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PLEASE NOTE: I left comments on this post open for 24 hours but this morning I'm getting a ridiculous number of rude and uninformed comments from people who have never followed this page before. This tends to happen when I post on certain subjects. The range of comments below illustrates the wide variety of stances on this issue, so I'm closing comments now. I have better things to do than delete multiple abusive and profane comments from drive-by shooters.

Here's the original post:

No matter what your stance is on childhood vaccines, I would hope that you could agree with me that targeting physicians is straight-up bonkers.

Here’s the situation, from the Medical Daily:

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A Central Texas pediatrician who has run her practice for 20 years has spent nearly $15,000 in legal fees answering a demand from Attorney General Ken Paxton's office for a decade of vaccine purchase records, The New York Times reported on Oct. 5. The demand is part of a state investigation alleging that pediatricians, insurers, and drugmakers use financial incentives to push childhood vaccines. No charges have been filed, and none of the allegations have been proven.

According to the Times, the pediatrician received a letter in December from the attorney general's Consumer Protection Division. It sought 10 years of vaccine purchase records, the practice's vaccine policies, and every "reward, financial benefit, bonus, discount, return, rebate or other consideration" from vaccine makers.

The letter said the division believed she held material "involving potential misleading or deceptive acts regarding incentives associated with the administration of childhood vaccines." She asked the Times to identify her by her middle name, Rachel, to protect her from retaliation. Complying, she sent her digging for receipts as small as a $40 batch of cookies a drug representative once brought in.

"I took it very personally," she told the Times, "because I take pride in what I do. It felt like it was such a slap in the face and an insult.”

The Times reported that it is unclear how many practices have been contacted and that Paxton is so far the only state attorney general investigating pediatricians for vaccinating children. Paxton's office did not respond to the Times.

Some insurers offer quality incentives that can reward practices for vaccinating children and completing annual checkups, but pediatricians told the Times those sums are nominal.
The larger financial reality runs the other way. Practices pay upfront for vaccines, refrigerate them according to federal guidelines, and then negotiate with insurers for reimbursement. Doses cost from about $30 for the diphtheria, tetanus, and pertussis vaccine to $595 for a newer RSV antibody, and Rachel estimates her refrigerator holds about $125,000 worth of vaccines. Nearly half of children's vaccines are covered by the $8 billion federal Vaccines for Children program.

When Paxton launched the investigation on Jan. 21, his office said it had issued more than 20 civil investigative demands to providers, insurers, and manufacturers, including UnitedHealthcare and Pfizer.
"I will ensure that Big Pharma and Big Insurance don't bribe medical providers to pressure parents to jab their kids with vaccines they feel aren't safe or necessary," Paxton said.

A civil investigative demand requests information; it is not a finding of wrongdoing. CIDRAP, a University of Minnesota news center, noted that the January announcement offered no evidence for its claims…

Rekha Lakshmanan, executive director of The Immunization Partnership, a Texas-based group, warned that the probe could have a chilling effect, making pediatricians think twice about urging vaccination or opening a practice in Texas…Infants and toddlers would feel the most direct effect if doctors pull back, as would families relying on small practices or Vaccines for Children.

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The New York Times report adds, about the Central Texas pediatrician:

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The letter also requested her practice’s vaccine policy, and said that it would not be sufficient to cite the childhood vaccine schedule recommended by the Centers for Disease Control and Prevention.

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Let’s just start with a very un-traditional-Republican demand here: Sudden government insistence that small businesses provide information—a request that is both labor-intensive and expensive—with the threat that this information might open the small business up to prosecution.

But a wider lens: Here’s a physician following THE RECOMMENDATIONS OF OUR GOVERNMENT, suddenly targeted by a government entity for doing exactly what OUR GOVERNMENT has told them should be done.

Look, you can demand that Big Pharma be more transparent, and file civil lawsuits against those companies if they refuse. Personally I find the exhaustively researched statistics supporting childhood vaccinations persuasive, but if you don’t and you disagree with the CDC recommendations, protest them, vote against politicians who support them, demand (once again) more transparency.

But going after physicians who are following current CDC recommendations? What an unparalleled way to make pediatricians afraid of practicing medicine and, inevitably, run them out of business.

**

Report from Medical Daily: www.medicaldaily.com/texas-paxton-pediatricians-vaccine-incentive-investigation-479697

New York Times investigation: www.nytimes.com/2026/10/05/health/ken-paxton-pediatricians-vaccines.html?unlocked_article_code=1....

