Have you noticed the heavy marketing of vaccines? Posters, radio adverts, celebrities, social media influencers, especially from doctors. Here’s why true informed consent almost never happens with modern vaccination campaigns: • Fear first. Parents are alarmed about common childhood illnesses, and fear puts people in a suggestible state of mind. • “Free” isn’t free. The taxpayer pays, and it’s a hugely lucrative market for Big Pharma. • “Safe and effective” is asserted, yet many were licensed against another vaccine or an adjuvant rather than an inert saline placebo, with little long term follow up. • “Protect others” is claimed even where there’s little evidence the vaccine stops infection or transmission. • The danger of the disease is exaggerated, and the absolute risk is rarely given. • The legal standard isn’t met. Since Montgomery (2015), UK law requires patients to be told of every material risk and reasonable alternative. A rushed clinic or school session rarely does that. • The full manufacturer’s leaflet is seldom handed over before the jab. • In school programmes, a child deemed Gillick competent can consent even when parents have refused. • Ingredients aren’t discussed, such as aluminium salts used as adjuvants in many childhood vaccines, thiomersal (a mercury based preservative still used in some multidose vials worldwide), porcine gelatin in the nasal flu vaccine, and fetal derived cell lines used for some vaccines. • Compensation is minimal and hard to get. The UK scheme pays a one off £120,000, and only if you’re judged at least 60% disabled. In the UK and elsewhere the process is slow, long winded and rarely successful. US manufacturers have been largely shielded from liability since 1986. • Adverse reactions are underreported, as the Yellow Card scheme relies on voluntary reports. • Alternatives such as delaying, spacing or single vaccines are rarely offered, and prior natural immunity is usually ignored. • Incentives and coercion replace free choice, from Australia’s “No Jab, No Pay” to school entry requirements in the US. Without honest information and a genuine freedom to say no, there is no informed consent.