One of the amusing things in general about the anti-vax is their unwillingness to be able to do work. I do get some amusing hate mail. Mostly its the “Fuck You baby Killer” variety which is a dig on the fact for a short period, I was FTB’s official abortionist. See? I used to do abortions and quite frankly I don’t think it is any of my business judging the people who have abortions for their situations. It is their choice. If you are against abortion then don’t have one.
I got sent this as a sort of “dagger through the heart” post meant to end my stance on vaccination. I figure I should do this as a two parter. So let’s look at the first “letter to doctors”. This one from someone speaking as a parent.
If someone said “speaking as a parent, I think it is okay to mix water and electricity” we would consider them shoddy parents. Yet the same sort of logic is considered acceptable. Parents often make poor decisions with regards to children’s healthcare and that is fine. However don’t portray yourself as an equal in terms of knowledge. One of the prices of my education is realising how much I don’t know. A lot of my medical posts are after a read through of the literature and text books.
And this is without me realising how little I know about Chemistry and Physics and Mathematics. Or more mundane skills like DIY or Plumbing or Fixing Cars. It’s called specialisation, my knowledge comes at the cost of other things and I recognise that. I am quite sure that while fixing human beings is much harder than fixing the plumbing and requires much more education, the plumber can fool me in his field. The world has enough unscrupulous doctors (Cough *Deepak Chopra* Cough), imagine the damage a unscrupulous plumber could wreck on my hypothetical plumbing.
But let’s start with Part 1.
Did you see this nonsense in the LA Times on Friday? Dr. Paul Offit speaking to “several dozen physicians” in a UCLA lecture hall (that holds several hundred, wonder why it was so empty), teaching them to push back against parents who question vaccines, lest moms and dads be under the impression that they have a vote in their child’s medical care. These are doctors that apparently have no retort to classic questions like, “Why is autism listed as an adverse event on a vaccine package insert?”
Because most doctors don’t involve themselves in the vaccination procedure. There is precious little need for a General Surgeon or a Dermatologist or a Opthalmologist to be involved in the vaccination process because they have skills that don’t involve a lot of need for vaccination.
However some fields like General Medicine, Emergency Medicine, Paediatrics and Obs/Gynae do involve a lot of vaccination. Maybe some doctors simply don’t have anti-vax patients. And here is the thing? Just because doctors don’t go to Paul Offit’s talks doesn’t mean they agree with you. I mean? I have never met Dr. Offit, doesn’t mean that I think vaccines don’t work.
Let us look at an example. Adverse events reported during post-approval use of Tripedia vaccine include idiopathic thrombocytopenic purpura, SIDS, anaphylactic reaction, cellulitis, autism, convulsion/grand mal convulsion, encephalopathy, hypotonia, neuropathy, somnolence and apneoa. Events were included in this list because of the seriousness or frequency of reporting. Because these events are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequencies or to establish a causal relationship to components of Tripedia vaccine.
This is important. This means that people report EVERY event after a vaccine even if they are related or not.
When we looked at comparisons between vaccinated and unvaccinated children the amount of autism in both groups remains the same by incidence. There is however a greater chance of being diagnosed if you are vaccinated because you are more likely to see a real doctor. In fact NONE of the diseases anti-vax claim are caused by vaccines have any real relationship to it. What does decrease? The childhood diseases. Children vaccinated are healthier in that regard.
You do have a say in your child’s healthcare. If your response to “Your child needs Insulin, he has childhood diabetes” is “No, I am going to treat it with doughnuts” then you are not making the right decision for your children as you are ignorant. Medicine isn’t a democracy, if you vote for sacrificing a goat for your child’s health it won’t make it more effective than vaccines.
Oh no! The Stock Photo of a doctor shrugging! Guess 5 to 7 years of school and nearly 7 to 10 of training don’t count for anything because who cares about qualifications when you can have unprotected sex and gain the same knowledge from merely conceiving a child.
Given that the only people to deal with the fallout of vaccinating a child who doesn’t have the hard-wiring to withstand vaccines are the parents, why is Paul Offit teaching doctors that what the parents want is irrelevant to his agenda? What’s missing from the Times’ story is the fact that most parents who don’t vaccinate take that position because they have already sacrificed one of their young for the herd, and no longer feel a civic duty to follow doctor’s orders. What’s a parent in SoCal to do?