Paxton official statement: www.texasattorneygeneral.gov/news/releases/attorney-general-ken-paxton-investigates-american-acad...
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22 hours ago

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I live in Texas and it's not uncommon for a pediatrician to not see your child as a patient if you as the parent won't agree with the vaccine schedule. So, is the doctor not seeing the child because they are not a profit center? That should be investigated.

Thanks for sharing, as most of these issues concern me--especially as my wife is a Pediatrician. Both the left and the right go on fishing expeditions including Elliot Spitzer's 2002 investigation into Pregnancy Care Centers (a friend of mine ran a pregnancy center that was investigated), California's 2021 nonprofit donor collection, Cuccinelli's Mann and UVA "anti-fraud" investigation, and the famous Alabama's NAACP membership list investigation in the 1950s. Going back to Texas, in 2023 they did an investigation against Media Matters. These fishing expeditions are used by both sides of the aisles to go after people for more political reasons and to hush opposition or to try to find anything to use the courts for their bidding. These should all be stopped, but in a highly regulated environment, it is easy for government to push their agenda and agenda into these areas. We need regulation and legal reform to protect non-profits and for-profit entities from such investigations.

Have you read the history of vaccines? The book called Dissolving Illusions is the most intensively footnoted back to original sources that I'm aware of. Many parts of the book surprised me, and I've been part of the vaccine pro/con discussion for a long time. One of my daughters did an essay on a single chapter of it last year, and with the notes she was able to look up the original full newspaper articles, public records, and everything else she needed to cover the subject thoroughly.

Thanks for bringing this up. I am a family physician with my own independent practice. CvI fully support all the vaccines that the AAFP, AAP and ACOG medical societies which are of the highest evidence. Pediatricians and family physicians are on the bottom rung of salaries and we are the vaccine champions bec the vaccines are really one of the main “medicines” that actually work.

I can confidently say as a nurse in both private and public health pediatrics, I never, not once, was offered or received any bonus, payment, or incentive for participating in the vaccination of patients. In public health nobody was even allowed to accept a pen. I personally witnessed the decline of roto virus, chicken pox, and flu hospitalizations after those became routine recommendations. The first pediatrician I worked for used to do spinal taps in his office for HIB and no longer has to do them. Those of us who work directly with this population know that decreased need for care is good for everyone, and the idea that any kind of monetary bonus would even come close to that in value is laughable.

Thank you for speaking up. It is a very challenging time to be a pediatrician. There is no financial gain, just a lot of time and meticulous work required to properly order, store, and administer vaccines. And those of us who accept unvaccinated patients are re-educating ourselves about diseases we hoped to never see.

Big Pharma and insurance companies should be held accountable for their pressuring and incentivizing physicians to vaccinate which, in turn, had them pressuring patients and even firing patients for not vaccinating. All medical procedures should be strictly voluntary.

No matter what your stance is on childhood vaccines, I would hope that you could agree with me that targeting physicians who challenge vaccine mandates for a novel drug with blank inserts is straight up bonkers. It works both ways. Did you speak up during covid for unfairly targeted physicians?

As a historian, I’m sure you have seen the data on child death rates through time. I’m certainly glad my child is an adult.

This comment section is revealing and so much of where we are as a society is less surprising considered in its light.

Except that 15 years ago I could easily find information on vaccine bonuses handed out to physicians. It was openly published on insurer websites. And yes, it was a lot of money. I had no idea and still have no idea if those bonuses were or are illegal. But we know from infant formula investigations that manufacturer pressure and money do influence how the product is distributed. Marketing is serious business and I venture to say it never has the benefit of the purchaser (in this case the person injected, not the middle man physician). Marketing is aimed at increasing sales and profit for the manufacturer. When the vaccine manufacturers and physicians gained legal immunity from damage caused by vaccines there was a huge increase in vaccines and requirements. As well as pressure on parents. You really think this was all for the greater good of humanity and not for the greater profits of the manufacturer? Physicians should be scrutinizing their unthinking compliance and looking at what is and isn't actually a positive for their patients.

I have 12 grandchildren. Two of the older boys got vaccines as babies. Both are autistic. They are now in their 20s. My other children do not vaccinate their children until they are in middle school- and they choose the vaccine schedule.

Let’s hope these unethical witch-hunts are brought to an end.

