**7. Proposals for political action**

From a first-person ethics based on personal responsibility, at least two changes are needed before the relevant governments will consider mandatory mass vaccination programs against Covid-19.

The first change is to *rediscover the leading role of each citizen in prevention policies, and more specifically in health decisions*. It is not up to the government to decide for the individual; it is up to the individual himself to evaluate whether, when he makes the decision not to vaccinate himself, he does so with the aim of preserving his health and the health of the community. From this point of view, from an ethics of the first person, the subject will understand that it is his moral responsibility to be vaccinated against Covid-19, because vaccination is a valid instrument in the objective of achieving the good of "health" at both the individual and community level.

The second change focuses on the role of governments. It is *the responsibility of governments to promote prevention policies based on the ethics of individual responsibility* in order to increase institutional trust and, therefore, a reduction in the possible distrust towards vaccination against Covid-19. It is clear that when a person decides not to be vaccinated, it is not with the intention of transmitting the disease, but out of fear and mistrust that the vaccine will be useful for his or her health. For this reason, responsible governments must implement a series of initiatives aimed at reinforcing institutional trust:


These are all concrete actions that we propose to increase the population's institutional trust when vaccine(s) against Covid-19 are presented. These measures will help each individual to assume his or her personal responsibility both in the first scenario, of priority vaccination (health professionals + risk groups), and in the second moment, in the mass vaccination campaign. These measures will make it possible to guarantee the necessary immunization levels against Covid-19 with voluntary vaccination.