Actually they didn’t. The claim that vaccines cause x, y and z are frankly bunk. You may as well claim that the fall in piracy has caused autism and that the only way to correct it is to loot and plunder. Ever heard of Somalian kids having autism or ADHD? Precisely!
Given that it isn’t realistic to walk into a pediatrician’s office and ask the physician to sign a contract of any kind—whether it be for a guarantee that vaccines won’t cause harm to your child, or a promise to pay for care if they do— the following is a list of brazen questions that you can ask your child’s pediatrician once they start “gently pushing back” on your healthcare decisions.
No physician will sign ANY contract that states that unless you are willing to fork out an arm and a leg for care because we can be sued for any reaction. Imagine if you walked into a showroom for a car and said “I want you to guarantee me that this car will not get into an accident for ever”, the car showroom would throw you out.
I do like these questions. because this person hasn’t talked to a real doctor.
Let’s say it’s the end of the appointment and the doctor walks to the door and says, “I’ll send my nurse in with the vaccines your son needs today.”
Your response, if you so choose, is “No, not today, we’re waiting and still doing some research before making that decision.”
The pediatrician audibly guffaws, “Vaccines are safe and effective. Why don’t you tell me what your sources are so we can talk about it? You have to stay off of the Internet, you know.”
Whoa, what was that? A gentle push-back? Well alrighty then. Let’s get started with your push-back to the push-back questions:
Okay two can play at this game of saying badass things.
I am the Scourge of gods. If you had not lied greatly, You would not have been delivered into my hands…
- “Why do you always warn me not to ‘read the Internet’ when that’s where all of the abstracts and many full-length of peer-reviewed journal publications are found?”
Because the sources on the internet are often faulty. We cannot ascertain the veracity of sources online and most anti-vax sources are poorly educated people with grandiose ideas of what medicine means and often people who misinterpret data for profit. A common problem among all anti-vaxers is an almost universal incapability to understand mathematics and statistics.
Many anti-vax simply quote papers which they have misinterpreted and in fact say completely different things to the content of the paper. They either simply don’t have the basic understanding of how scientific writing works or the contents of the papers or are lying explicitly to con their readers in the hope that they won’t read the contents of the papers. This isn’t a new trend. This is a trend over years of dealing with quack articles. Some of the few articles supporting them have been proven to be incredibly dishonest.
Anti-vax still quote the debunked article from Andrew Wakefield. A man who diagnosed epilepsy as autism SOLELY to add the drug effects of anti-spasmodics (causes constipation which causes irritation and bad behaviour in children) so you have a toss up between dealing with a kid who is really badly behaved when constipated and one who has potentially dangerous seizures. The same man who claimed a vaccine given 6 months after a diagnosis caused the original diagnosis, changed medical histories of patients to support his “wanted findings”, performed needlessly invasive tests and never mentioned his ties to anti-vax, law suits and potential profiteering from a single dose vaccine. In short? The guy was a total douche willing to doom and kill children for profits. The deaths of kids to Measles in the West are blood on his hands. But the anti-vax still quote him.
- “Beyond learning to inject one, how long did you study vaccines in medical school?”
Long? I mean I only studied xylocaine for a day or so but it doesn’t mean I can’t use it to numb pain. In fact? How many of you have read Katzung’s Basic and Clinical Pharmacology (McGraw Hill publishing) which would entitle you to eat that paracetamol.
The fact is? A lot more than the anti-vax who seem to think that you measure vaccine education independently from other fields. Okay to begin with?
1. Physiology of the Human Body with particular emphasis on human immunity – 1 year
2. Pathology with particular emphasis on human immunology – 1 year
3. Community and Social Medicine – 1 year
4. Pharmacology – 1 year
5. General Medicine – 1 year
6. Paediatrics – 1 year
The veracity of your knowledge isn’t just by spending hours reading things. If you spend 100 hours reading immunology and tell me that haemogoblins defend our bodies from pathogens and the guy who spent 10 minutes says “WBCs” instead then he is more right despite having spent no time at all on the topic. It doesn’t matter if you spend centuries reading a faulty source what you say will not be the truth.
- “If my baby were going to have a reaction that you would be obligated to report to the Vaccine Adverse Event Reporting System, what might that look like?”
