Although FDA approval was not required for a mandate to be issued, it is becoming sufficient. Local governments, schools, and businesses that wanted to avoid backlash over “experimental” vaccinations now feel they have a brighter future. This might have been a feint. Texas governor Greg Abbott used to reference the EUA in his anti-mandate policy. However, it was changed after approval to include any Covid-19 vaccine. Lawrence Gostin, a Georgetown University public health policy expert, says that they were concerned about litigation, employee perception, and public perception. “We’re going see, I believe, an avalanche if universities and companies following suit in the coming week.” But what is the most important thing about vaccine mandates? “They work,” says Saad Omer, director of Yale Institute for Global Health and expert on vaccine acceptance. “A lot of the evidence comes out of childhood vaccinations. It comes from influenza vaccinations for healthcare workers. It is clear that mandating vaccinations is effective. It takes you from 70 to 80 percent to 90 to 95 percent.” Public schools across the US require children to show proof of vaccinations against various diseases. Different states have different levels of allowed opt-outs. One analysis showed that these requirements increased overall vaccination rates by 18%. Omer and his colleagues also found that pertussis rates were higher in states where exemptions were easier for children. Pertussis is a childhood disease with a widely-available vaccine. It could get worse: Australia fines parents who skip vaccinations for their children, while Uganda sends parents to jail. There’s a catch. You have to do it right. One reason is that mandate policies that are too harsh can lead to anti-vaccine backlash. The problem is that not all vaccines are created equal. There are many reasons why people may not be vaccinated. Some people have philosophical or political disagreements. Some people don’t believe in vaccines or subscribe to conspiracy theories. A Civiqs poll found that 91 percent of Democrats have been vaccinated. 64 percent of Independents have also been vaccinated. Only 53 percent of Republicans have. According to a Kaiser Foundation poll, 5 percent of these Republicans believe that they would only get vaccinated if it was mandatory. It’s… hello! It is now. We are glad you are here! Covid-19 has impacted certain groups in particular: people with lower socioeconomic status and people of color. They are at the center of many Venn overlaps. They are more likely than others to have health issues that could make Covid infection fatal, less likely have ready access to healthcare, more likely be in high-risk occupations with lots of exposure, less likely have good internet access, and more likely have jobs that pay per hour and don’t allow sick leave. It can be difficult to imagine going to a vaccination appointment if you have all of this. The answer is: You shouldn’t do this. Gostin states, “You shouldn’t require a vaccine for someone who can’t get it.” “Bringing vaccinations to the workplace or campus, or giving paid time to get the vaccine–including paying rideshares. Access and equity must be your main focus.