http://dx.doi.org/10.17176/20210510-181550-0 https://verfassungsblog.de/covid-19-vaccines-how-structural-factors-can-vitiate-patient-autonomy-and-dictate-vaccine-choice/ COVID-19 vaccines: How Structural Factors Can Vitiate Patient Autonomy and Dictate Vaccine Choice Singh, Jerome Amir eng 2021-05-10 electronic resource text/html ddc:342 COVID 19 Patientenrechte vaccination Verfassungsblog Verfassungsblog--2366-7044 CC BY-SA 4.0 Financial self-interest, fiscal considerations, geopolitics, sovereignty, governance, protectionism, and nationalism are currently dictating COVID-19 vaccine procurement at the macro level. Such structural factors indirectly vitiate autonomy at the grassroots level and run counter to the ideal that individuals should have access to the highest attainable standard of health.