It’s a form you fill up and put online. VAERS is a reporting facility accessible by everyone so anyone can put a report in. However the point of the system is to log all these claims. Do you know why we have to write “Autism” As a side effect?
Wakefield. People just reported any autism cases afterwards irrespective of causation because they saw a correlation due to Wakefield.
- “Can you cite the safety study for administering the vaccines for hepatitis B, Hib, PC, DTaP, polio, and rotavirus all at once to the body of a 10-pound, 2 month old infant?” (Trick question; there isn’t one.)
Because real life pathogens don’t line up to take turns attacking your defences like villains in a Jackie Chan Movie. The fact is most 2 month old babies are exposed to these things. Hepatitis B can destroy your child’s liver later on in life and even lead to the child’s death. Hib can cause meningitis and is one of the most easily preventable forms of the disease. Diptheria’s old name is the Strangling Angel. Even with modern technology a large number of children die from the disease. Polio may not kill you these days but it can cripple you and frankly Polio is rare BECAUSE we vaccinate.
The biggest cause of preventable childhood deaths is diarrhoea. A baby can lose more water than it can take up and die. There is a treatment though. It’s simple. But you need to bring your baby to a hospital.
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We make teeny tiny needles to put into teeny tiny veins to give them teeny tiny bottles of IV fluids.
Or you know. You could eliminate the single biggest cause of childhood diarrhoea in one fell swoop and reduce the number of babies needing teeny tiny needles in veins.
I mean the literal problem is this. There is no study into the safety of breast milk in children. None in the safety of water. Or the safety of clothes. It’s because the safety of vaccines is not reliant on the baby but on the immune system which is fully functioning and can respond to threats. These are threats not protected by breast milk.
- “If vaccines are so effective, why does a baby have to get three of each one in a row, only to have them wear off a few years later?”
Because the immune response isn’t permanent for all vaccines and even many diseases. Many have falling immune responses and a series of reinforcing booster shots are needed to simulate the effects of an infection.
- “If they are so safe, why did vaccine manufacturers strong-arm our government into giving them immunity from being sued?”
No they didn’t.
The vaccine court makes it easier to get payments out of vaccine manufacturers than if you tried to sue them. What? You think drug companies can’t find competent lawyers to bog you down in a court of law for so long that you have to abandon your actual court case? What we did was create a system to pay compensation for injuries caused by vaccines. This does two things.
1. Keeps the cost of vaccines affordable
2. Ensures people affected do get payouts.
The problem is they aren’t paying out for autism which is because vaccination doesn’t cause autism.
- “If vaccines are such an overwhelmingly wonderful idea, why are they mandated? Shouldn’t everyone line up to get them on their own?”
For the same reason people in India don’t wear seatbelts and motorcycle helmets.
I have seen enough dead people brought in having headbutted a steering wheel so hard that they get a contrecoup injury (Where the force of the blow knocks the brain backwards and into the skull injuring the back of the brain. You know? Where all those pesky areas that control breathing are. Enough people die each year of fractured skulls from motor cycles in India that you would think everyone would drive safely and wear helmets.
We had to mandate seatbelts in our own countries before educated people started using them no matter the data we provided. In the end it was cheaper and better for all involved if we ALL wore seatbelts. Just because something is good for us doesn’t mean we like it.
- “Why is it that on one hand everyone knows that the parents who don’t vaccinate are highly educated, but on the other they act like we don’t know how to do research?”
Because high education in fields as varied as business economics doesn’t make you an expert in medicine in the same way that an electrician is not a plumber despite both of them working in the construction industry or why you wouldn’t ask a neurosurgeon to deliver your baby and your obs/gynae to do brain surgery.
What we see is the fallacy of education.
I am highly educated therefore my decisions on medicine are also highly educated. I am highly educated, that doesn’t mean I can make decisions on how my car works. I have no idea… I know about the internal combustion engine but if you asked me to fix one I am just going to poke at it.
Give me a human being and I can start treatments for a plethora of conditions and maintain those that I cannot till a more trained version of me comes along. I know where my education lies.
And research doesn’t mean “Read quack websites”. If your response to an astronomy project is “Lol! Stars are just painted on a screen in the sky” then it doesn’t matter how many degrees you have. You are wrong.
- “If injecting formaldehyde is no big deal, why does the US Health Department say it is known to be a human carcinogen?”
