4) COVID vaccine was made “shared clinical decision making” (SCDM). Which means different barriers in different states. Some will require a prescription. Some won’t… ACIP had been moving away from SCDM because of the barriers. Doublespeak jargon about individual choice means nothing.
September 20, 2025 at 5:50 PM
4) COVID vaccine was made “shared clinical decision making” (SCDM). Which means different barriers in different states. Some will require a prescription. Some won’t… ACIP had been moving away from SCDM because of the barriers. Doublespeak jargon about individual choice means nothing.
SCDM means you talk with a healthcare provide doc to decide if 💉 is right for you
Sounds good, right?
SCDM = less convenience
❌Asking for and getting the vaccine
✅ Hope the doc or pharmacist agrees that you should get the vaccine. Because if they don't think you need it, they don't have to give it
Sounds good, right?
SCDM = less convenience
❌Asking for and getting the vaccine
✅ Hope the doc or pharmacist agrees that you should get the vaccine. Because if they don't think you need it, they don't have to give it
May 30, 2025 at 11:13 PM
SCDM means you talk with a healthcare provide doc to decide if 💉 is right for you
Sounds good, right?
SCDM = less convenience
❌Asking for and getting the vaccine
✅ Hope the doc or pharmacist agrees that you should get the vaccine. Because if they don't think you need it, they don't have to give it
Sounds good, right?
SCDM = less convenience
❌Asking for and getting the vaccine
✅ Hope the doc or pharmacist agrees that you should get the vaccine. Because if they don't think you need it, they don't have to give it
Let's talk updated webpages for COVID-19 vaccine recs 💉
A semblance of a spine? ...sort of
Kids can get COVID shots via "shared clinical decision-making" (SCDM) but that probably doesn't mean what you think
Meanwhile, no recs during pregnancy 🤰 falls in line with 🧠🪱
archive.ph/fFLR5
A semblance of a spine? ...sort of
Kids can get COVID shots via "shared clinical decision-making" (SCDM) but that probably doesn't mean what you think
Meanwhile, no recs during pregnancy 🤰 falls in line with 🧠🪱
archive.ph/fFLR5
archive.ph
May 30, 2025 at 11:13 PM
Let's talk updated webpages for COVID-19 vaccine recs 💉
A semblance of a spine? ...sort of
Kids can get COVID shots via "shared clinical decision-making" (SCDM) but that probably doesn't mean what you think
Meanwhile, no recs during pregnancy 🤰 falls in line with 🧠🪱
archive.ph/fFLR5
A semblance of a spine? ...sort of
Kids can get COVID shots via "shared clinical decision-making" (SCDM) but that probably doesn't mean what you think
Meanwhile, no recs during pregnancy 🤰 falls in line with 🧠🪱
archive.ph/fFLR5
The new, non-expert ACIP used the term to weaken vaccine recommendations where the evidence showed routine vaccination is appropriate - a misuse, and one that causes confusion. www.skepticalraptor.com/skepticalrap.... 5/n
Shared clinical decision making — what does it mean for vaccines?
The article by Professor Dorit Rubinstein Reiss explains shared clinical decision making (SCDM) regarding vaccinations, contrasting it with routine recommendations that apply to everyone. SCDM emphasi...
www.skepticalraptor.com
December 24, 2025 at 6:38 PM
The new, non-expert ACIP used the term to weaken vaccine recommendations where the evidence showed routine vaccination is appropriate - a misuse, and one that causes confusion. www.skepticalraptor.com/skepticalrap.... 5/n
Officially, SCDM recommended vaccines should be covered by insurance.
But insurance companies will do whatever they can to avoid covering a medical decision.
🤔 Who's to say they won't argue that you didn't really "need" a COVID vaccine and deny your claim?
But insurance companies will do whatever they can to avoid covering a medical decision.
🤔 Who's to say they won't argue that you didn't really "need" a COVID vaccine and deny your claim?
May 30, 2025 at 11:13 PM
Officially, SCDM recommended vaccines should be covered by insurance.
But insurance companies will do whatever they can to avoid covering a medical decision.
🤔 Who's to say they won't argue that you didn't really "need" a COVID vaccine and deny your claim?
But insurance companies will do whatever they can to avoid covering a medical decision.
🤔 Who's to say they won't argue that you didn't really "need" a COVID vaccine and deny your claim?
