A two-day federal vaccine advisory meeting crammed with chaos, confusion, inept debate, bizarre comments, and a hot mic catching someone saying "you're an idiot," ended with an unexpected twist: The advisors unanimously voted—possibly unintentionally—to maintain broad access to COVID-19 vaccines.
In the 12–0 vote, the committee of advisors selected by anti-vaccine activist Robert F. Kennedy Jr. adopted a recommendation for adults 65 and older and people aged 6 months to 64 years to get a COVID-19 vaccine based on shared clinical decision-making. If the Centers for Disease Control and Prevention adopts the recommendation, it will maintain requirements that federal and private health insurance plans cover COVID-19 vaccines at no cost.
Earlier this year, the FDA limited the approvals of this year's shots, which have previously been available to anyone 6 months of age or older. The FDA's new restriction limits them to adults aged 65 and up and for people between the ages of 6 months and 64 years who have an underlying medical condition that puts them at high risk of severe COVID-19.
The language adopted Friday by the committee—the CDC's Advisory Committee on Immunization Practices (ACIP)—appears more permissive. It states that for individuals 6 months to 64 years, vaccination is based on "individual-based decision making—with an emphasis that the risk-benefit of vaccination is most favorable for individuals who are at an increased risk for severe COVID-19 disease and lowest for individuals who are not at an increased risk, according to the CDC list of COVID-19 risk factors."
Credit: ACIP meeting live stram The vote that was unanimously adopted.
The significance of that stipulated "emphasis" on who actually has access to the vaccine is unclear. Generally, the inexperienced and dubiously qualified panel did not have a good grasp of how any of their recommendations would translate to real-world practices.