Don't ask "Why?": a novel approach to vaccine persuasion

Thousands of pages have been written about vaccine hesitancy, refusal, and skepticism, and their meanings. The primary purpose has been to help health care providers, and the population more generally, understand what is happening when people act against scientific and medical evidence. The goal is to increase vaccine uptake. We propose that when speaking with a patient who is hesitant about or refusing vaccination, health care providers should not immediately ask "Why?". In the matter of increasing vaccine uptake, rather than thinking in terms of a deficit model or an epistemicpluralism model, a more apt distinction may be the more subtle one between information (often decontextualized) and good rea sons (contextualized in a person's life). Marks and Califf suggest that health care providers offer scientific evidence of vaccine efficacy.