Physician leader Janet Jokela discusses her article "How federal actions threaten vaccine policy and trust," highlighting the unprecedented removal of expert members from the Advisory Committee on Immunization Practices and its replacement with individuals lacking clinical experience, some holding anti-vaccine views. Janet explains the downstream risks to immunization standards, insurance coverage, and public health, and describes swift pushback from major physician groups and ongoing legal challenges. She also examines the role of professional societies, emerging initiatives like the Vaccine Integrity Project, and the urgent need for new health communication models to rebuild trust. Janet offers actionable strategies to safeguard evidence-based policy, protect patient-physician relationships, and maintain vaccine access in the U.S.

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