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NCQA speculates that parents of children with private insurance delay or decline vaccination of their children in the unproven notion that vaccinations cause autism spectrum disease. The report notes that this thinking is fostered especially through internet articles and celebrity endorsement. Parents in private health insurance plans who are generally well educated tend to overvalue this misinformation regarding the relationship between vaccination and autism and predicts that if the trend continues, in the long run, these children of the middle class may be less healthy than children in Medicaid health insurance plans.
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