Credit: CDC/Debora Cartagena
Jan 12, 2026 / 06:00 am (CNA).
Catholic medical professionals and ethicists had mixed reactions to the Centers for Disease Control and Prevention’s (CDC) announcement last week that it has revised the recommended childhood and adolescent vaccine schedule.
In a press release on Jan. 5, the CDC announced a revised recommended childhood immunization schedule, which reduces the number of universally recommended vaccines from 18 to 11. It retains routine recommendations for all children against measles, mumps, rubella, polio, pertussis, tetanus, diphtheria, Haemophilus influenzae type b, pneumococcal disease, human papillomavirus (HPV), and varicella (chickenpox).
Vaccines for rotavirus, influenza, COVID-19, hepatitis A, hepatitis B, meningococcal disease, and RSV now shift to recommendations for high-risk groups or after “shared clinical decision-making” between providers and families.
According to a Department of Health and Human Services (HHS) memo, the CDC “applies shared clinical decision-making recommendations when evidence indicates that individuals may benefit from vaccination based on an analysis of the individual’s characteristics, values, and preferences, the provider’s medical judgment, and the characteristics of the vaccine being considered.”
Insurance companies must continue to cover all vaccines.
The changes come after President Donald Trump directed the heads of the CDC and HHS in December 2025 to “review best practices from peer, developed nations regarding childhood vaccination recommendations and the scientific evidence underlying those practices” and to make changes accordingly.
After reviewing the vaccination practices of 20 peer nations, a scientific assessment found that “the U.S. is a global outlier among developed nations in both the number of diseases addressed in its routine childhood vaccination schedule and the total number of recommended doses but does not have higher vaccination rates than such countries.”
“Science demands continuous evaluation,” Dr. Jay Bhattacharya, director of the National Institutes of Health (NIH), said in the CDC press release. “This decision commits NIH, CDC, and the Food and Drug Administration (FDA) to gold standard science, greater transparency, and ongoing reassessment as new data emerge.”
Dr. Tim Millea, chair of the health care policy committee at the Catholic Medical Association (CMA), welcomed the changes, telling CNA that he thought the CDC approached the revisions “in a very logical way.”
“There has been a huge drop in trust surrounding vaccines since the COVID-19 pandemic,” Millea said. “The suggestions during COVID that the science was ‘settled’ rubbed a lot of us the wrong way.”
“The loudest critics of these new recommendations say this is ideology over science,” he said. “Science is a process, not an end. If we need more evidence, let’s get it,” he said, pointing out Bhattacharya’s call for “gold standard” science and “ongoing reassessment.”
Millea, a retired orthopedic surgeon, said he has confidence that Bhattacharya and Dr. Marty Makary, head of the FDA, are “not going to let ideology get ahead of science.”
The president of the National Catholic Bioethics Center (NCBC), John Di Camillo, told CNA in a statement regarding the updated immunization recommendations: “The people look to public health authorities precisely for this kind of guidance, which is responsive to continually evolving research, ongoing discussions among professionals in the medical field, and ethical principles that promote the common good, respect the dignity of the human person, and limit the interference of financial and ideological conflicts.”
‘Let those closest to the children make the decisions’
Millea acknowledged that critics of the CDC’s revised recommendations say comparing the U.S. vaccine schedule to that of much smaller, more homogeneous nations such as Denmark is like “comparing apples to oranges.”
However, he pointed out that the CDC’s revised schedule is simply a recommendation, and each of the 50 U.S. states is free to do what it deems best. “It’s like 50 laboratories. Let’s see what works the best.”
Invoking the Catholic principle of subsidiarity, Millea said “let those closest to the children who are getting the vaccinations make the decisions.”
“One of the positive aspects of the pandemic is that now we can take a step back and we’re questioning, not because something may be wrong, but maybe because it could be improved upon,” Millea said.
John F. Brehany, executive vice president and director of Institutional Relations at the NCBC, told CNA that “the new schedule appears to have been designed with good intent; that is, … to have gained public trust in the absence of mandates and to have contributed to population health outcomes that meet or exceed those of the U.S.”
“The new schedule does not take a ‘one size fits all’ approach but rather structures recommendations based on the nature of the diseases, vaccines in question, and characteristics of the children or patients who may receive them,” he continued. “This approach appears to be well-founded and to provide a sound foundation for respecting the dignity and rights of every unique human person.”
This will ‘sow more confusion’
Dr. Gwyneth Spaeder, a Catholic pediatrician in North Carolina, did not welcome the changes to the immunization schedule.
While she acknowledged that the damage to trust in institutions was substantial after the COVID-19 pandemic, she thinks the issues surrounding the COVID-19 vaccine’s safety and efficacy “cannot be compared” with the decades of studies demonstrating the safety of common children’s immunizations.
“It is not the same moral calculus,” she said.
She does not believe revising the immunization schedule this way will restore trust in institutions, which she said might take “years or even generations” to rebuild.
This method will “sow more confusion,” Spaeder said. “Instead of trying to rebuild trust in transparent, evidence-based practices, we have created a situation where everyone is told different things … For this child, we think this schedule is the best, for that child, there’s a different one. That’s not how public health works.”
She also said that comparing the homogeneous, relatively tiny population of 6 million in Denmark to that of the diverse population of 340 million in the U.S. is “a false comparison.”
“Their children are at less risk from falling through the cracks and contracting these diseases we try to vaccinate against,” she said, noting the protective public health effects of Denmark’s universal health care and generous parental leave policies.
