The following – so good from Dr. Naas –
Meryl Nass, MD [9/19/2025, 8:31:21 PM]: That part of each meeting was what I hated most. It was a process in which unmeasurable issues were pulled into the decisionmaking process. For example, will patient sbe happy with our decision? Will vaccine access be easy? Does providing this new vaccination enhance equity? The answer would of course be yes to all 3. Then those yeses would be used to balance a poor risk-benefit ratio (or a very high vaccine cost) to turn the equation supporting the vaccine into a net positive.
Meryl Nass, MD [9/19/2025, 8:35:02 PM]: In other words, the GRADE process was the method by which the House (CDC) could skim the rubes (the ACIP) and control the decisionmaking about adding a new vaccine. Clearly, Pharma and CDC do not want to lose this essential piece of scientific garbage that tipped every ACIP decision in their favor. And that is why at least half a dozen speakers over the last 2 days have demanded that ACIP include GRADE in its decisionmaking again. It would be hysterical — except that this is how bureaucracies work, how decisions are rigged, and how this independent ACIP is being attacked on all sides.