Is the U.S. vaccine schedule driven by patient care or profit?
We fact-check RFK Jr.’s claim that pediatricians have a financial “perverse incentive” to vaccinate children under value-based payment (VBP) models — and fact-check a New York Times article challenging those claims.
🔍 Topics Covered: AAP’s lawsuit to keep “Blanket” vaccination recommendations Vaccine incentive programs for pediatricians RFK Jr. and NYT Article Challenge 🔔 Subscribe for more independent healthcare analysis and policy breakdowns!
📚 Sources: Are Vaccines Big Money-Makers for Pediatricians? RFK Jr. Comment During Interview With Tucker Carlson Sparks New Debate. (n.d.). Retrieved July 31, 2025, from https://childrenshealthdefense.org/defender/vaccine-incentives-pediatrician-profits-rfk-jr-tucker-carlson/ Chien, A. T., Li, Z., & Rosenthal, M. B. (2010). Improving Timely Childhood Immunizations through Pay for Performance in Medicaid-Managed Care. Health Services Research, 45(6 Pt 2), 1934–1947. https://doi.org/10.1111/j.1475-6773.2010.01168.x Childhood Immunization Status (CIS). (n.d.). NCQA. Retrieved August 3, 2025, from https://www.ncqa.org/report-cards/health-plans/state-of-health-care-quality-report/childhood-immunization-status-cis/ Coleman, M. S., Lindley, M. C., Ekong, J., & Rodewald, L. (2009). Net financial gain or loss from vaccination in pediatric medical practices. Pediatrics, 124 Suppl 5, S472-491. https://doi.org/10.1542/peds.2009-1542G Hackell, J. M., Brothers, K., Bode, S., Costello, L. M., Kafer, L. M., O’Leary, S. T., Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, & Council on School Health. (2025a). Medical vs Nonmedical Immunization Exemptions for Child Care and School Attendance: Policy Statement. Pediatrics, 156(2), e2025072714. https://doi.org/10.1542/peds.2025-072714 Hackell, J. M., Brothers, K., Bode, S., Costello, L. M., Kafer, L. M., O’Leary, S. T., Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, & Council on School Health. (2025b). Medical vs Nonmedical Immunization Exemptions for Child Care and School Attendance: Policy Statement. Pediatrics, 156(2), e2025072714. https://doi.org/10.1542/peds.2025-072714 Jenco, M., & Editor, S. N. (n.d.). AAP suing HHS over vaccine policy ‘because we believe children deserve better.’ Retrieved August 3, 2025, from https://publications.aap.org/aapnews/news/32580/AAP-suing-HHS-over-vaccine-policy-because-we Rodriguez, A. (n.d.). Leading doctors sue RFK Jr. Over COVID-19 vaccines. Here’s why. USA TODAY. Retrieved August 3, 2025, from https://www.usatoday.com/story/news/health/2025/07/07/rfk-jr-hhs-aap-lawsuit-covid-vaccines/84494713007/ Rosenbluth, T. (2025, July 15). Kennedy Claims Doctors Profit Off Vaccines. In Fact, Many Lose Money on Them. The New York Times. https://www.nytimes.com/2025/07/15/well/rfk-jr-doctors-vaccines-profit-fact-check.html Tieder, J. S., Sisk, B., Hudak, M., Richerson, J. E., & Perrin, J. M. (2018). General Pediatricians and Value-Based Payments. Pediatrics, 142(4), e20180502. https://doi.org/10.1542/peds.2018-0502
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