TY - JOUR T1 - VAccination mandates vs opt-out programs and rates of influenza immunization—reply AU - Chapman GB Y1 - 2010/10/27 N1 - 10.1001/jama.2010.1479 JO - JAMA SP - 1786 EP - 1786 VL - 304 IS - 16 N2 - The default effect has theoretical implications that go beyond influenza vaccination, as it could potentially be used to encourage a variety of healthy behaviors. Rakita et al are correct that mandating vaccination does indeed raise vaccination rates above what can be achieved with an opt-out intervention. Mandates, however, require enforcement and consequences for noncompliance. It seems likely that most US citizens want to preserve a voluntary basis for most healthy behaviors. SN - 0098-7484 M3 - doi: 10.1001/jama.2010.1479 UR - http://dx.doi.org/10.1001/jama.2010.1479 ER -