yes, it’s more to prevent loss of resources. It’s not judgmental. It’s sort of like making sure someone who is an alcoholic no longer drinks, or someone who used to smoke no longer will damage their new lungs by smoking.
I struggle, because as @jpm posted from ZDogg MD on reviewing Jonathan Haidt, some of us really have a block about starting a shot. Paul Offit, as you posted, also observed that some of us feel that a sin of omission would be preferable to the "commission’ of trying a new thing, like a shot. It reminds me of C S Lewis’ “Last Battle,” in which many of the animals were so confused and afraid that, rather than fight for Aslan in the Bonfire Battle, many simply melted away. It’s awful, because Covid doesn’t pick and choose–it attacks those who are afraid, too.
The question here is not whether someone who lost their lungs to Covid had a shot prior or not–it’s whether they will commit to having a shot to protect the new lungs that they could lose (especially as they’re immunocompromised), and someone else who would comply with the shot could potentially use.
It’s a shame that such things happen. However, the real enemy is Covid, not those who struggle.