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If some people have bad, even fatal, reactions to vaccines shouldn't the physicians first duty (do no harm) mean that they should separate the people who would suffer sideffects from those who wouldn't?

No, not if 1 in 10000 people suffers that reaction, while there are equally negative consequences for 2 or more of those 1000 people if they don't get the vaccine and there is no known way to detect who will have the bad reaction.

And the ratio is much worse for actual vaccinations. You don't want to see what not vaccinating kids against polio results in...

I have seen the pictures, and the interviews.

But those are hardly data and the kids who got the live version (due to a fuck up) are hardly better of.

In the US, we do a screening for risk factors for reactions, and review information needed to give informed consent.

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