We agree with much of what Drs Schröder-Bäck and Martakis1 argue in their counterpoint editorial. The benefits of vaccination outweigh any individual and societal risks accrued by remaining unvaccinated. Ethical arguments in favor of mandating measles vaccination may outweigh appeals to liberty or individual or parental autonomy. Furthermore, mandates would minimize free-riding and maximize public fairness by appropriately imposing shared burdens across society. Where we largely diverge is how we would balance societal burdens when implementing policy to achieve such goals.