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    AAP Lawsuit Alleges Decades of Fraud in Pediatric Vaccine Policy

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    A closer look at the federal RICO case challenging the American Academy of Pediatrics

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    ​The video below explains a federal lawsuit filed against the American Academy of Pediatrics (AAP) that alleges a decades-long pattern of institutional fraud related to claims about the safety testing of the childhood vaccine schedule. Brought under the Racketeer Influenced and Corrupt Organizations (RICO) Act, the case outlines what the lawsuit claims, what it does not claim, and why it may have significant implications for pediatric medicine, informed consent, and parental rights.
    RICHARD JAFFE, ESQ has filed a complaint that is brought by parents, Dr. KP Stoller, CHD, and I, under the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. §§ 1962, against the American Academy of Pediatrics (“AAP”) for its central role in an enterprise that has defrauded American families about the safety of the childhood vaccine schedule for several decades.
    ​Basically, the AAP has been a co-beneficiary of the vaccine enterprise along with the pharmaceutical industry and all involved in profits from vaccines and from the illnesses caused by vaccines. AAP’s journal Pediatrics, the Red Book, policy statements, and public communications repeatedly state that the childhood vaccine schedule has been fully tested and proven safe. This is false and fraudulent.
    ​In 2002 and 2013, the Institute of Medicine (“IOM”) declared that no study had ever compared health outcomes between vaccinated and unvaccinated children and recommended such studies be conducted.
    A foundational fraud published by the AAP in January 2002 claimed infants could “theoretically” respond to 10,000 vaccines at once.
    Physicians who deviate from promoting the CDC/AAP schedule have faced professional destruction, as the plaintiffs Paul Thomas, M.D., and Kenneth P. Stoller, M.D., did.
    Plaintiffs Andrea Shaw and Shanticia Nelson are mothers whose children died following routine vaccinations administered according to AAP guidelines.
    In 2020, Dr. Thomas published a study comparing chronic health outcomes between his vaccinated and unvaccinated patients, resulting in a prompt emergency suspension of his license for being a “threat to public health.”
    Until 2021, Dr. Stoller held an active California medical license, which was revoked following disciplinary proceedings arising from his issuance of individualized medical exemptions that deviated from CDC and AAP guidelines.
    The AAP has been in the driver’s seat of the fraud and racketeering related to vaccines, very much like the tobacco industry regarding the safety of cigarettes and tobacco. 

    ​How did they do this? 

    1. AAP’s Foundational Fraud: Substitute Theory for Testing, Immunogenicity for Safety
    2. Protecting the Fraud: Block the Studies, Exaggerate the Risks
    3. The Suppressed Studies Show the Harm
    4. The Vaccine Racket: Create the Condition, Sell the Treatment, Keep the Sick Customer for Life
    5. AAP: The Racketeering Enterprise’s Distribution Network (like tobacco)
    6. The Racket’s Financial Trap: Why Pediatricians Cannot Say No ($$$)  
    7. The Racket’s Rulebook: How the Red Book Became the Law 
    8. Protecting the Racket: How Scientific Debate Became “Misinformation”
    9. The Lies Exposed: AAP’s Material Misrepresentations and Omissions of Fact
    10. On January 5, 2026, Acting CDC Director Jim O’Neill signed a decision memorandum revising the childhood immunization schedule, moving six vaccines—rotavirus, influenza, hepatitis A, hepatitis B, meningococcal disease, and COVID-19—from universal recommendations to shared clinical decision-making. The AAP has refused to participate and has instead chosen to sue the CDC and push its own expanded schedule.
    11. AAP’s false attribution of mortality declines to vaccines ignores that most mortality reduction (96% or more of it) occurred due to sanitation (flush toilets), hygiene, and nutrition improvements before vaccines were widely deployed.
    Hopefully, this legal action will finally put an end to the most harmful enterprise to children’s health ever perpetrated on our country and the world.
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    Dr. Paul (retired)

    ​Additional Resources for Parents
    For families who want to explore these issues more deeply, the following books are frequently referenced in discussions around informed consent and vaccine policy: These resources are offered to support independent research and thoughtful decision-making.

