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Finally, the entire federal legal structure effectively preempts individual, personal statelevel claims
for relief, meaning that regardless of what any state government might believe or
uncover regarding the safety and efficacy of a given vaccine, it is powerless to outright ban its use.
Similarly, injured persons cannot utilize state law to circumvent the federal framework. This means
that in a very real sense, our entire system of vaccine safety is built around the presumption that a
small group of federal regulators are wholly responsible for ensuring the citizens of the United
States that risks associated with vaccines are acceptable; and this same small group of regulators
is also responsible for alerting people of health problems that may arise in vaccines it has already
approved. Meanwhile, the manufacturers of these vaccines are fully insulated from any financial
liability, and persons who experience adverse effects can only seek redress through a limited and
highly bureaucratic federally-controlled program. As insular and limited as that may seem, this is
the current design of our system.