Because the concentration is important. The amount of formaldehyde within a vaccine is miniscule. You intake MORE formaldehyde by using your fancy colognes. Or what do you think makes that nice tingly feeling when you spray it on your skin? And when you smell that perfume do you think there is no methanol in there? Methanol is metabolised to formaldehyde.
Interestingly enough? Our body makes more formaldehyde per day than in a vaccine. As a precursor to DNA.
And by that logic most doctors in surgical and pathology sides would have cancer due to the formaldehyde we are in contact with daily. I preserve organs I help remove in formaldehyde. Pathologists have to open jars and take gigantic whiffs of the stuff.
The dose being important. The little methanol in a spritz of perfume is different from chugging denatured alcohol.
There is just 0.1 mg of formaldehyde in a single vaccine dose. Formaldehyde is essential in human metabolism and is required for the synthesis of DNA and amino acids (the building blocks of protein). Therefore, all humans have detectable quantities of natural formaldehyde in their circulation (about 2.5 ug of formaldehyde per ml of blood). Assuming an average weight of a 2-month-old of 5 kg and an average blood volume of 85 ml per kg, the total quantity of formaldehyde found in an infant’s circulation would be about 1.1 mg, Nearly 10 times the dosage from a vaccine.
Further more? The list is quite amusing. A KNOWN human carcinogen is Alcohol. Also? Oestrogen? Say goodbye to the Oral Contraceptive Pill!
Other fun ones? Hepatitis! You know? That disease those dirty vaccines protect against? Another good one? Sand (Silica in the form of easily respired particles) and Solar Radiation. No more beach holidays for you. Just because something can cause cancer doesn’t mean it is as dangerous as other things. I am going to bet there are fewer cancers out there from formaldehyde than sunlight.
- “When pediatric cancer is the #1 cause of disease-related death in children and adolescents, why are we injecting a known carcinogen into babies?”
For the same reason you expose your kid to the same carcinogen in apples. An apple contains around 500 mcg of formaldehyde. A vaccine contains around 100.
Or you know. Expose them to other carcinogens in the form of sunlight.
- “Just off the top of your head—if you know it—what is the FDA’s daily limit of aluminum allowed into an infant’s IV and how does that compare to this round of vaccines you want to give?”
Aluminium Hydroxide is different from Aluminium in the same way that Sodium Chloride is different from Sodium Hydroxide and plain sodium. I find swimming in sodium chloride impregnated water to be most relaxing and being the dare devil that I am routinely put sodium chloride on my food. If aluminium hydroxide (an easily eliminated substance) is equal to aluminium then sodium chloride should equal sodium and chlorine.
It’s quite simple. No one has ever had to wear safety goggles when they have put a piece of sodium chloride in water. The same cannot be said about sodium.
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I WISH FOR MY CHIPS TO BE SLATHERED WITH ACID, EXPLOSIVES AND POISON GAS
- “If my child becomes autistic or epileptic after this round of vaccines you want to give him, who is going pay for his care for the rest of his life?”
Epilepsy is not linked to vaccines and autism has a clear genetic element. You may as well sue your husband/wife for donating the genes to the child. I mean this is like blaming iPhones for Autism and demanding Apple pay you money for the autism they CLEARLY caused.
- “If parents who don’t vaccinate are of such problematic numbers, then why doesn’t the CDC conduct a study of the incidence of autism and autoimmune disease of those unvaccinated children?”
It has.
In every case they found out that the rates of idiopathic diseases are the same in both groups. The thing is vaccinated children tend to have actual doctors so tend to actually control those diseases better. The major reason for increases in autism is diagnosis tools and awareness. I mean? Africans don’t wear glasses. I found this out today, most Africans from poorer families cannot afford glasses. A friend from Zimbabwe is astonished that glasses are just Rs. 200 to Rs. 4000 in India. That a pair of glasses can be had for as little as $5 too $100. Many African kids never get to wear glasses. This doesn’t mean they don’t have myopia so much as their myopia isn’t being treated.
And we have the KIGGS study, one of the biggest in the world with more than 10,000 children that proved that vaccinated kids are just as healthy as unvaccinated in every single category except for vaccine preventable diseases where they are much healthier.
- “Why do vaccine safety studies compare a vaccine to a placebo with aluminum? Why not just saline?”