    ​Just a Mom’s Notes

    I have read so much about this lawsuit. Not everyone supports this, which I find appalling. I see it as an opportunity to hold people accountable. Forcing someone to put something in their body or their child’s body when we do not know how that affects that child or what side effects may occur is insane.
    ​I am so tired of hearing stories of babies—little newborn babies—who never made it to their first year of life because of a vaccine that is supposed to be safe.
    ​Anyone who says vaccines are safe and effective should no longer have a place in the care of our children.
    How is it that we allow babies to get vaccines—wait, not allow--force, mandate, and bully parents into putting something that can be so toxic into bodies that are still developing immune systems and brains? How many babies need to die? How many sick kids do we have to raise when all we had to do was wait? Wait until we know they are healthy and meeting milestones. Wait until we know if they even need that shot. How about letting parents choose what is best for their child?
    I hope this lawsuit makes a difference. The fact that we must sue someone or a program just to get them to do what is best for everyone is deeply sad. For those already harmed by vaccines, I pray that time will heal. This lawsuit is about the future lives of all children. ​Hopefully it will stop the harm, force research, force the truth that parents should simply be allowed to do what’s best for their children.
    ​Someone asked me why I think we are still having to fight for informed consent. My answer is that some people in positions of power (scaredy cats) do not want it to affect their financial status, and they refuse to believe anything that challenges the belief that vaccines are saving our world.
    What happened to the land of the free and the home of the brave? Mandating vaccines means we are not free, and refusing to take a deep look at the vaccine program shows that those in power are not brave.
    ​To all parents feeling stuck: take back the freedom you were born into. Be brave. Fight for your children.
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    — DeeDee Hoover, JAM (Just a Mom)
    ​We encourage you to watch the video, read the full statements above, and take time to reflect on what true informed consent should look like in pediatric care. Share this information with family, friends, and fellow parents who may not yet be aware of the lawsuit or the issues it raises. An informed public is essential to meaningful change. If you value transparency, parental rights, and open scientific inquiry, we invite you to stay connected with Kids First 4Ever, continue learning, and participate thoughtfully in conversations that shape the future of children’s health.
    ​#KidsFirst4Ever, #InformedConsent, #ParentalRights, #MedicalTransparency, #AAPLawsuit, #HealthFreedom, #ParentsDeserveTruth
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    When the Data Speaks: What Jeffrey Jaxen’s New Poll Analysis Means for Families

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    A Just-a-Mom perspective on what public health isn’t saying—but parents need to hear

    COVID-19 vaccine side effect polling analysis, Jeffrey Jaxen public health reporting, vaccine transparency concerns for parents, CDC updates on vaccine safety, Kids First 4Ever informed consent resources