I looked up once what our pediatrician “made” in incentives and it was something like $45 for the whole year. 🙄 I decided she probably wasn’t “working for big pharma” then. 😋

If only we targeted pedophiles with such intensity.

I know a number of families who have not been accepted as patients or have been unable to continue care because they wanted individual patient care and the provider operated their practice only with 100% vaccinated patients. Why would they do that? Payment bonus from the pharmaceutical companies above and beyond insurance reimbursement. There are perverse incentives at play and they need to be brought into the light.

I was mostly hoping that somewhere someone would be addressing children of undocumented who get sent to public schools and why they aren’t being required to present proof of childhood vaccinations? I understand many ran across the border and dropped all forms of ID, passports, etc., but there has to be some sort of accountability to make sure people who gather in groups (or a large percentage of them to achieve “herd protection “.) Of course that would stop exposure to TB or other diseases more prevalent in third world countries, but addressing how the rampant influx of cases of once eradicated Measles are once again on the rise. Schools in my state do not require any documentation upon enrolling a student, which includes country of citizenship or proof of vaccination prior to admission into the public schools or the classroom. I just will never believe that we now have such an alarming rise in these diseases all based on some parents declining the early childhood vaccines due to a fear of Thimeresol or other potential reasons for the rise in Autism, or, that parents are trending to avoid vaccines all together. We homeschooled, and one of my DD contracted Whooping cough. We had to treat the whole house. It just seems entrance into a public school situation (where many people gather) would be the perfect opportunity to get a vaccine check from the majority of the student population. We also, because of lack of documentation, have occurrences of young men, who look VERY young for their age, enrolling in the public schools, getting assigned into a classroom, and working off their coyote fees by recruiting for a particular gang. That is a topic on a different subject, but an issue when you offer activities to the general population, for free to the participants, and no verifiable documentation for accountability. Eventually someone will see the harm to the population, and put in some requirements for basic protection. This last sentence applies to the situation with vaccines, disease eradication, and herd immunity…which was what the OP started out addressing.

No matter what your stance is on childhood vaccines, I would hope that you could agree with me that parents being harassed by physicians for their personal choice is straight-up bonkers.

The interesting point usually missing from these conversations is WHY would an insurance company pay for (cover) vaccines if they were so dangerous? Danger means the insurance company woukd be paying more money to treat vaccine injuries. Insurance companies are about keeping their money! So they continue to cover immunizations bc they SAVE them money and they are safe. It would be pretty hard to save money if vaccines weren’t effective or harmful and if they were giving pediatricians kick backs . And yes anyone who goes after people who studied their whole lives to care for sick children deserves to lose their seat.

The fact that physicians receive a “nominal” incentive at all for vaccinating is the problem.

These records should already be on file. There should be no need to spend thousands in legal issues, because it should already be recorded.

Physician rewards are anything but nominal. In the cancer arena, my father’s doctor’s office had free lunch brought in daily paid by the pharmaceutical companies (as admitted by the nurses). That doesn’t include the real rewards like vacations, cash, etc.

It sounds to me like they are using data they gain from the physicians to go after the insurance companies for the very bad practices.

The pharmaceutical companies *should* have detailed records of this and should be held accountable versus the doctors. Missing from this conversation are the known incentives doctors are given for having a certain percentage of their practice fully vaccinated. This is a strong reason pediatricians are choosing to “fire” families from their practice who make alternate decisions on vaccines. I know we all live in our algorithmmic driven bubbles, but this information is easily obtainable, along with the names of physicians who were targeted for questioning the Covid narrative. America’s Frontline Doctors might be a solid start to dig into this, but when I get an extra minute, I can share more. Also, in our state, we can search a database that shows how much our physician has received from pharmaceutical companies.

Why would it cost 15k to provide records you should have been keeping anyway?

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One of my oldest and dearest friends just sent me this picture...taken in Blackwells in Oxford, England. What fun to see this book, which remains one of my favorite projects, still on the shelves after nearly twenty years.

This is a good opportunity for me to do a writing update, if you'll indulge me! My most recent book, THE GREAT SHADOW, is still getting quite a lot of social media attention and media pieces, including (speaking of international readerships!) a lengthy feature from the Hindustan Times. I'm working on a book club supplement for the next edition, so if you enjoyed the book and would like to suggest a discussion question, please chime in! www.hindustantimes.com/lifestyle/art-culture/all-well-a-new-book-explores-how-illness-shaped-our-...