"Putting these vaccines into the SCDM category makes it appear that there is a false equivalence between safe and unsafe, and between effective and ineffective."
@skepticalraptor.bsky.social
@skepticalraptor.bsky.social
Shared clinical decision making for vaccines could limit access - and it certainly creates unneeded fear, uncertainty and doubt (a favorite anti-vaccine tactic). www.skepticalraptor.com/skepticalrap... via @skepticalraptor.bsky.social
Shared clinical decision making for vaccines could limit access
The CDC classified several vaccines as "shared clinical decision-making" could create confusion about their safety and effectiveness.
www.skepticalraptor.com
January 28, 2026 at 6:07 PM
"Putting these vaccines into the SCDM category makes it appear that there is a false equivalence between safe and unsafe, and between effective and ineffective."
@skepticalraptor.bsky.social
@skepticalraptor.bsky.social
ACIP day two (Video here): www.youtube.com/live/kUgXRUp...
Note: ACIP changed the language again now, on the floor, compared to the site.
SCDM for negative, and they still recommend - which they do not have authority - blood draws for subsequent doses. All kinds of bad.
Note: ACIP changed the language again now, on the floor, compared to the site.
SCDM for negative, and they still recommend - which they do not have authority - blood draws for subsequent doses. All kinds of bad.
Advisory Committee on Immunization Practices (ACIP) - December 5, 2025 - Day 2 of 2
YouTube video by Centers for Disease Control and Prevention (CDC)
www.youtube.com
December 5, 2025 at 1:33 PM
ACIP day two (Video here): www.youtube.com/live/kUgXRUp...
Note: ACIP changed the language again now, on the floor, compared to the site.
SCDM for negative, and they still recommend - which they do not have authority - blood draws for subsequent doses. All kinds of bad.
Note: ACIP changed the language again now, on the floor, compared to the site.
SCDM for negative, and they still recommend - which they do not have authority - blood draws for subsequent doses. All kinds of bad.
Read this: When #HHS rewrote the childhood vaccination schedule, it pushed several "recommended for all vaccines" to the "shared clinical decision making" category. SCDM has been conflated with informed consent by proponents of the change but it isn't that.
jakescottmd.substack.com/p/when-the-d...
jakescottmd.substack.com/p/when-the-d...
When the Default Is Inaction
How Shared Clinical Decision-Making Became a Mechanism for Dismantling the Childhood Vaccine Schedule
jakescottmd.substack.com
March 5, 2026 at 5:12 PM
Read this: When #HHS rewrote the childhood vaccination schedule, it pushed several "recommended for all vaccines" to the "shared clinical decision making" category. SCDM has been conflated with informed consent by proponents of the change but it isn't that.
jakescottmd.substack.com/p/when-the-d...
jakescottmd.substack.com/p/when-the-d...
Shared decision-making, informed consent, and the rhetoric of false empowerment: How HHS misrepresents SCDM, which is used by doctors in a very specific way - it does not mean "let's talk". open.substack.com/pub/yourloca... via @kmpanthagani.bsky.social
Shared decision-making, informed consent, and the rhetoric of false empowerment
What these medical terms mean and how they’re fueling confusion about vaccines
open.substack.com
February 2, 2026 at 1:51 AM
Shared decision-making, informed consent, and the rhetoric of false empowerment: How HHS misrepresents SCDM, which is used by doctors in a very specific way - it does not mean "let's talk". open.substack.com/pub/yourloca... via @kmpanthagani.bsky.social
From @doritreiss.bksy.social — This article explains shared clinical decision making regarding vaccinations, contrasting it with routine vaccine recommendations. It may lead to lower #vaccine uptake and confusion about informed consent and insurance coverage.
Shared clinical decision making — what does it mean for vaccines?
The article by Professor Dorit Rubinstein Reiss explains shared clinical decision making (SCDM) regarding vaccinations, contrasting it with routine recommendations that apply to everyone. SCDM…
buff.ly
October 9, 2025 at 7:04 PM
From @doritreiss.bksy.social — This article explains shared clinical decision making regarding vaccinations, contrasting it with routine vaccine recommendations. It may lead to lower #vaccine uptake and confusion about informed consent and insurance coverage.
From @doritreiss.bsky.social — This article explains shared clinical decision making regarding vaccinations, contrasting it with routine vaccine recommendations. It may lead to lower #vaccine uptake and confusion about informed consent and insurance coverage. www.skepticalraptor.com/skepticalrap...