    Click to view article

    Every parent deserves honesty—especially when it comes to the health decisions we make for our children. That’s why Jeffrey Jaxen’s recent report, based on new polling and public health disclosures, matters. His analysis exposes a hard truth: concerns about COVID-19 vaccine side effects are widespread, growing, and no longer possible to dismiss. As a mom who has watched families struggle to get straight answers, I believe parents need to see what this data reveals and what it means for the road ahead.
    I’m DeeDee, Just a Mom (J.A.M.), and what stands out in Jeffrey Jaxen’s reporting is not fear—it’s clarity. The latest Rasmussen poll he cites shows:
    • 26% of Americans say they experienced minor vaccine side effects
    • 10% report major side effects
    • 46% believe COVID-19 vaccine side effects have likely contributed to unexplained deaths
    Those numbers aren’t small. They aren’t fringe. They represent millions of people. And as Jeffrey points out, this is more than a poll—it's a warning signal. Public trust erodes when parents feel they’re not being told the truth.
    His article also exposes something even more concerning: institutional resistance to transparency.
    In the UK, the UK Health Security Agency refused to release COVID vaccine-mortality data, arguing it might cause “distress,” spark “anger,” or reduce vaccine uptake. A two-year legal fight led by UsForThemUK, supported by Dr. Clare Craig, revealed that data provided freely to pharmaceutical companies was withheld from the public.
    In the U.S., the CDC quietly updated its “Vaccine Safety” page, now acknowledging that studies have not ruled out the possibility that infant vaccines may contribute to autism—contradicting years of messaging designed to discourage public doubt.
    “Governments are desperate to avoid the Covid vaccine injury conversation eager to avoid full-blown public health revolt on unknown consequences.”
    ​— Jeffrey Jackson
    Together, these actions form a consistent pattern:
    information controlled, delayed, or hidden—not to protect health, but to protect institutions.
    Jeffrey describes how government agencies remain desperate to avoid a public conversation about vaccine injury. Policies like the PREP Act, which blocks compensation for Americans harmed by the COVID shot, show how little support injured families actually receive.
    He also highlights how certain political alliances continue promoting outdated vaccine recommendations while refusing to acknowledge new safety data. As a mom, I see exactly what he’s describing—systems clinging to old narratives even when real people are living with the consequences.
    Parents aren’t looking for conflict. They’re looking for truth. And when systems withhold information, families lose trust—and children pay the price.
    ​Jeffrey Jaxen’s reporting should matter to every parent, regardless of where they stand. When large segments of the population report injuries, when governments refuse to release data, and when health agencies revise long-standing claims quietly and without accountability, parents have every right to ask questions.
    ​Awareness is no longer optional. Transparency must be demanded. And our responsibility, as families who care about our kids, is to stay informed and stay engaged.
    ​I’m not asking you to panic—I’m asking you to pay attention. Read the full article. Share it. Talk about it with people you trust. Ask the questions you were told not to ask. When information is buried or dismissed, it’s up to parents to bring it into the light. Our children depend on us to stay engaged when the system won’t.
    Read the full article. Share it. Start conversations.
    Real change doesn’t happen quietly. It happens when regular people stand up and speak out—calmly, confidently, and informed. Share what you know with those who don’t yet know what we’ve learned. That’s how awareness spreads. That’s how momentum builds. And that’s how parents protect the next generation.
    —Just a Mom
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    To learn more about informed decision-making, family advocacy, and science-based discussions surrounding childhood health, visit Kids First 4Ever. For personal guidance or support, our coaching resources are available at Kids First Coaching.
    #KidsFirst4Ever #JustAMom #InformedConsent #ParentalRights #CovidVaccineData #PublicHealthTransparency
    @kidsfirst4ever @drpaulthomas
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    When the Data Doesn’t Match the Narrative

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    ​Why COVID, Childhood Vaccines, and Suppressed Science Demand Honest Re-Examination

