立场转变：原来我支持强制疫苗，现在我不赞同强制疫苗（更不赞同对covid风险小的人群，比如没有基础疾病的青少年幼儿，实施强制疫苗），因为在强制疫苗之前，首先要强制戴口罩；只有在“强制戴口罩”还是不能阻止情况恶化的情况下，才能考虑“强制疫苗”。

因为主观原因不打新冠疫苗，完全可以，是你的自由；但是得做好被区别对待了的准备。

比如：某些工作岗位你就没法继续了（比如医院里的护士，或者联邦雇员）；还有可能医疗保险费用上升（就跟吸烟的保费更高一样）在某些极端情况下，还可能被“优先放弃”（可以看下面意大利医生在ICU不够的时候做的选择。当然，这是在ICU不够的情况下，是极端情况，希望永远不要出现）

而对于那些打了疫苗产生副作用的人，当然应该大力赔偿、免费治疗、并且排在等待医疗队伍的最前面（因为这些人是遵医嘱出的事情，医生当然更有责任、义务和动力去优先治疗他们）。比如下面这位，媒体也一直在关注，如果最后政府不能负起应有的责任来，那就真不能怪民众拒绝强制疫苗了。

https://www.bloomberg.com/news/articles/2021-05-03/victims-of-rare-vaccine-injury-wait-to-see-if-u-s-fund-will-pay

现在媒体已经开始讨论是否允许拒绝为不打疫苗的病人服务的事情了：

https://www.nbcnews.com/think/opinion/if-covid-vaccine-refusers-are-turned-away-hospitals-doctor-offices-ncna1277475

If Covid vaccine refusers are turned away at hospitals and doctor offices, is that ethical?

Taking vaccination status into account when deciding whether to treat a patient can be acceptable — sometimes.

Pediatricians, reacting to the acceleration of anti-vaccination campaigns during the last decade, often dismiss families that refuse vaccination.

when actions that cause anger and frustration do interfere with doctors’ ability to meet their obligations to provide safe and effective treatment, refusing services can be ethical. For example, taking vaccination status into account is ethical when it’s intended to protect health care staff members and patients and to select patients for scarce ICU beds who have the best chances for survival.

听得懂英文的，看看这位的血泪控诉：

https://news.yahoo.com/man-chronicling-wifes-cancer-treatment-122930186.html

A man chronicling his wife''''''''''''''''s cancer treatment on TikTok went viral, saying she was kicked out of hospital because people refusing vaccines are taking up space

Arena criticized people who are not vaccinated and those who are skeptical of the existence of the virus for "running to the hospital and putting everyone at risk."

意大利总结了按照什么条件去放弃某些病人从而能救更多的人。

如果再次出现ICU不够的情况，两个新冠病人其它条件一样，一个打过疫苗，一个没有打疫苗，医生会选哪个病人进ICU?放弃哪个病人？很残忍，但这就是现实生活。

https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-021-00888-4

The Italian document: decisions for intensive care when there is an imbalance between care needs and resources during the COVID-19 pandemic

In early 2020, the Italian Society of Anesthesia Analgesia Resuscitation and Intensive Care (SIAARTI) published clinical ethics recommendations for the allocation of intensive care during COVID-19 pandemic emergency. Later the Italian National Institute of Health (ISS) invited SIAARTI and the Italian Society of Legal and Insurance Medicine to prepare a draft document for the definition of triage criteria for intensive care during the emergency, to be implemented in case of complete saturation of care resources.

ICU 有100个，新冠病人有200个而且可能今天晚上都熬不过去了。

问：选哪一百个新冠病人进ICU？

答案：选最有希望被抢救过来的那100个人。

那么问题来了：假定其它条件完全一样，打了新冠疫苗的是不是就一定比没有打的更有希望被抢救过来呢？我也不知道答案，但是，现在医生认为是这样的。

当然，现在大部分地方ICU还没有被挤爆，所以这个问题现在不存在。也真诚地希望ICU永远充足，意大利医生和所有医生都不要再次面对这样的选择。

Turn away 是不ethical的，但提高保费之类的措施是完全可行的。