In light of the recent Listserv discussion, I note that there is an interesting 
op-ed in the Charlotte Observer this morning regarding North Carolina's 
religious exemption to vaccinations.  
http://www.charlotteobserver.com/2015/02/03/5491428/an-nc-loophole-on-vaccinations.html
   The editorial board expresses what may be the common lay opinion on the 
matter, namely:
"Like many states, North Carolina allows exemptions for medical reasons, such 
as allergies, and religious beliefs. The medical exemption requires a request 
from a licensed physician, but the religious exemption requires merely a 
statement that includes the name and date of birth of the person for whom the 
exemption is being requested. No elaboration on the religious objection is 
needed, nor any evidence of religious affiliation or faith. 
That’s a loophole that allows parents to game the system to avoid vaccination, 
and there are helpful anti-vaccine web sites that coach North Carolina parents 
on how to craft a letter that meets the requirements and won’t raise the 
eyebrows of public officials. 
Although North Carolina is among the states with the highest vaccination rates, 
parents across the country are increasingly taking advantage of exemptions. 
N.C. officials should minimize the public health risk by tightening its 
loophole so that people with legitimate religious objections to vaccinations, 
such as the Amish, are distinguishable from those who merely have personal or 
philosophical objections. 
Those who have the latter are welcome to deny vaccinations for their 
schoolchildren. But those children shouldn’t be allowed in school." (Emphasis 
added)

Assuming that a legislature were looking to craft a revised religious exemption 
that allowed for "legitimate religious objections" but weeded out others, what 
would the language of the exemption look like?  Is it even possible to craft 
such an exemption or will courts be inclined (as they generally have been) to 
defer to the sincerity of the religious belief of the individual and not 
attempt to distinguish between "legitimate" and "illegitimate" religious 
objections?
Will
 

Will Esser --- Ad Majorem Dei Gloriam
Charlotte, North Carolina

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