Shared clinical decision making — what does it mean for vaccines?
The article by Professor Dorit Rubinstein Reiss explains shared clinical decision making (SCDM) regarding vaccinations, contrasting it with routine recommendations that apply to everyone. SCDM emphasi...
www.skepticalraptor.com
October 8, 2025 at 9:57 PM
From @doritreiss.bsky.social — This article explains shared clinical decision making regarding vaccinations, contrasting it with routine vaccine recommendations. It may lead to lower #vaccine uptake and confusion about informed consent and insurance coverage. www.skepticalraptor.com/skepticalrap...
Nice explanation of implications for current/future vaccine policy-making.
A thought reading it: ACIP adopting this approach empowers anti-vax/reluctant providers (they're more prevalent than you might think) & vax hesitant pts & parents, while disempowering the majority of providers and patients.🛟
A thought reading it: ACIP adopting this approach empowers anti-vax/reluctant providers (they're more prevalent than you might think) & vax hesitant pts & parents, while disempowering the majority of providers and patients.🛟
Shared clinical decision making — what does it mean for vaccines?
The article by Professor Dorit Rubinstein Reiss explains shared clinical decision making (SCDM) regarding vaccinations, contrasting it with routine recommendations that apply to everyone. SCDM emphasi...
www.skepticalraptor.com
October 9, 2025 at 12:08 AM
Nice explanation of implications for current/future vaccine policy-making.
A thought reading it: ACIP adopting this approach empowers anti-vax/reluctant providers (they're more prevalent than you might think) & vax hesitant pts & parents, while disempowering the majority of providers and patients.🛟
A thought reading it: ACIP adopting this approach empowers anti-vax/reluctant providers (they're more prevalent than you might think) & vax hesitant pts & parents, while disempowering the majority of providers and patients.🛟
That is a matter of debate. I think the law does require insurers to cover SCDM vaccines, but insurers do not always, and sometimes interpret this differently.
September 19, 2025 at 6:23 PM
That is a matter of debate. I think the law does require insurers to cover SCDM vaccines, but insurers do not always, and sometimes interpret this differently.
In some cases, the evidence base is less clear about the balance of risks and benefits, and that may warrant more in-depth counseling with a healthcare professional regarding whether or not a given vaccination should be administered for that specific patient. That's where SCDM comes in.
April 10, 2026 at 4:29 PM
In some cases, the evidence base is less clear about the balance of risks and benefits, and that may warrant more in-depth counseling with a healthcare professional regarding whether or not a given vaccination should be administered for that specific patient. That's where SCDM comes in.
2/ In medicine, Shared clinical decision-making (SCDM) doesn’t give parents new authority. Parents have always been the decision-makers for their child’s health, including vaccines. Instead, SCDM signals a situation where there isn’t a single clear medical recommendation.
January 28, 2026 at 10:35 PM
2/ In medicine, Shared clinical decision-making (SCDM) doesn’t give parents new authority. Parents have always been the decision-makers for their child’s health, including vaccines. Instead, SCDM signals a situation where there isn’t a single clear medical recommendation.
CDC's Failure to Recommend COVID-19 Vaccination—
“Shared Clinical Decision-Making” Is Abdication of Responsibility. A key criterion for the use of (SCDM) is equipoise, meaning there is no evidence-based best choice. The administration may now be tempted to apply SCDM to childhood vaccinations.
“Shared Clinical Decision-Making” Is Abdication of Responsibility. A key criterion for the use of (SCDM) is equipoise, meaning there is no evidence-based best choice. The administration may now be tempted to apply SCDM to childhood vaccinations.
Shared Clinical Decision-Making for COVID-19 Vaccination
This Viewpoint discusses shared clinical decision-making for COVID-19 vaccination.
jamanetwork.com
November 13, 2025 at 7:36 PM
CDC's Failure to Recommend COVID-19 Vaccination—
“Shared Clinical Decision-Making” Is Abdication of Responsibility. A key criterion for the use of (SCDM) is equipoise, meaning there is no evidence-based best choice. The administration may now be tempted to apply SCDM to childhood vaccinations.
“Shared Clinical Decision-Making” Is Abdication of Responsibility. A key criterion for the use of (SCDM) is equipoise, meaning there is no evidence-based best choice. The administration may now be tempted to apply SCDM to childhood vaccinations.