    childhood vaccine safety concerns, covid vaccine data suppression, informed consent for parents, questioning CDC vaccine data, pediatric vaccine risk analysis
    ​Something just doesn’t seem right. I smell a rat—something fishy about this.
    I remember having a deep sense that what we were being told about COVID simply didn’t add up. Then came the official messaging from authorities: follow the science, stay home until you can’t breathe, don’t use hydroxychloroquine or ivermectin, only the vaccine will save us.
    And then came the deaths—healthy young athletes collapsing suddenly, serious health conditions emerging in both the young and the old, myocarditis, autoimmune disorders, coagulation issues, and an alarming rise in aggressive cancers.
    I had seen this pattern before. Throughout my entire career as a pediatrician, I witnessed the steady deterioration of children’s health. There was a persistent narrative that childhood vaccines were “safe and effective,” yet that was not what I was seeing in clinical practice. Vaccinated children were sick far more often than unvaccinated children. We now have data that confirms this observation.
    Tragically, we have harmed—and in many cases poisoned—a generation of children through the childhood vaccine schedule. With the COVID shots, this harm has extended worldwide.
    Dr. Robert Malone’s analysis, “DMED and CDC COVID Data Scandals,” published on his Substack at https://rwmalonemd.substack.com, exposes what has been happening behind the scenes. This is essential reading for anyone who wants to understand how deeply we were misled. Data was manipulated, suppressed, and even destroyed by institutions we trusted to protect public health.
    ​As Dr. Malone describes it, the fraud machine is now exposed. Among the most disturbing conclusions:
    ​“They didn’t merely mishandle health data; they rewrote medical history to protect institutional credibility.
    When facts threaten trust, edit the facts to preserve the trust—and the institution.
    Bureaucracies redefined ‘truth’ as whatever sustains compliance rather than what reflects reality.
    Science was reduced to theater. Data became performance.
    ‘If people knew the truth, they would lose faith and become vaccine-hesitant; therefore, we must lie for their own good.’
    The CDC’s internal data systems became structurally incapable of distinguishing objective science from public-relations narratives.”
    I learned long ago not to trust the CDC. In the early 2000s, CDC whistleblower William Thompson revealed that data showing increased autism rates in African American boys who received the MMR vaccine before age three had been deliberately concealed. The documentary Vaxxed: From Cover-Up to Catastrophe, available at https://vaxxedmovie.com, documents this history in detail.
    ​That data was in the CDC’s possession around 2002. It was later manipulated and used to publish a key study in the journal Pediatrics claiming “no link between MMR and autism” (Pediatrics. 2004 Feb;113(2):259–266). That paper remains widely cited, and most pediatricians still believe its falsified conclusions.
    ​Between 2004 and 2007, I personally witnessed four cases of previously normal one-year-old children regress into severe, non-speaking autism. Over the next fifteen years, hundreds of families came to my practice with strikingly similar stories: their child had been developing normally, received vaccines—or a series of vaccines—and then regressed dramatically. In many of these families, subsequent unvaccinated children developed normally.
    I am grateful that the U.S. Department of Health and Human Services, the CDC, and—hopefully—the broader institutional apparatus involved in this deception are now being scrutinized.
    For parents asking what to do about vaccines today, I strongly recommend reading my 2025 book VAX FACTS: What to Consider Before Vaccinating at All Ages and All Stages of Life, available in paperback. You can learn more at https://vaxfactsbook.com or purchase the paperback directly at https://indiepubs.com/products/vax-facts/. In this book, we examine the data behind every childhood vaccine on the CDC schedule and explain why informed consent—not blind compliance—matters.
    ​Parents deserve transparency—not slogans. If you are questioning the official narrative and want to make informed decisions for your family, start by examining the data for yourself. Ask better questions. Demand honest answers. Our children depend on it.
    Thank you, Dr. Malone, for documenting the events so thoroughly and for outlining the current actions being taken. DMED and CDC COVID Data Scandals
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    Dr. Paul (retired)

    #KidsFirst4Ever, #InformedConsent, #MedicalTransparency, #VaccineSafety, #ParentAdvocacy, #HealthFreedom, #FollowTheData, #TruthOverNarrative, #ProtectOurChildren, #ScienceIntegrity
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    Why the New USDA Food Pyramid Finally Gets Nutrition Right

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    USDA Gets the Food Pyramid Right! (Finally—Much Better, at Least)

    ​You may notice the pyramid is upside down—and that’s intentional. For decades, we were taught a deeply flawed and unscientific food pyramid. Below is the old, misguided version from 1992.
    After more than 35 years as a pediatrician—and witnessing the alarming rise in chronic disease among children—I am convinced there are two foundational keys to raising healthy, thriving kids:
    1. Avoiding toxins (especially vaccines, glyphosate and other pesticides, EMFs, chronic stress, and environmental chemicals)
    2. Eating real, whole foods—organic whenever possible—in proportions that closely resemble the new dietary guidelines
    ​The updated guidelines were developed jointly by the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Agriculture (USDA) and released on January 7, 2025, as part of the Dietary Guidelines for Americans, 2025–2030.
    Summary of the New Guidelines
    • Prioritize protein at every meal
    • Choose full-fat dairy with no added sugars
    • Eat vegetables and fruits throughout the day, emphasizing whole foods
    • Include healthy fats from whole-food sources such as meats, seafood, eggs, nuts, seeds, olives, and avocados
    • Focus on whole grains while sharply reducing refined carbohydrates
    • Limit ultra-processed foods, added sugars, and artificial additives
    • Choose water and unsweetened beverages for hydration
    • Limit alcohol for overall health
    ​Parents, families, and individuals: the time for a serious kitchen reset is long overdue. Clean out your pantry, refrigerator, and cupboards. Remove the processed foods—yes, including most “childhood cereals” and convenience packaged products. Then head to the grocery store or your local farmers market and start buying and preparing real food as nature intended.
    ​This is not a quick fix. It is a lifelong journey—one that can dramatically change the health trajectory of your family and future generations.
    To your health,
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    Dr. Paul (retired)