Because you clearly don’t know how placebo work. The ACTIVE ingredient must be absent. There still has to be the same localised cell response. Unless you are implying that aluminium has magic immunology properties.
- “Can you tell me the death rate for rotavirus in America or do you only know it for Africa?”
Rotavirus is the most common cause of severe gastroenteritis in infants and young children worldwide. Nearly every US child who is not vaccinated against rotavirus as an infant is expected to be infected with rotavirus within the first years of life, and the majority will have symptomatic gastroenteritis. The clinical spectrum of rotavirus illness ranges from mild, watery diarrhea of limited duration to severe diarrhea with vomiting and fever that can result in dehydration with shock, electrolyte imbalance, and death. Following an incubation period of 1-3 days, the illness often begins abruptly, and vomiting often precedes the onset of diarrhea. Gastrointestinal symptoms generally resolve in 3-7 days. Up to one-third of patients have a temperature of >102°F (>39°C). Severe, dehydrating rotavirus infection occurs primarily among unvaccinated children aged 3-35 months.
Rotaviruses are shed in high concentrations in the stools of infected children and are transmitted primarily by the faecal-oral route, both through close person-to-person contact and through fomites. Rotaviruses also are probably transmitted by other modes, such as faecally contaminated food and water and respiratory droplets.8 Rotavirus is highly communicable, with a small infectious dose of <100 virus particles.
Children and adults who are immunocompromised sometimes experience severe, prolonged, and even fatal rotavirus gastroenteritis.
During the pre-rotavirus vaccine era, four of five children in the US had symptomatic rotavirus gastroenteritis. Today this would mean 240 MILLION cases that were preventable. One in seven required a clinic or A&E visit, 1 in 70 was hospitalised, and one in 200,000 would die from this disease, within the first 5 years of life. The direct and indirect costs of these 410,000 physician visits, 205-272,000 ED visits, and 55-70,000 hospitalizations was estimated to be approximately $1 billion. Relatively few childhood deaths have been attributed to rotavirus in the US (approximately 20-60 deaths per year among children aged <5 years). However, in developing countries, rotavirus gastroenteritis continues to be a major cause of severe childhood morbidity; responsible for approximately half a million deaths per year among children aged <5 years.
I repeat. 20 to 60 dead children and over 70,000 hospitalisations is an acceptable cost for you? I noticed you mock doctors, yet you think that instead of vaccines you should rely on our education? I mean what if you get this doctor?
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She’s stupid enough for you to run rings around but should baby’s system collapse she’s the person who has to save your baby. She stops being this then doesn’t she.
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She suddenly turns into the hyper competent white line that saves babies and is willing to work nights for little thanks.
- “Where are all of these immunocompromised school children who can’t be vaccinated? Are you saying parents send their children to school while they’re on chemotherapy?”
Dear parents with children who are immuno-compromised. There you have it. The anti-vax don’t care about your kid who either couldn’t have vaccinations due to an allergy or because they are sick.
We already have established that common sense and logic aren’t welcome in the anti-vax. What do we gain by parading our sick patients in front of them? They aren’t going to make you vaccinate. Until you get a sharp sudden shock the anti-vax are going to keep doing their thing.
- “If children that have been recently vaccinated for chickenpox aren’t allowed into a NICU, why are they allowed to be around these immunocompromised children at school?”
Never actually heard of this. In fact? NO ONE Is allowed in a NICU. It’s a Neo-Natal ICU. Are you mad? Doctors go in wearing masks and shoe covers! It’s a sterile environment, the last thing we want is ANY kids inside there.
Actually I figure it may be due to the vaccine being a live vaccine and it may cause a chicken pox rash of low infectivity that can transmit. The thing is most “immunocompromised” have partial immune systems that can help fight off the virus. By contrast neonates may not be able to.
- “You are aware that you work for me, correct? I am a customer and you are a service provider. There are few other business relationships where the customer is told, ‘Don’t bother coming in if you’re not going to take my advice 100% of the time.’”
If you told your plumber and your electrician that you don’t think that “water and electricity” shouldn’t mix malarky is true due to your ardent research on Google and that they should do as you say rather than to the standards of the Building Code and proper safety they would tell you “don’t bother, you don’t listen to our advice and you are putting people at risk”.
