Elizabeth Lanphier
@ethicselizabeth.bsky.social
Philosopher & Clinical Ethicist | she/her | peds ethics, repro ethics, TIC, narrative med, feminist philosophy | Cincinnati (it’s cool despite Ohio) | Thoughts my own unless I am re-posting yours
Pinned
Reconsidering Off-Label Pediatric COVID-19 Vaccination
This Viewpoint discusses current factors to consider when recommending off-label pediatric COVID-19 vaccination.
jamanetwork.com
Anticipating changes to the 25/26 Covid-19 vaccine regulations @sefyfe.bsky.social & I updated our previous analysis of off-label pediatric Covid-19 vaccination. It is out now in @jamapediatrics.com & accessible here.
Many things happened since we submitted this! I'll touch on a few of them 🧵
Many things happened since we submitted this! I'll touch on a few of them 🧵
Reposted by Elizabeth Lanphier
He's basically trying to upend the entire regulatory framework for vaccines
November 30, 2025 at 1:28 AM
He's basically trying to upend the entire regulatory framework for vaccines
This fall getting my kids’ (8 and 3) Covid vaccines was, for the first time, uneventful. It was a long road, waiting for my older kid to have access, waiting for my younger kid to be eligible, difficulty finding vaccines.
This year, it was straightforward: at the pediatrician’s office, no biggie.
This year, it was straightforward: at the pediatrician’s office, no biggie.
November 30, 2025 at 1:14 AM
This fall getting my kids’ (8 and 3) Covid vaccines was, for the first time, uneventful. It was a long road, waiting for my older kid to have access, waiting for my younger kid to be eligible, difficulty finding vaccines.
This year, it was straightforward: at the pediatrician’s office, no biggie.
This year, it was straightforward: at the pediatrician’s office, no biggie.
Reposted by Elizabeth Lanphier
Every dollar counts when it comes to feeding people!
Even $5 can go along way especially with organizations @feedthechildrenorg.bsky.social having 8x matching.
We can all make a difference.
Even $5 can go along way especially with organizations @feedthechildrenorg.bsky.social having 8x matching.
We can all make a difference.
In 48 hours we’ve raised over $100k to feed those in need through #HCWvsHunger, an annual competition to raise money for the food banks YOU CHOOSE.
Donate today and log your donation for your favorite team at HCWvsHunger.org
And if you can’t donate, please repost!
Donate today and log your donation for your favorite team at HCWvsHunger.org
And if you can’t donate, please repost!
Healthcare Workers vs Hunger
Healthcare workers vs Hunger is an annual friendly competition between teams of healthcare workers to help relieve food insecurity.
HCWvsHunger.org
November 29, 2025 at 11:57 PM
Every dollar counts when it comes to feeding people!
Even $5 can go along way especially with organizations @feedthechildrenorg.bsky.social having 8x matching.
We can all make a difference.
Even $5 can go along way especially with organizations @feedthechildrenorg.bsky.social having 8x matching.
We can all make a difference.
Reposted by Elizabeth Lanphier
In 48 hours we’ve raised over $100k to feed those in need through #HCWvsHunger, an annual competition to raise money for the food banks YOU CHOOSE.
Donate today and log your donation for your favorite team at HCWvsHunger.org
And if you can’t donate, please repost!
Donate today and log your donation for your favorite team at HCWvsHunger.org
And if you can’t donate, please repost!
Healthcare Workers vs Hunger
Healthcare workers vs Hunger is an annual friendly competition between teams of healthcare workers to help relieve food insecurity.
HCWvsHunger.org
November 29, 2025 at 11:52 PM
In 48 hours we’ve raised over $100k to feed those in need through #HCWvsHunger, an annual competition to raise money for the food banks YOU CHOOSE.
Donate today and log your donation for your favorite team at HCWvsHunger.org
And if you can’t donate, please repost!
Donate today and log your donation for your favorite team at HCWvsHunger.org
And if you can’t donate, please repost!
Reposted by Elizabeth Lanphier
News media has to do better with headlines that present false and unverified public health claims.
November 29, 2025 at 11:48 PM
News media has to do better with headlines that present false and unverified public health claims.
Reposted by Elizabeth Lanphier
As Stoppard wrote, and as I contemplate often: “I don't think writers are sacred, but words are. They deserve respect. If you get the right ones in the right order, you can nudge the world a little or make a poem which children will speak for you when you're dead.”
November 29, 2025 at 7:33 PM
As Stoppard wrote, and as I contemplate often: “I don't think writers are sacred, but words are. They deserve respect. If you get the right ones in the right order, you can nudge the world a little or make a poem which children will speak for you when you're dead.”
Reposted by Elizabeth Lanphier
One place to ask hard questions is whether Dr. Prasad is going to make those inaccessible to people in the U.S., which could directly lead to preventable deaths. This is the second bad influenza season we have had. It's not a great time to take away influenza vaccines. 8/8 Fin.