    ​Just A Mom Notes:

    This all sounds great—but what about the parent who can’t make it to Saturday markets because they’re running kids everywhere? What about families who can’t afford organic? What about kids who won’t eat vegetables? What if the time it takes to prepare fresh, wholesome food is too much for a single parent juggling multiple children?
    I hear parents ask these questions and make statements like: I don’t have time to read all the ingredients. Packaged foods are easy, and the kids like them. I once had a mom look me straight in the eyes and say that changing the way they shop and eat feels too hard, too expensive, and simply too much to ask of families who are already struggling.
    I get it.
    My response is always the same: one step at a time. Make one healthy change a week. As for organic being too expensive—I understand. I was there too. That’s why I used the Clean 15 and Dirty Dozen lists to guide my choices.
    More stores, including Walmart and local grocery stores, are now carrying organic produce at more reasonable prices. For information, tips, techniques, and practical tools to help you make changes—and get your family on board with eating healthier—visit kidsfirst4ever.com. I coach families on how to move forward, realistically and sustainably, toward a healthier lifestyle.
    DeeDee Hoover
    Just A Mom (JAM)
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    #WholeFoodNutrition, #HealthyKids, #FoodPyramidReimagined, #RealFoodMovement, #FamilyHealth, #CleanEating, #PediatricWellness, #NutritionTruth, #FoodAsMedicine, #KidsFirst4Ever
    DISCLOSURE: This post contains affiliate links. If you make a purchase through them, we may earn a small commission at no extra cost to you. This helps keep our work independent. Thank you for your support.

    The information provided in this content is for informational and educational purposes only and is not intended as medical advice, diagnosis, or treatment. It is not a substitute for consultation with a qualified healthcare professional. Always seek the advice of your physician or other licensed healthcare provider before making any medical decisions, including starting any new diet, supplement regimen, exercise program, or wellness protocol. Never disregard professional medical advice or delay seeking treatment because of something you have read here. The use of this information is at your own risk. This content does not establish a doctor-patient relationship. Statements regarding dietary supplements have not been evaluated by the Food and Drug Administration (FDA) and are not intended to diagnose, treat, cure, or prevent any disease. If you experience any adverse reactions or medical concerns, discontinue use immediately and consult a medical professional.
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    CDC Removes Multiple Childhood Vaccines from the Recommended Schedule

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    A Turning Point for Parental Choice, Medical Freedom, and Childhood Health Policy​

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    ​On January 5, 2026, the CDC director signed a decision memorandum announcing a significant change to the routine childhood vaccine schedule. The COVID-19, influenza, hepatitis A and B, rotavirus, and meningococcal vaccines are no longer recommended routinely for healthy children. For the first time, parental choice and individual risk assessment are being placed ahead of one-size-fits-all mandates.
    The CDC will continue to organize the childhood immunization schedule into three categories:
    • Immunizations Recommended for All Children
    • Immunizations Recommended for Certain High-Risk Groups or Populations
    • Immunizations Based on Shared Clinical Decision-Making
    The first category includes vaccines for measles, mumps, rubella, polio, pertussis, tetanus, diphtheria, Haemophilus influenzae type B (Hib), pneumococcal disease, human papillomavirus (HPV), and varicella (chickenpox). This represents fewer than 40 doses, compared to nearly 100 doses under the prior schedule when annual COVID-19 and influenza shots are included.
    ​My lawsuit against the CDC, Thomas v. Monarez, was filed by attorney Richard Jaffe on behalf of Dr. Paul Thomas, Dr. Kenneth Stoller, and Stand for Health Freedom in federal court in Washington, D.C., in August 2025. The action remains open, and it is our hope that it may ultimately result in all routine childhood vaccinations being removed from Category 1 and placed into Category 3—shared clinical decision-making.
    A second hoped-for outcome is that companies and individuals involved in administering vaccines will once again have liability for harm caused by vaccines once those products are no longer on the routine childhood schedule. This would effectively place vaccines back in line with other pharmaceutical products and medical interventions.
    The removal of mandates and the restoration of liability for harm are essential steps toward restoring parental authority over what happens to their children. No doctor, politician, government agency, or public health authority should have the power to mandate medical treatments for healthy individuals. The COVID era revealed how corrupted and incapable of common sense and proper scientific analysis many institutions were—and, in many cases, still are.
    ​We are not free from the tyranny of mandated childhood vaccination schedules until every parent has the right to informed consent and the unquestioned right to say no thank you to any medical procedure. It is time to end one-size-fits-all medicine and return to individualized care that respects natural immunity, personal choice, and diverse lifestyles.
    We are about to expose the biggest lie in medicine. As more parents opt out of the vaccine paradigm, the growing population of unvaccinated children will provide real-world data. That data will continue to confirm what my research and multiple independent datasets have already shown: unvaccinated children are significantly healthier than their vaccinated peers.
    Imagine a world where rates of autism, ADHD, asthma, infections, chronic illness, allergies, and autoimmune disease are reduced by 50 to 90 percent. That future is entirely possible—and likely—once mandates and coercion end and parents are free to follow the science conducted by researchers who are not beholden to pharmaceutical or political pressure.
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    Dr. Paul (retired)

