For the poor, the answer is definitely not to be punitive, but rather to make access easier. The ones who really need to be targeted are the more affluent, upper middle class and higher.
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My upper middle class neighborhood is full of these women - moms that read an internet article and ‘did their own research’. I cannot receive any additional vaccinations as an immunosuppressed adult and their kids scare me to death.
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It's not the poor who Are not vaccinating their kids unless it's a problem of access. I say take away the child tax credit. That will get the attention of the offenders. That way you get the home schoolers, too.
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