Get ready for the workplace vaccination wars

With the economy wobbling amid the Delta coronavirus surge, President Biden has chosen not to require every American to get vaccinated. Instead, he’s ratcheting up the pressure by pushing the burden down to employers.

On Sept. 9, the White House announced several new rules and orders meant to compel some 80 million unvaccinated adult Americans to finally get their shots. "We're in a tough stretch," President Biden said in a televised address from the White House. "A distinct minority of Americans supported by a distinct minority of elected officials are preventing us from turning the corner."

To get to the corner, a new Labor Department “emergency temporary standard” will require all companies with 100 employees or more to assure all workers are vaccinated against the coronavirus, or test unvaccinated employees at least once a week. And the rules will get stricter for federal employees and those who work for contactors, who must now get vaccinated, with no option to choose regular testing instead. All health care workers at facilities that accept Medicare or Medicaid will have to get vaccinated without the testing option, as well.

It’s the most muscular government effort to force shots into arms, so far, covering about 100 million workers (including many who are already vaccinated). “This is to protect our economic recovery,” a senior administration official told reporters on Sept. 9. “We’re making sure Delta doesn’t undo this progress.”

A prudent middle ground

Vaccine resisters will undoubtedly gripe, but Biden is seeking a prudent middle ground between doing nothing and launching a nationwide vaccine mandate. Continuing on the current course, with no change, would risk prolonging an economic slowdown that has already begun, with economists cutting growth estimates for the second half of 2021 as consumers and businesses retrench. But going as far as a government mandate could create unneeded turmoil in a rowdy electorate over a rule that would be impossible to enforce, anyway.

NEW YORK, NEW YORK - SEPTEMBER 01: A small group of anti-vaccination protesters gather outside of New York-Presbyterian Hospital on September 01, 2021 in New York City. Following a mandate from former Gov. Andrew Cuomo requiring all hospital staff to be vaccinated, hundreds of hospital workers across the state have been protesting against the measure.  (Photo by Spencer Platt/Getty Images)
A small group of anti-vaccination protesters gather outside of New York-Presbyterian Hospital on September 01, 2021 in New York City. (Photo by Spencer Platt/Getty Images) · Spencer Platt via Getty Images

Delegating the job of boosting vaccinations to employers won’t be an airtight solution. But it will create a pragmatic mechanism for incentivizing vaccinations and verifying that they happen. It may also help companies in a way, by taking the decision on whether to require vaccines out of their hands. CEOs who may have been on the fence about requiring their employees to get shots can now tell their workers they have no choice — the feds insist.

Some big companies have already decided to require vaccinations of all U.S. employees, including United Airlines (UAL), Facebook (FB), Salesforce (CRM), BlackRock (BLK), Cisco, and Anthem. Many others have partial vaccine requirements, such as for new hires. Delta Air Lines (DAL) adopted the novel approach of charging unvaccinated workers an extra $200 per month for their health insurance premiums, to account for the added cost of additional illnesses and hospitalizations.