Vaccination campaign: Should we fine no-shows?

Behavioral Insights Germany and Saudi Arabia

The number of people who do not show up to their COVID-19 vaccination appointments in Germany is increasing. Decision-makers are now discussing fines for people who do not show up on time. The idea is that fines would reduce the number of no-shows. But is this really what we can expect?

Uri Gneezy and Aldo Rustichini looked into a similar problem a couple of years ago. Over several weeks, they observed how often parents arrived late to pick up their kids from daycare centers. After four weeks, they introduced a fine for late-coming parents in a random selection of centers.

Surprisingly, the fine did not encourage parents to show up on time. To the contrary: the number of late-coming parents significantly increased after the fine was introduced. This effect remained in place even after the fine was removed.

Their results suggest that small fines can crowd out the social motivations to show up on time: when people can “pay” for being late, they stop feeling bad about it and, hence, care even less about punctuality.

Does this mean policymakers should abandon the idea of fines for no-shows? Not necessarily. Cherie Metcalf et al. (2020), for example, also examined the impact of small fines on parents’ punctuality in daycare centers, yet in hypothetical scenarios. Their results did not replicate the original findings. In fact, fines in their setting seemed to work quite well.

What should policymakers in Germany do? First of all, they should acknowledge that fines are not a magic wand. They can backfire, especially if social norms and intrinsic motivations are at play. Second, in absence of evidence, they should consider experimentation. The study design of Gneezy and Rustichini provides a good starting point for a small-scale pilot project to learn what works (or not) in the field.


Uri Gneezy and Aldo Rustichini (2000). A Fine as a Prize. Journal of Legal Studies, Vol. XXIX: 1-17.

Cherie Metcalf, Emily A. Satterthwaite, Shahar Dilbary and Brock Stoddard (2020). Is a fine still a price? Replication as robustness in empirical legal studies. International Review of Law and Economics, Vol. 63, 105906.