    Just A Mom Notes:

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    ​For those of us parents who have children injured by vaccines, this feels like a breath of fresh air. A schedule that mandates any vaccine simply doesn’t make sense to me. Informed consent is critical. If you don’t know what you’re putting into your child’s body, how can you know whether you’re truly okay with it?
    ​Blind trust doesn’t work anymore. COVID taught us that. The countless childhood illnesses and injuries linked to vaccines have taught us that as well.
    I also struggle with the fact that if a product causes harm to me or my child, and I can’t hold anyone accountable because I was told it was “safe,” that responsibility somehow disappears. The idea that a doctor can dismiss a family from their practice because a parent chooses not to vaccinate their child is unacceptable to me. Why? Because they don’t go home with us afterward to care for our children. They don’t pay for the therapies, services, or lifelong support required when a child is harmed. They don’t live with the consequences—families do.
    I know that for those of us who are relying on Kennedy to help make these changes, the process can feel slow. Please understand the pressure he is under. He is going up against a Goliath.
    ​I urge parents to stand up for their children. My niece, whom I love dearly, has shared that she plans to vaccinate only what is required for school. Many people feel the same way. There are only five states that do not allow exemptions. In my opinion, exemptions exist because vaccines have not been tested against true placebos.
    We are supposed to be living in the land of the free, yet mandates do not reflect that principle. My request has always been the same: become as informed as you possibly can. Make decisions based on your own health history and your family’s history. Remember—God gave us an immune system. Let’s use it.
    ​
    — Just a Mom
    #KidsFirst4Ever, #ParentalChoice, #InformedConsent, #MedicalFreedom, #PediatricHealth, #VaccinePolicy, #SharedDecisionMaking, #HealthFreedom, #FamilyHealth
  • Published on

    The Massive Incentives for Pediatricians to Vaccinate May Finally Be Ending

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    ​How Federal Policy Is Beginning to Expose Vaccine Payment Incentives in Pediatrics

