I'm a double board-certified PM&R and pain medicine physician, and while vaccines aren't my daily focus, I treat the downstream effects of policy decisions on patient health every single day. When patients can't access preventive care or make decisions based on incomplete information, I'm the one helping them manage chronic conditions that could have been avoided. The hepatitis B vaccine for newborns has been standard since 1991 because the virus can cause lifelong liver disease and cancer--and infants infected at birth have a 90% chance of developing chronic infection versus 5% in adults. I've treated patients with chronic pain from liver disease complications, and watching someone suffer from a preventable condition is heartbreaking. The vaccine is given at birth specifically because that's when transmission risk from infected mothers is highest, and you can't always identify every carrier through screening alone. In my practice, I see how misinformation about medications and treatments creates real suffering. Patients come in having avoided effective interventions because of fear, and we spend valuable time rebuilding trust in evidence-based care. When I performed tens of thousands of regenerative procedures over my career, every single one required informed consent based on actual data--not headlines or political messaging. The CDC's recommendations have always been based on decades of safety data and disease surveillance. If there's been a policy change, I'd want to see the peer-reviewed evidence driving it, because in medicine, we don't make decisions based on opinion--we follow the data that protects the most vulnerable patients.