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How, Offit wonders, could the state of Mississippi, which has “the worst overall health in the nation,” have used standout “efficiency” to achieve over 99.4% vaccine coverage in kindergartners? Rather than seriously investigate this apparent enigma, Offit presents his ready-made answer and reveals his article’s true purpose. According to Paul Offit, Mississippi’s high vaccination rates are due to the state’s 1979 decision to make the government—rather than parents—the primary vaccine decision-maker for children.

Reflecting on the Mississippi Supreme Court’s 1979 elimination of that state’s religious exemption to vaccination, Offit applauds the Court’s position, stating, “If a parent harbors a religious belief that contradicts a basic tenant [sic] of modern medicine…the state has a right to protect the child from the irresponsible acts of the parent.” Offit—though a parent himself—tells readers that the state-determined “duty” to vaccinate supersedes other parental rights. In short, Offit appears to believe that coercion is the name of the game, openly admitting that he disapproves of the 47 states that still allow parents in the U.S. to take religious, moral or personal beliefs into account when making vaccine decisions on behalf of their children.

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