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So as it relates to the idea of insurance surrounding covid is it fair to spread the cost around amongst everyone or is it fair to charge more to the groups that are more likely to incur more costs?
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In the specific case of COVID, charging the unvaccinated more is a purely political "solution."
Does the vaccine prevent infection? Not 100%.
Does the vaccine prevent that individual from infecting others? Not even close to 100%.
Does everyone who declines vaccination get infected? No.
Does everyone who declines vaccination infect others? No.
Does everyone who declines vaccination have zero immunity? No. Natural immunity exists in most people who contracted COVID, whether or not they experienced any symptoms.
Without a real risk analysis to base the premiums on, I don't think you can penalize someone for not taking a vaccination that is only about 1 month past its FDA approval date.