~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This message is from PedTalk! To reply to the group, use "" ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Dr.s Leshin and Eisen get to the heart of why I raise these objetions. It can be summarized by a few simple statements: 1) Health care resources are not infinite. Sooner or later, there will be constraints on what we can or cannot do because of (gasp!) money. 2) Priorities have to be made. 3) There are parties involved (i.e. pharmaceutical companies, managed care entities, etc.) whose first priority is not necessarily the well-being of children. 4) It falls to us (pediatricians) to have an active role in how priorities are set, with an eye to the bottom line. Otherwise, we get bushwhacked down the road. IMHO, mortality comes first, then you address morbidity, THEN "societal costs". I submit that the vaccine development agenda is driven by factors more complex than just reducing illness in children.