Marty, 

I agree with # 1, except in states that might have a
particularly robust state free exercise doctrine. 

I also agree with #
2. 

The issue with respect to # 3, though, is this: What if it turns
out that an exemption regime limited to actual religious objections (and
not "personal" ones) did not produce serious third-party burdens because
the number of kids left unvaccinated would not be enough to compromise
"herd immunity"? 

Such a regime would, I believe, be constitutional.
But it does raise at least a question for folks who (a) argue that
"religion is not special," (b) it is generally unfair to limit exemption
regimes to folks with religious motives, and (c) the best remedy to such
unfairness should generally be to "level up" to include deep
non-religious beliefs rather than "level down" to eliminate exemptions
entirely. 

Perry 

On 02/01/2015 10:38 pm, Marty Lederman wrote: 

>
I'm a bit confused as to which question Perry and Sandy (and Doug?) are
discussing. To break it down a bit for clarification: 
> 1. It would be
perfectly constitutional for the state to require everyone to be
vaccinated; a fortiori, vaccination can be made a condition of attending
school. That's basically what the Second Circuit case is about; and of
course it's correct. 
> 2. It would also be perfectly constitutional for
the state to exempt any children whose parents have a "personal"
objection to immunization, religious or otherwise. The only question as
to those exemption laws is one of policy -- and I'd hope that recent
events cause state legislatures to seriously consider repealing such
exemptions. 
> 3. But if a state chooses to exempt people only for
religious reasons, that raises not only a policy question (which is the
one I intended to raise in starting this thread -- should other states
follow MS and WV in refusing to grant even religious exemptions?), but
also a serious Establishment Clause question, in light of the
third-party burdens (those borne by the children who are not immunized
as well as the children who are made more susceptible to disease). I
haven't checked in a while, but I believe no court has ever held such
religious exemptions unconstitutional except where they discriminate
among religions. I am inclined to say that they are unconstitutional
even where not discriminatory; but the case law does not, as far as I
know, yet support that view.
 
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