Dr. Offit, as a pediatrician, who has followed your advice for years, I am greatly disappointed with this assessment. I think you are out of touch with what is happening in the primary care pediatricians office. The debate about Covid vaccines is a debate, and it is not settled science. Your comparison with Covid myocarditis versus myocarditis from the vaccine, is shortsighted. Myocarditis from Covid, included a much broader age group, and seriously ill patients who had a bump in their troponins levels, and not a true myocarditis. The myocarditis with the vaccine, on the other hand, showed a Signal in the young male ages 16 to 30. It also demonstrates a high propensity for scarring six months later. You know that this is a risk factor for sudden, cardiac death, and it dumbfounds me that you were comparing apples to oranges. The other destructive part of this discussion is the vaccine hesitancy that is happening in my patients with routine, tested vaccines. I have never seen this amount of vaccine hesitancy for a routine vaccines in my 23 years of practice. Another point that I’d like to bring up, is that the Covid vaccines were not tested for efficacy in those who already had Covid. You should know this. You should also know about the strength of natural immunity versus vaccine immunity. Omicron became the ultimate vaccine with the majority of children being infected. You also mentioned in MISC however, we only saw that with the first three strains and have not seen it since omicron came on the scene. Finally, your number for the number of Pediatric deaths is over a three year timeframe. It also is likely exaggerated considering the amount of testing that was done as well as studies that have shown hospitalizations for children were estimated to be 60% with Covid and not from Covid. Hospitalizations now are likely more attributable to “coinfections“ in conjunction with another illness like RSV or metapneumovirus. Hospitalizations use PCR. PCR can detect viruses present as far as six weeks prior. You know this. Please use critical thinking in evaluating patients that are testing positive in the hospital and happen to test positive for Covid. This article makes me sad for you and your future opinions that I previously valued so much.