The debate surrounding vaccines in the U.S. is intensifying, particularly as blue states ramp up their defenses against prominent anti-vaccine advocate RFK Jr., who is seen as a catalyst for division. With rising Covid cases in states like South Carolina and public health policies becoming a contentious political issue, the landscape of vaccine access is increasingly mirroring that of abortion rights. Editorials suggest we are witnessing a pivotal moment in American public health, as states take action where federal support may falter. As blue states get creative in their strategies to promote vaccination, the growing divide could have long-term implications for how safe Americans are from infectious diseases, depending on their electoral choices.