Altruism is not dead. I am sorry that in a moment of gloom I wrote that it was, but what I should have said was that the neoliberal capitalism doctrine of reliance on the hidden hand of the market, takes no consideration of altruism. But there are many examples in local communities that in fact altruism is thriving.
Also I have somewhere also said that the other big problem about trying to mandate vaccination where staff are under stress and there is a shortage, may lead to even bigger staff shortages due to resignations and difficulties in recruitment of the appropriate level of qualifications.
Of course it is best to vaccinate by consent and we do know that under the present government, legislations will be used for the benefit of money over people.