“The children who will be most harmed in the U.S. are the underserved,” Spaeder said. “That’s being lost in this conversation. We can have a lot of high-level political arguments, but I am most concerned about my patients from single-parent homes who attend day care from young ages, or who are born to mothers who don’t have adequate prenatal care.”
“They will lose out the most from not being protected from these diseases.”
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![HHS announces actions to restrict ‘sex-rejecting procedures’ on minors #Catholic
President Donald J. Trump watches as Robert F. Kennedy Jr., Health and Human Services Secretary, speaks after being sworn in on Thursday, Feb. 13, 2025, in Washington, D.C. / Credit: Jabin Botsford/The Washington Post via Getty Images
Washington, D.C. Newsroom, Dec 18, 2025 / 13:31 pm (CNA).
The Department of Health and Human Services (HHS) proposed regulations today that would seek to end “sex-rejecting procedures” on anyone younger than 18 years old, which includes restrictions on hospitals and retailers.Under one proposal, the Centers for Medicare & Medicaid Services (CMS) would withhold all funding through Medicare and Medicaid to any hospital that offers surgeries or drugs to minors as a means to make them resemble the opposite sex. The proposed rules would prohibit federal Medicaid funding for “sex-rejecting procedures” on anyone under 18 and prohibit federal Children’s Health Insurance program (CHIP) funding for the procedures on anyone under 19.This includes surgical operations, such as the removal of healthy genitals to replace them with artificial genitals that resemble the opposite sex and chest procedures that remove the healthy breasts on girls or implant prosthetic breasts on boys.It also includes hormone treatments that attempt to masculinize girls with testosterone and feminize boys with estrogen and puberty blockers, which delay a child’s natural developments during puberty.HHS also announced that the Food and Drug Administration (FDA) is issuing warning letters to 12 manufacturers and retailers that they accuse of illegally marketing “breast binders” to girls under the age of 18 as a treatment for gender dysphoria. Breast binders compress breasts as a means to flatten them under their clothing.The news release said breast binders are Class 1 medical devices meant to help recover from cancer-related mastectomies, and the warning letters will “formally notify the companies of their significant regulatory violations and how they should take prompt corrective action.”Additionally, HHS is working to clarify the definition of a “disability” in civil rights regulations to exclude “gender dysphoria” that does not result from physical impairments. This ensures that discrimination laws are not interpreted in a way that would require “sex-rejecting procedures,” the statement said.HHS Secretary Robert F. Kennedy Jr. said in a news conference that “sex-rejecting procedures” on minors are “endangering the very lives that [doctors] are sworn to safeguard.”“So-called gender-affirming care has inflicted lasting physical and psychological damage on vulnerable young people,” he said. “This is not medicine — it is malpractice.” The proposals would conform HHS regulations to President Donald Trump’s Jan. 28 executive order to prohibit the “chemical and surgical mutilation” of children. The order instructed HHS to propose regulations to prevent these procedures on minors.In a news release, HHS repeatedly referred to the medical interventions as “sex-rejecting procedures” and warned they “cause irreversible damage, including infertility, impaired sexual function, diminished bone density, altered brain development, and other irreversible physiological effects.”HHS cited its own report from May, which found “deep uncertainty about the purported benefits of these interventions” for treating a minor with gender dysphoria. The report found that “these interventions carry risk of significant harms,” which can include infertility, sexual dysfunction, underdeveloped bone mass, cardiovascular disease, metabolic disorders, psychiatric disorders, and adverse cognitive impacts, among other complications.Stanley Goldfarb, chairman of Do No Harm, a medical advocacy group, said in a statement that the proposed regulation on hospitals is “another critical step to protect children from harmful gender ideology” and said he supports rules that ensure “American taxpayer dollars do not fund sex-change operations on minors.”“Many so-called gender clinics have already begun to close as the truth about the risks and long-term harms about these drugs and surgeries on minors have been exposed,” he said. “Now, hospitals that receive taxpayer funds from these federal programs must follow suit.”Mary Rice Hasson, director of the Person and Identity Project at the Ethics and Public Policy Center (EPPC), said she sees the proposed restriction on hospitals as “excellent.”“This proposed rule sends a powerful message to states and health care providers: It’s time to stop these unethical and dangerous procedures,” Hasson said. “Puberty is not a disease to be medicated away. All children have the right to grow and develop normally.”“Sex-rejecting procedures promise the impossible: that a child can escape the reality of being male or female,” she added. “In reality, these sex-rejecting procedures provide only the illusion of ‘changing sex’ by disabling healthy functions and altering the child’s healthy body through drugs and surgery that will cause lifelong harm.”In January, Bishop Robert Barron, chair of the United States Conference of Catholic Bishops’ (USCCB) Committee on Laity, Marriage, Family Life, and Youth, welcomed Trump’s executive action on these procedures, warning that they are “based on a false understanding of human nature, attempt to change a child’s sex.”“So many young people who have been victims of this ideological crusade have profound regrets over its life-altering consequences, such as infertility and lifelong dependence on costly hormone therapies that have significant side effects,” Barron said. “It is unacceptable that our children are encouraged to undergo destructive medical interventions instead of receiving access to authentic and bodily-unitive care.”](https://unitedyam.com/wp-content/uploads/2025/12/hhs-announces-actions-to-restrict-sex-rejecting-procedures-on-minors-catholic-president-donald-j-trump-watches-as-robert-f-kennedy-jr-health-and-human-services-secretary-sp.webp)
