In a Daily Beast opinion piece on December 15, Paul Offit—one of the vaccine industry’s most strident ambassadors—puzzles over a seeming contradiction. How, Offit wonders, could the state of Mississippi, which has “the worst overall health in the nation,” have used standout “efficiency” to achieve over 99.4% vaccine coverage in kindergartners? Rather than seriously investigate this apparent enigma, Offit presents his ready-made answer and reveals his article’s true purpose.