As a natural response to the convoluted messaging, we feel on shaky moral ground. “It starts to introduce a level of questioning: ‘What confidence should I have that the rules are fair? Even if I’m technically eligible, elsewhere I wouldn’t be.’ It adds to the undermining of people’s confidence,” she said. At the end of the day, she said, if you’re eligible under the rules of where you live, get the vaccine. “I don’t think you should feel guilty about it,” Faden said. There are also psychological factors that play into our discomfort with any kind of covid-19 privilege: a sense of survivor’s guilt, according to psychiatrist and University of Maryland Medical School professor Kim Gordon.