Our 25th Anniversary Edition of the Story of the World project continues, with Volume 2 (The Middle Ages!) coming out in February. I've already revised Volume 3 and am deep into Volume 4. I love the new editions--all the storytelling of the original, plus more depth and more fascinating characters.

www.google.com/books/edition/The_Story_of_the_World_Volume_2_the_Midd/TNg60gEACAAJ?hl=en

And I've got some great new projects in the works. Stay tuned for updates.

Thanks for following.

susanwisebauer.com/books-by-susan-wise-bauer/
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6 days ago

One of my oldest and dearest friends just sent me this picture...taken in Blackwells in Oxford, England. What fun to see this book, which remains one of my favorite projects, still on the shelves after nearly twenty years.

This is a good opportunity for me to do a writing update, if youll indulge me! My most recent book, THE GREAT SHADOW, is still getting quite a lot of social media attention and media pieces, including (speaking of international readerships!) a lengthy feature from the Hindustan Times. Im working on a book club supplement for the next edition, so if you enjoyed the book and would like to suggest a discussion question, please chime in! https://www.hindustantimes.com/lifestyle/art-culture/all-well-a-new-book-explores-how-illness-shaped-our-world-101787921917732.html 

Our 25th Anniversary Edition of the Story of the World project continues, with Volume 2 (The Middle Ages!) coming out in February. Ive already revised Volume 3 and am deep into Volume 4. I love the new editions--all the storytelling of the original, plus more depth and more fascinating characters.

https://www.google.com/books/edition/The_Story_of_the_World_Volume_2_the_Midd/TNg60gEACAAJ?hl=en

And Ive got some great new projects in the works. Stay tuned for updates.

Thanks for following.

https://susanwisebauer.com/books-by-susan-wise-bauer/

Comment on Facebook

My daughter, TODAY, was cackling about “soup is hard to choke to death on” as she narrated some Mesopotamian history to me. Any chance the next one is coming down the pipe?

That SOTW was a game changer for sure. Thank you for writing it. There should be a special word we use for the relationship between an Aunt/Uncle Textbook Writer and the kids who learned to love learning from reading their books. You cant just call them "readers." Not exactly protégés. What are they, all the kids you have been teaching with that now -quarter-century-old book?

My copy of The History of the Ancient World is coming apart after years of reading it and using it for frequent reference.

LOVE this series! It has sent me down all sorts of rabbit holes!!

I have seen it in Waterstones in Chester, England this summer (the shop is inside the famous Rows!). It was displayed in a similar manner - front and centre

It's great book and as a second language person I appreciate your work. I've read well educated mind and it was fabulous 👌 ❤️. Thank you Susan

Actually listening on audio currently funnily enough as I am no longer homeschooling but have done two trips through vol 1-4 of SOTW

SOTW is 25??? I feel old now. We used the first and second editions with our kiddos.

SOTW volume 4 is my kiddo's favorite. We own two copies. One for me that stays in my office with the rest of the set and one for the kids that can get beat up. Looking forward to all the 25th anniversary editions for our next go-around with kiddo #2.

I still see this book at Barnes and Noble most visits. You probably hate this question, so forgive me if you do: any idea when rest of HOTW series will come out?

My daughter and I went through History of the Ancient World together for her freshman year. We laughed out loud in so many places. I tell everyone to use it because you write with such wit.

Thank you for helping us educate our kids. We used story of the world when they were young & history of the world when they were older. 👏🏻👏🏻💚💚. Thankful for your strong mind! 

We loved this book and the Story of the World series, too. They were a part of our family summer reading for years. Thank you for the excellent work. Love to see that this is still in circulation.

Looking forward to the next history of the world book!

Great book. Great bookstore! Your fine work deserves that shelf!

Hunter Muse

Bringing a book into the world is no small achievement, congratulations on this wonderful milestone! 📚✨ Your work deserves to be seen, discovered, and appreciated by the readers it was created for. I genuinely enjoy sharing practical ideas that can help authors strengthen their visibility and connect with more readers. If you’re ever interested in exchanging ideas, feel free to message me. I’d love to connect and hear more about your book.

Your book has captured our interest, and we’d love to help connect your work with a wider international audience through our International Author Feature. This is a wonderful opportunity to spotlight your book, share your story as an author, and introduce your work to new readers across the globe. Interested in getting featured? Fill free to Send us a DM , and we’ll be happy to share more details!

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