If you had a diabetic ulcer and kept refusing to take your insulin, antibiotics and kept eating doughnuts then what the hell do you want me for? Do I look like Jimminy Bloody Cricket? It’s your own time you are wasting and it’s my bed you are wasting. I am not here to give you advice you WANT to hear. I am not there to say “Why yes! Dunkin Doughnuts are part of a healthy diet! Would you like a deep fried mars bar to go with that?”.
The thing is? I am not beholding to you. I am beholding to the best interests of my patients. You clearly think you are but you have absolutely no idea about medicine, mathematics, statistics or any of the other sciences that helped us eliminate smallpox as a disease and nearly eliminate a whole bunch of others until you guys caused a resurgence.
Who I am beholding to is your children when you hire me to take care of them. Not you. Just because you pay my fees doesn’t mean you get to decide on what drugs I should prescribe without the same level of training and specialisation and even then it is considered highly inappropriate to back-seat diagnose EVEN among doctors.
Blustering about claiming that you pay my bills so I should provide an inferior standard of care for my patient simply because you had unprotected sex and googled a few anti-vax websites and think that entitles you to an equal standing as the sum total of hard earned knowledge and skills that I spent nearly 6 years acquiring is frankly just stupid. It would we best if you went off and found a spineless quack who thinks your money is an acceptable bribe to play around with the life of your child.
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- “Does the AAP actually tell you to kick out parents like me, or is that something you came up with on your own?”
Yes. The AAP does tells physicians to refuse to treat patients if you cannot treat them satisfactorily without harming the patient as it is simply unethical to not vaccinate.
As the occurrence of vaccine-preventable diseases declines, the challenge of communicating the risk of not being immunized increases.Every situation is unique; parents have diverse concerns for various reasons. These can be cultural, religious or even personal. Many believe there is a link between some diseases and immunisations or believe in strange ideas perpetrated by unscrupulous online media.
The truth is? You can provide safety information, but the only people who takes this on board are those who hesitate about vaccines cause they aren’t aware of both sides.
The most common accusation that I get is that I am a big pharma shill. I hope so! Come on guys! I defend your awesome vaccines and you never throw me a bone! I keep hearing how you guys keep us in Saint Laurent and Champagne but all I have is Tesco’s Cherokee, Axe and Reverse Osmosis Water.
If you try your level best to convince parents that they should vaccinate. If you cannot? Then the AAP you should document the discussion and have the parents sign a waiver to affirm the decision to not vaccinate as it is you being forced to provide inferior and riskier care and so cannot be held liable. If the situation becomes such that you are no longer comfortable treating a patient due to the parent you can terminate the physician-patient relationship. You are entitled to do so.
Now, I can’t guarantee that you will have a friendly relationship with your child’s doctor after that round of questioning so it might be best that you find a new one if well-checks are high on your priority list. In fact, you might be told on the spot that your next appointment won’t be scheduled, which is fine. Give your money to a pediatrician whose livelihood doesn’t depend on 95% of his patients marching to the CDC’s drum instead.
I don’t march to the CDC’s drum. It’s really daft. The CDC are a statistical body. They are into Social Medicine. I know this is a terrible thing but their big “coups” were clean drinking water, smallpox and pasteurised milk.
Their job is to look at statistical trends in disease and recommend universal precautions that can have big knock on effects. They treat populations, not patients. The CDC were responsible for smoking legislations and drives to quit smoking. I know, so evil.
They also forced Americans to wear seatbelts. The Fiends.
You should go support the “quacks”. There are plenty of paediatricians who are willing to take on these cases and lie to them. The thing is? When something goes wrong, their tune changes. They cut and run with your money. And it is us unscrupulous shills (Seriously big pharma? Throw me a bone here!) who have to come fix the problem.
Your literal argument is “be as much of an ignorant argumentative patient as possible then wonder why doctors don’t want to treat you”. The thing is? The people it hurts are your kids who are denied real healthcare because of bad Googling. Doctors who don’t mind your stance but who will make you sign a waiver are your best choice. But you have to realise they still think you are harming your child and if anything they hope to be some positive in the child’s life to balance out yours.
And there will be a few doctors who genuinely embrace quackery. Dr. Mayer Eisenstein is one such person and his bad medicine has had deadly effects.
TL;DR Vaccines Good, Vaccines Work, Stay at Home Dad not Correct.