reflexhammer.bsky.social
@reflexhammer.bsky.social
🇺🇸 physician, now in 🇨🇦. Committed to democracy.
I agree with you, can you flesh this thought out more though? What does the precipice look like? What kind of trouble?
December 4, 2025 at 7:45 PM
Sorry this is happening, always appreciate your advocacy.

Social media isn't that important in the long run, don't feel bad about taking a break.
December 2, 2025 at 10:18 PM
This is yet another Trump administration policy with substantial societal and economic costs that will persist long after Trump is gone. Vaccines save lives and extend lives. In addition, vaccines save us a lot of money. Prevention is better than disease. [END]
December 2, 2025 at 7:38 PM
Undermining Hepatitis B vaccination is a cruel and expensive folly. The impact will be immediate (there immediately will be newborns who become infected with Hep B who wouldn't have otherwise) and also lifelong (Hep B is very difficult and expensive to eradicate once it takes hold).
December 2, 2025 at 7:32 PM
Hepatitis B disproportionately affects immigrant families and families with lower socioeconomic status. These groups disproportionately rely on federal programs, which means they will be disproportionately affected by the ACIP recs. Once someone acquires Hepatitis B, vaccination no longer works.
December 2, 2025 at 7:28 PM
ACIP recommendations affect Vaccines for Children, which is the major funding source for childhood vaccinations (the funding goes from federal government to states and clinics). They also can affect coverage for govt employees/servicemembers and their families, and the Indian Health Service.
December 2, 2025 at 7:25 PM
Because ACIP, in its current composition, is populated by RFK-appointed anti-vaccine quacks, the medical community no longer considers its recommendations to be credible. Still, ACIPs recommendations are impactful, because federal programs are generally required to follow ACIP recommendations.
December 2, 2025 at 7:24 PM
The Hepatitis B vaccine works extremely well. As a result, laypeople in the US generally don't have to think about Hepatitis B because they are protected for life.

The federal advisory committee on vaccines, ACIP, this week is likely to stop recommending Hep B vaccination in newborns.
December 2, 2025 at 7:21 PM
The most common way of acquiring the virus is maternal transmission to infant at birth. This makes it especially important to vaccinate newborns. From a practical standpoint, it works especially well to vaccinate newborns in the newborn nursery, or failing that, within the first two months of life.
December 2, 2025 at 7:19 PM
now it's an imp with a limp
December 2, 2025 at 8:41 AM
If you are looking for accounts to follow regarding developments at CDC, consider:

-former CDC director (under Obama) @drtomfrieden.bsky.social

-recently resigned former director of NCIRD
@drdemetre.bsky.social

-recently resigned Chief Medical Officer
@drdebhoury.bsky.social
November 30, 2025 at 3:56 AM
While I am not hopeful for the future, I am grateful that vaccines including COVID vaccine and flu vaccine remain available now. The war is not lost.
November 30, 2025 at 3:42 AM
...but rather it is death by a million cuts, often through arcane and obscure bureaucratic maneuvers. And some of the impact will be impossible for us to see, because life-changing vaccines that could have come to market never will because of today's adverse regulatory climate.
November 30, 2025 at 3:39 AM
(So far they haven't increased the liability that vaccine manufacturers have to take on but that could be coming.) The point is that this attack on vaccines isn't an on-off switch, where one day they flip the switch and suddenly vaccines are unavailable...
November 30, 2025 at 3:37 AM
-the Trump admin's assault on vaccines is multi-pronged. These prongs include: eliminating research funding, complicating clinical trials, creating regulatory obstacles, hindering ease of access, and increasing cost to patients. They also are disseminating disinformation about vaccines.
November 30, 2025 at 3:35 AM
-while FDA and CDC recommendations and clinical guidance and raw data were reliable in the past, I don't think they can be wholly trusted anymore, as they are becoming politically tainted. See for example this politically-motivated FDA notice to physicians about Tylenol and pregnancy.
www.fda.gov
November 30, 2025 at 3:32 AM
My takeaways:
-RFK is gradually purging professionals from HHS/CDC/FDA and replacing them with anti-vaccine quacks. Once more of his team is in place, there will be less institutional pushback to his anti-vaccine quackery. Therefore I am still quite worried about what the future might bring.
November 30, 2025 at 3:27 AM
3. The Trump admin has dredged up an anti-vaccine physician to be deputy director at the CDC. I hesitate to call him a physician, because he never finished a residency and isn't board certified. The current acting director at the CDC is an investor with no serious scientific or medical credentials.
Louisiana's top health official, a critic of the COVID vaccine, will be CDC deputy
Louisiana's surgeon general Dr. Ralph Abraham, who has praised Robert F. Kennedy Jr.'s tenure as health secretary and called COVID vaccines "dangerous," will become the second-highest ranking official...
www.npr.org
November 30, 2025 at 3:23 AM
Although I don't know exactly what plan he has in mind, he's clearly trying to provide cover for the Trump admin to take future action against vaccines. Also, as someone who had the misfortune of interacting with Prasad, I believe he's a narcissist and a sociopath. He doesn't care if you or I die.
November 30, 2025 at 3:19 AM
2. A senior administrator at FDA, Vinay Prasad, who is in charge of regulating vaccines, has put out a dishonest statement claiming, without evidence, that the COVID vaccine has caused deaths in 10 children, and that the FDA will demand more studies in the future before approving more vaccines.
F.D.A. Seeks More Oversight of Vaccine Trials and Approvals
www.nytimes.com
November 30, 2025 at 3:19 AM
It's bad on several levels. It is false and it undermines trust in vaccines. It undermines trust in public health and scientific expertise more generally. And most troubling to me, it shows that RFK has successfully politicized HHS and CDC such that public-facing "scientific" content is now tainted.
November 30, 2025 at 3:13 AM
Did you take this photo with a digitalis camera
November 29, 2025 at 2:41 AM
Wait, I thought we were anti-narcoterrorist?
November 29, 2025 at 2:14 AM