    vaccine incentive payments pediatric care, CMS Medicaid vaccine policy changes 2026, financial incentives in childhood vaccination, pediatric vaccine reimbursement ethics, informed consent pediatric medicine
    The massive financial incentives for pediatricians to vaccinate infants and children with as many vaccines as possible may soon be coming to an end.
    In an important post titled “BREAKING: HHS ANNOUNCES TECTONIC SHIFT IN CMS VACCINE UPTAKE TRACKING FOR PEDIATRIC VACCINES,” published January 1, 2026, by James Lyons-Weiler, PhD, a long-overdue change was announced.
    “CMS just took a shot at vaccine incentive systems. Dr. Thomas and I exposed the perverse and misaligned incentives in 2021. Now HHS has acted to end backing the practice with federal dollars.”
    ​After years of warnings from researchers about unethical and coercive payment structures embedded in pediatric and prenatal care, the Centers for Medicare and Medicaid Services (CMS) issued State Health Official Letter SHO #25-005. This directive removes four key immunization-status measures from the 2026 Medicaid and CHIP Core Sets, effectively dismantling a major mechanism used to financially pressure physicians into meeting vaccine benchmarks.
    In 2021, James Lyons-Weiler and I published a peer-reviewed paper in the International Journal of Vaccine Theory, Practice, and Research titled:
    As part of that research, we conducted a 30-day billing analysis at my pediatric practice—one that honored informed consent and allowed families to choose some, none, or all CDC-recommended vaccines. Using real reimbursement data and actual superbills, we demonstrated that when patients declined CDC-scheduled vaccines, the practice faced projected annual losses exceeding one million dollars.
    ​At the time, my practice served approximately 15,000 active patients and generated roughly $3 million in gross annual billings. Pediatric practices that accept insurance typically operate with 70–80% overhead, making this financial reality untenable. I was forced to cut employee pay, lost valued staff members, and experienced years in which my own income as the sole owner was either negative or barely sustainable. Instituting a modest practice fee was the only way we were able to keep the doors open.
    ​What shocked us most was the magnitude of the so-called “administration fee.” This was the only vaccine-related income tracked in our study—yet the financial penalties for ethical practice were severe, real, and fully documented. These losses were not theoretical. They represented a measurable punishment for practicing medicine with integrity.
    What the study did not include were the additional financial incentives layered on top of vaccine administration, including:
    • Bonuses for achieving high rates of “fully vaccinated” two-year-olds (with incentives varying by insurance carrier)
    • Bonus payments on all office services for meeting vaccine benchmarks
    • Financial penalties—such as reduced reimbursement across the board—or even removal from insurance networks for failing to meet vaccine-based “quality” measures
    ​Vaccines are also tightly tied to well-child visits. Many insurance carriers offer substantial bonuses for high volumes of these visits, which often function as vaccine appointments disguised as preventive care. In the United States, infants typically have well visits at birth, a few days later, at two weeks, and at 2, 4, 6, 9, and 12 months of age. These visits are commonly reimbursed at $200–$300 per visit.
    ​At an average of $250 per visit, seven visits in the first year alone amount to $1,750 per infant. During my years in practice, I routinely saw more than 30 new infants per month. That translates to approximately $630,000 annually in first-year well-visit reimbursements alone. While it is true that pediatric care is labor-intensive and expensive to deliver, the financial incentives tied to vaccination volume are undeniable.
    ​Our data comparing vaccinated and unvaccinated children showed that vaccinated children experienced significantly higher rates of illness, resulting in more office visits for infections, chronic conditions, neurodevelopmental disorders, asthma, eczema, and more. Increased vaccination also correlated with increased sick visits and long-term disease management. Pediatricians who do not vaccinate consistently report the opposite experience—their patients are healthier, allowing them to focus on true wellness rather than chronic disease management.
    ​CMS’s recent action represents an important acknowledgment of these realities:
    “The U.S. Centers for Medicare and Medicaid Services issued SHO #25-005, removing four key immunization-status measures from the 2026 Medicaid/CHIP Core Sets. This action acknowledges that not all metrics measure quality—and that ethics cannot be reduced to a performance score.”
    ​
    “We now have documented federal recognition that quantity-driven vaccine incentives may be not only insufficient, but harmful.”
    If quality measures are going to exist, they must reflect actual health outcomes, not blind adherence to protocols or prescribing behavior. Today, metrics often reward how well a physician prescribes asthma or ADHD medications rather than how effectively children remain healthy in the first place.
    ​2026 must be the year of a massive awakening and a true paradigm shift. It is time to celebrate the innate immune strength of unvaccinated children and reject the fear-based narratives of a broken establishment that has profited from policies that place incentives above ethics and children’s health.
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    Dr. Paul (retired)

    Citation
    Lyons-Weiler J, Thomas P. Vaccine Practice Payment Schedules Create Perverse Incentives for Unnecessary Medical Procedures—At What Cost to Patients?
    International Journal of Vaccine Theory, Practice, and Research. 2021;2(1):25–37.
    https://doi.org/10.56098/ijvtpr.v2i1.21
    #KidsFirst4Ever #PediatricEthics #InformedConsent #MedicalFreedom #ChildHealth #CMS #MedicaidReform #VaccinePolicy #HealthcareTransparency #ParentsDeserveTruth @KidsFirst4Ever