Providers are *legally required* to share Vaccine Information Statements (VIS) at every vaccination appointment and providers are required to discuss the risks and benefits of every vaccine. SCDM presents a false reality that there is no discussion happening, and that is incredibly harmful.
February 25, 2026 at 5:29 PM
Providers are *legally required* to share Vaccine Information Statements (VIS) at every vaccination appointment and providers are required to discuss the risks and benefits of every vaccine. SCDM presents a false reality that there is no discussion happening, and that is incredibly harmful.
💬 Viewpoint: The CDC’s adoption of shared clinical decision making (SCDM) for #COVID19 vaccination in high-risk adults departs from evidence-based practice and may lower vaccination rates, threatening prevention of serious outcomes.
ja.ma/4r2rh5K
ja.ma/4r2rh5K
November 13, 2025 at 5:00 PM
💬 Viewpoint: The CDC’s adoption of shared clinical decision making (SCDM) for #COVID19 vaccination in high-risk adults departs from evidence-based practice and may lower vaccination rates, threatening prevention of serious outcomes.
ja.ma/4r2rh5K
ja.ma/4r2rh5K
💬 Viewpoint: The CDC’s adoption of shared clinical decision making (SCDM) for #COVID19 vaccination in high-risk adults departs from evidence-based practice and may lower vaccination rates, threatening prevention of serious outcomes.
ja.ma/4b0CKx4
ja.ma/4b0CKx4
January 19, 2026 at 11:00 AM
💬 Viewpoint: The CDC’s adoption of shared clinical decision making (SCDM) for #COVID19 vaccination in high-risk adults departs from evidence-based practice and may lower vaccination rates, threatening prevention of serious outcomes.
ja.ma/4b0CKx4
ja.ma/4b0CKx4
Shared clinical decision making — what does it mean for vaccines? It is in contrast to routine vaccines, and usually means less uptake. It does not change the informed consent requirements. www.skepticalraptor.com/skepticalrap... via @skepticalraptor.bsky.social
Shared clinical decision making — what does it mean for vaccines?
The article by Professor Dorit Rubinstein Reiss explains shared clinical decision making (SCDM) regarding vaccinations, contrasting it with routine recommendations that apply to everyone. SCDM emphasi...
www.skepticalraptor.com
October 8, 2025 at 10:08 PM
Shared clinical decision making — what does it mean for vaccines? It is in contrast to routine vaccines, and usually means less uptake. It does not change the informed consent requirements. www.skepticalraptor.com/skepticalrap... via @skepticalraptor.bsky.social
Shared clinical decision making — what does it mean for vaccines?
Shared clinical decision making — what does it mean for vaccines?
The article by Professor Dorit Rubinstein Reiss explains shared clinical decision making (SCDM) regarding vaccinations, contrasting it with routine recommendations that apply to everyone. SCDM…
buff.ly
October 9, 2025 at 12:54 AM
Shared clinical decision making — what does it mean for vaccines?
I am begging people to stop using "optional" as a shorthand for "shared clinical decision-making" (SCDM) or "individual decision-making" when describing vaccine recommendations.
They aren't synonyms, and describing them this way is misleading.
yourlocalepidemiologist.substack.com/p/shared-dec...
They aren't synonyms, and describing them this way is misleading.
yourlocalepidemiologist.substack.com/p/shared-dec...
April 10, 2026 at 4:29 PM
I am begging people to stop using "optional" as a shorthand for "shared clinical decision-making" (SCDM) or "individual decision-making" when describing vaccine recommendations.
They aren't synonyms, and describing them this way is misleading.
yourlocalepidemiologist.substack.com/p/shared-dec...
They aren't synonyms, and describing them this way is misleading.
yourlocalepidemiologist.substack.com/p/shared-dec...
I gave it a link to some documentation and asked it to generate an infographic showing how our quality assurance tools work together and it got it right in one shot (I have one minor quibble with the Phase A flow but it's not incorrect)
November 20, 2025 at 5:27 PM
I gave it a link to some documentation and asked it to generate an infographic showing how our quality assurance tools work together and it got it right in one shot (I have one minor quibble with the Phase A flow but it's not incorrect)
Sun City Domestic Market (SCDM)
December 9, 2025 at 4:29 PM
Sun City Domestic Market (SCDM)