ArticlePublic health ethics2026
Free Riding on the Harm Principle.
Article in Public health ethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- ReconsideringPublic health ethics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There are two main ways in which a mandatory vaccination policy is often defended-by accusing vaccine refusers of 'free riding', or by appealing to the 'harm principle'. In their recent book, Roland Pierik and Marcel Verweij take the latter approach-an attractive option, as they note, due to the wide acceptance of the harm principle. But in arguing that vaccine refusal should indeed be thought to constitute harm, they end up endorsing a very controversial version of the harm principle, which we should not automatically expect to secure widespread support. Steven Smith suggests that this (common) argumentative strategy amounts to free riding on the reputation of the harm principle, and is an inevitable consequence of invoking the principle as the foundation of an argument. In its most basic form, the principle is hard to resist. But in order to use it to justify a policy, you need to make some assumptions about what constitutes harm, which will lose you supporters along the way. In appealing to the wide appeal of the harm principle, Pierik and Verweij do not adequately recognise the controversial nature of their claims, and thus the need for stronger and more elaborate arguments in their support.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.