Every citizen has a responsibility for public health. It's not a society of "do anything you damn well please, and the healthcare system will try to offset poor judgments".
For much of America, that's exactly how they feel, although they have learned not to use that kind of language. Instead they talk about freedom, and depict efforts to protect the people around them, whether in restaurants and airplanes requiring masks and vaccines, or from unvaccinated hospital staff, as dictatorial
They have no sense of public duty or they would be vaccinated, just as somebody with a sense of public duty pays his taxes and fights just wars, whereas the person who thinks only of himself evades both just as he refuses the vaccine. There is no sense of community, just self. No team spirit or sense of band of brothers, no fellow Americans - just other people around them in America.
When you listen to the conservative governors speaking speaking, there is never any mention of community, public safety, or the collective good - just freedom, hypocritical exclamations of government overreach as they suppress school boards wanting mask mandates, no sense of their being experts or expert advice, just "I trust the people of Florida/South Dakota/Iowa/Texas to know what's best for themselves."
And it's the same on RF. I have been commenting for weeks on the absence of even a single scintilla of interest in what others want, only what they want. They want to do whatever they like without judgment or mandate, and have no interest in what others expect of them or what others want.
I think the day will come when many vaccine refusers deny that they ever held that position, and many Trump voters will deny having voted for him, and many climate deniers will claim that they were always onboard simply to avoid the stigma with contemporaries and descendants. I've seen it already.
I had an acquaintance here in Mexico, also an American expat, who died last month of COVID in a Texas hospital, where his daughter put him when he fell ill here in Mexico. Howard refused the vaccine, claiming that the antibodies from the COVID infection he survived the year before gave him even more protection than he had last time when he came through without a vaccine or native post-infectious antibodies. But, he died anyway, presumably because this isn't the same disease any more since delta came to town. as we see with more break-though infection in the vaccinated, younger people getting infected and more, and people of all ages getting more sick more quickly and dying more often and in less time.
Howard died in his Texas hospital bed, maybe one that that vet in Texas who died with easily treatable gallstone pancreatitis for lack of a hospital bed could have used. Then Howard's obituary appeared, written by his survivors, calling him fully vaccinated before death, a huge disservice to those who don't know that that was a lie and worry that they too will die of COVID when in fact that is unlikely if one is fully vaccinated.
I've heard of other families trying to keep COVID off the death certificate because of the stigma accruing for people who die of that disease after having refused a recommended vaccine. I just read about a younger couple with five minor children living at home who are now both dead of COVID. The comments are almost exclusively empathy for the children and condemnation of the parents for leaving them orphans due to their bad choices. That's hw they'll be remembered. Contrast that with them having drowned in a New York basement or during the collapse of a building - people who are now seen sympathetically. Not these COVID deaths. They will be seen as ignorant, self-centered people that left their children orphans as surely as if they had died together fixing heroin.