A New England Journal of Medicine article entitled 'Ensuring Uptake of Vaccines against SARS-CoV-2' dated June 26, 2020, suggests that employment suspension, as opposed to fines or criminal penalties, be imposed on those who refuse mandatory COVID19 vaccinations in the future.

The report states, in part,

"state mandates should not be structured as compulsory vaccination (absolute requirements); instead, noncompliance should incur a penalty. Nevertheless, because of the infectiousness and dangerousness of the virus, relatively substantive penalties could be justified, including employment suspension or stay-at-home orders for persons in designated high-priority groups who refuse vaccination. Neither fines nor criminal penalties should be used, however; fines disadvantage the poor, and criminal penalties invite legal challenges on procedural due-process grounds. Both are bad public health policy for a Covid-19 vaccine because they may stoke distrust without improving uptake."