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The Conversation
The Conversation
Y. Tony Yang, Endowed Professor of Health Policy and Associate Dean, George Washington University

‘Shared decision-making’ for childhood vaccines sounds empowering – but it may mean less access for families already stretched thin

Pediatricians often spend at least 10 minutes of an already-short visit discussing vaccines. Heather Hazzan, SELF Magazine

When federal health officials announced on Jan. 5, 2026, that they were taking six out of 17 vaccines off the childhood immunization schedule, they argued that the move would give parents and caregivers more choice.

Instead of all U.S. children routinely receiving them, these six vaccines are now optional – available to families who request them after consulting a clinician, through a process called shared clinical decision-making, officials said. All six – hepatitis A, hepatitis B, influenza, rotavirus, meningococcal disease and COVID-19 – will still be covered by federal programs such as Medicaid and the Vaccines for Children program, and by private insurers, at least through 2026.

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