November 29, 2025 at 4:28 PM
One place to ask hard questions is whether Dr. Prasad is going to make those inaccessible to people in the U.S., which could directly lead to preventable deaths. This is the second bad influenza season we have had. It's not a great time to take away influenza vaccines. 8/8 Fin.
Reposted by Elizabeth Lanphier
Dr. Prasad send an email to CBER suggesting changes to the approval for respiratory vaccines based, apparently, on the conclusion of an unpublished investigation into VAERS report by unknown people. A few thoughts beyond what was already reported, based on the full email: 1/n
November 29, 2025 at 4:21 PM
Dr. Prasad send an email to CBER suggesting changes to the approval for respiratory vaccines based, apparently, on the conclusion of an unpublished investigation into VAERS report by unknown people. A few thoughts beyond what was already reported, based on the full email: 1/n
“likely/probable/possible attribution made by staff” isn’t exactly evidence of causation.
Here's Prasad's full email, if you'd like to read it for yourself: www.washingtonpost.com/documents/30...
And I jotted down a few thoughts on my substack, including how the strategy of "asking more evidence" — which on the surface, sure, everyone wants more data — can lead to red tape.
And I jotted down a few thoughts on my substack, including how the strategy of "asking more evidence" — which on the surface, sure, everyone wants more data — can lead to red tape.
FDA's big change to how vaccines will get approved
We obtained an internal email laying out the planned shift in strategy.
dandiamond.substack.com
November 29, 2025 at 3:58 PM
“likely/probable/possible attribution made by staff” isn’t exactly evidence of causation.
Reposted by Elizabeth Lanphier
“F.D.A. Attributes 10 Children’s Deaths to Covid Vaccines, Without Evidence” see it’s easy, you just add it there at the end and you have an accurate, responsible headline.
November 29, 2025 at 5:43 AM
“F.D.A. Attributes 10 Children’s Deaths to Covid Vaccines, Without Evidence” see it’s easy, you just add it there at the end and you have an accurate, responsible headline.
Reposted by Elizabeth Lanphier
Good day to buy some books from your favorite independent bookstore. (Really always a good day to do this.)
November 29, 2025 at 1:02 PM
Good day to buy some books from your favorite independent bookstore. (Really always a good day to do this.)
Reposted by Elizabeth Lanphier
The CDC and FDA have narrowed COVID-19 vaccine eligibility to seniors and high-risk groups but broader access remains possible through off-label use—a common practice in medicine that doctors can prescribe for purposes beyond initial FDA approval buff.ly/NyjIpSX #VaccinesWork 🩺
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines
A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.
buff.ly
November 22, 2025 at 12:02 AM
The CDC and FDA have narrowed COVID-19 vaccine eligibility to seniors and high-risk groups but broader access remains possible through off-label use—a common practice in medicine that doctors can prescribe for purposes beyond initial FDA approval buff.ly/NyjIpSX #VaccinesWork 🩺
Reposted by Elizabeth Lanphier
The greater Cincinnati metropolitan area has a population of approximately 2.3 million people, and somehow every single one of them is on Bluesky.
November 26, 2025 at 2:50 AM
The greater Cincinnati metropolitan area has a population of approximately 2.3 million people, and somehow every single one of them is on Bluesky.
Reposted by Elizabeth Lanphier
These are the ridiculous things that happen in our country when a child is uninsured. Even short gaps in coverage put families at risk of huge, devastating medical bills.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
Ambulance companies often negotiate with patients over large bills. “But you shouldn’t have to work so hard for it,” says an Ohio mom who was billed $9,250 for her toddler’s transport between hospitals.
kffhealthnews.org/news/article...
kffhealthnews.org/news/article...
Not Serious Enough To Turn on the Siren, Toddler’s 39-Mile Ambulance Ride Still Cost Over $9,000 - KFF Health News
After her son contracted a serious bacterial infection, an Ohio mother took the toddler to a nearby ER, and staffers there sent him to a children’s hospital in an ambulance. With no insurance, the fam...
kffhealthnews.org
November 26, 2025 at 2:02 AM
These are the ridiculous things that happen in our country when a child is uninsured. Even short gaps in coverage put families at risk of huge, devastating medical bills.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
Reposted by Elizabeth Lanphier
one of the coolest things about ChatGPT is how you can actually just never use it. you can fill your whole entire life with simply not once using it. it's incredible.
November 25, 2025 at 4:15 PM
one of the coolest things about ChatGPT is how you can actually just never use it. you can fill your whole entire life with simply not once using it. it's incredible.
Reposted by Elizabeth Lanphier
Look, LLM use in academia isn't just students. You need to be speaking clearly with your collaborators about your writing standards from the beginning. Make people say out loud that they don't write their own articles anymore.
November 25, 2025 at 12:41 PM
Look, LLM use in academia isn't just students. You need to be speaking clearly with your collaborators about your writing standards from the beginning. Make people say out loud that they don't write their own articles anymore.
