The Elephant in the Room- a Nonpolitical view on Vaccination Kickbacks (Copy)

Doctors do not receive bonuses or incentives from vaccine companies. There’s no behind-the-scenes deal or financial reward for recommending vaccines. Our guidance is based on science, safety, and what’s best for your child — not profit 💙

💳 How are vaccines paid for if we have private insurance?

Vaccines for privately insured patients are purchased directly by our practice — just like any other medical supply.

  • We pay upfront for each dose 💸

  • Dr. Li often spends thousands at a time, only to see reimbursement come in slowly

  • Insurance companies reimburse us, but often just slightly more than what we paid and sadly sometimes even less

  • That small margin helps cover storage, staffing, and safe administration — but it’s not a money-maker

🧾 What if we have Medicaid or no insurance?

Florida’s Vaccines for Children (VFC) program provides vaccines at no cost for eligible children, including those on Medicaid or without insurance.

  • We do not charge for the vaccine itself

  • We only bill for the time, supplies, and expertise needed to give the shot — things like gloves 🧤, syringes 💉, and staff time ⏱️

  • Our goal is to make sure every child is protected, regardless of their family’s financial situation 🤝

🕰️ What about in the past? Were doctors ever paid by vaccine companies?

Not directly — but things were different.

  • Before the mid-2000s, pharmaceutical reps often offered small gifts like pens 🖊️, notepads 📒, lunches 🥪, and even sponsored trips ✈️ to conferences

  • These weren’t payments for giving vaccines, but they were part of a strategy to build goodwill and influence prescribing behavior

  • In 2008, the PhRMA code of conduct banned branded gifts and tightened rules around meals and events

  • By the 2010s, federal regulations like the Sunshine Act (2013) required public reporting of any payments or transfers of value — helping restore transparency 🌞


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Why Patients Need to Understand Their Health Insurance—and Why It’s Not the Doctor’s Office’s Job (Copy)