Medical exemptions for COVID-19 vaccines, explained - Inquirer.com But how far can challenges go? 1998. How Well Do Religious Exemptions Apply to Mandates for COVID-19 Vaccines? There is no bar here. Vaccination, politics and COVID-19 impacts. Those state laws could not protect anyone from a federal vaccine mandate, and many of them only apply to certain groups usually schoolchildren. Some Catholics object to COVID-19 vaccinations because decades-old fetal cell lines were used in the vaccine research. And nevertheless, there is a person who identifies with that religious belief system who comes forward and says: Yes, but my interpretation of the Bible, of Catholic doctrine, is that I shouldnt get this vaccine. This interpretation of the explanation of the shift to individual authority in claims of religious exemption is a kind of exceptionalism that utilizes subjectivism for purposes of nationalistic preference.