Reposted by Elizabeth Lanphier
In a unified front, organizations including the AMA, IDSA, AAP, the American Academy of Family Physicians, and the American College of Physicians joined forces to sound an alarm about recent changes to the CDC website.
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
'Dangerous': Medical Groups Slam CDC Changes on Vaccines and Autism
'Perpetuating misleading claims' will lead to confusion and distrust, the AMA says
www.medpagetoday.com
November 25, 2025 at 12:13 AM
In a unified front, organizations including the AMA, IDSA, AAP, the American Academy of Family Physicians, and the American College of Physicians joined forces to sound an alarm about recent changes to the CDC website.
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
Reposted by Elizabeth Lanphier
Also: “I will be holding a special town hall Q&A with Ayman Soliman, the children’s hospital chaplain arrested by ICE, smeared as a “terrorist,” and jailed for 73 days. He is now finally FREE! Join us on Tuesday at 2pm ET (11am PT / 7pm GMT). Watch out for the registration email later today.”
😱 GOP Freaks Out at Trump's 'Awful' Numbers
In today's 'First Draft' from @swin24.bsky.social - Trump’s ratings plummet, MTG resigns after a short stint in Trump enemy territory, and a US senator admonishes Israel’s detention of a Palestinian-American teen.
zeteo.com/p/gop-freaks...
In today's 'First Draft' from @swin24.bsky.social - Trump’s ratings plummet, MTG resigns after a short stint in Trump enemy territory, and a US senator admonishes Israel’s detention of a Palestinian-American teen.
zeteo.com/p/gop-freaks...
😱 GOP Freaks Out at Trump's 'Awful' Numbers
Republicans scramble as Trump’s ratings plummet, MTG resigns after a short stint in Trump enemy territory, and a US senator admonishes Israel’s detention of a Palestinian-American teen.
zeteo.com
November 24, 2025 at 2:31 PM
Also: “I will be holding a special town hall Q&A with Ayman Soliman, the children’s hospital chaplain arrested by ICE, smeared as a “terrorist,” and jailed for 73 days. He is now finally FREE! Join us on Tuesday at 2pm ET (11am PT / 7pm GMT). Watch out for the registration email later today.”
Reposted by Elizabeth Lanphier
this political scientist is here to tell you that in fact, vaccines work.
November 24, 2025 at 2:34 PM
this political scientist is here to tell you that in fact, vaccines work.
Reposted by Elizabeth Lanphier
A question for scientists (construed as broadly as you like) of BlueSky: What makes something data?
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
November 21, 2025 at 6:00 PM
A question for scientists (construed as broadly as you like) of BlueSky: What makes something data?
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
Reposted by Elizabeth Lanphier
Who invests in critical thinking and who invests in an AI chatbot to help you think will be really telling.
November 23, 2025 at 4:14 PM
Who invests in critical thinking and who invests in an AI chatbot to help you think will be really telling.
Reposted by Elizabeth Lanphier
“Fewer than 1/4 of U.S. physicians are members of the AMA. Its financial stability now depends mostly on [licensing fees for AMA-created billing codes]. Financial dependence on a single, government-supported revenue stream leaves the AMA highly vulnerable to political pressure.”
The AMA is starting to fracture under political pressure. Our analysis explains what changed this week, and why it matters.
Why the AMA’s actions are raising alarms canadahealthwatch.ca/2025/11/22/w... by @codeblackamerica.bsky.social, @nicktsergas.ca
November 23, 2025 at 1:58 PM
“Fewer than 1/4 of U.S. physicians are members of the AMA. Its financial stability now depends mostly on [licensing fees for AMA-created billing codes]. Financial dependence on a single, government-supported revenue stream leaves the AMA highly vulnerable to political pressure.”
Reposted by Elizabeth Lanphier
Starting the last day of PSA Around the World Central and Eastern Europe with a session on scientific understanding. @henkderegt.bsky.social is the first plenary speaker on understanding by an artificial system
The PSA Around the World 2025 is coming soon: Nov 6, 14 & 22 (online)!
Hosted by @philsci.bsky.social and @eenphilsci.bsky.social it highlights #philsci from, about, and connected to Central and Eastern Europe.
Great lineup, still time to register!
www.philsci.org/psa_around_t...
Hosted by @philsci.bsky.social and @eenphilsci.bsky.social it highlights #philsci from, about, and connected to Central and Eastern Europe.
Great lineup, still time to register!
www.philsci.org/psa_around_t...
PSA Around the World 2025 - Philosophy of Science Association
www.philsci.org
November 22, 2025 at 2:08 PM
Starting the last day of PSA Around the World Central and Eastern Europe with a session on scientific understanding. @henkderegt.bsky.social is the first plenary speaker on understanding by an artificial system
Reposted by Elizabeth Lanphier
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines
A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.
theconversation.com
November 21, 2025 at 9:52 PM
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines
A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.
theconversation.com
November 21, 2025 at 9:52 PM
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.