In many ways, California has been the vanguard of mandating indiscriminate vaccination for public school attendance which ups the ante for reluctant parents. This has made it difficult for families with a child who has either religious or medical exemptions or for those who simply want to defer on vaccinations altogether.

We review the development of stringent California laws followed by discriminatory practices that are considered authoritarian by Dr. Jessica Peatross.1 Dr. Peatross was a California licensed physician who voluntarily gave up her medical license and moved out of state because of these unethical practices that trampled all over the bioethical principles of autonomy and respect for self.