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Book Review
Vaccines Did Not Cause Rachel’s Autism
An Essay on the Book Peter Hotez Wrote to Prove It
Lies are Unbekoming | July 13, 2026
Peter Hotez, in his 2018 book Vaccines Did Not Cause Rachel’s Autism, describes his daughter at her pediatric appointments. Rachel “would cry longer and with much fiercer intensity than our other children.”¹ The sentence appears once. Hotez does not return to it. Rachel is one of four Hotez children. Among them, she is the only one on the spectrum, and the only one whose reaction to the injections her father describes in these terms.
Peter Hotez is not a random pediatrician. He holds an MD and a PhD. He is Dean of the National School of Tropical Medicine at Baylor College of Medicine, Co-Director of the Texas Children’s Center for Vaccine Development, and founding editor-in-chief of the journal PLOS Neglected Tropical Diseases. He served as a U.S. Science Envoy under the Obama administration. In the years after 2020 he became one of the most visible defenders of vaccination policy on American cable news, and in 2022 was nominated for the Nobel Peace Prize for developing a low-cost COVID vaccine. His 2018 book was the opening statement in that public role. His daughter is the girl the title is defending.
The book runs to two hundred pages. Roughly two thirds of them are Rachel. Her first words, her flights across the neighborhood, her sneakers thrown from a moving car onto the Merritt Parkway at sixty miles per hour, her decades of intellectual disability that leaves her at twenty-five sorting donated clothes for fourteen dollars a day at Goodwill.¹ The other third argues that none of this can be attributed to the injections.
The book has an unusual quality. It is not, in the strict sense, a defense of the vaccine schedule. It is a father’s project to explain his daughter without implicating his own life’s work. Front to back, the book reads like the case Hotez was building against himself. … continue
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