In the name of health and illness: An inquiry into Covid-19 vaccination policy in postsecondary education in Canada

Since the launch of the Covid-19 global vaccination campaign in December of 2020, vaccination in postsecondary institutions has been a contested issue. International evidence indicates that these institutions have achieved high vaccination rates and Canadian public health agencies exclude them entirely from the list of institutions at risk of outbreaks. On the other hand, influential observers, and postsecondary institutions themselves insist that not only achieving, but also maintaining, “up-to-date” vaccination - through mandates if necessary – remains critical to contain the crisis. However, with the increasing recognition that vaccines do not stop viral spread, that young populations are at exceedingly low risk of severe Covid-19, hospitalization, and death - with a survival rate of over 99.98% - and that mandated medical interventions have a troubled history with repercussions to this day, the soundness of current vaccination policies in postsecondary institutions cannot be assumed. Drawing from the medicalization tradition and interpretive phenomenology, our study explores, through in-depth interviews, how vaccination policies within and beyond postsecondary institutions have shaped perceptions of the Covid-19 crisis, beliefs about the role, risks, and benefits of vaccination, and life choices and chances of students in Canada. We find that students largely comply with vaccination policies, whether by conviction, convenience, or coercion, and that the discourse and social practices promoted by the policies limit opportunities for free debate and exchange across vaccination statuses. Regardless of this status, students do resist, albeit very limitedly given the high cost of noncompliance. We discuss the implications of our findings for policy, equity, and for the power of medical social control in the Covid-19 era.