I think there's a big leap from "the medical system doesn't take my pain as seriously as someone else's" to "I will refuse a free vaccine."
Your mental model comes from a lifetime of being able to mostly trust that "set of people." Imagine the vials are filled by people who have been actively hostile to you your whole life, plus a terrible history. It's really hard for people who do not live this to imagine it.
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I don't know any of these people. I "trust" them because the things they say are predictive and consistent with what I can observe. It has nothing to do with who's "on my side" or who's been "hostile" to me. I trust mechanisms that have predictive power.
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