This article examines the implementation of a Michigan rule requiring vaccine‐critical parents to attend an education session at a local health department prior to receiving an immunization waiver. During interviews (N = 35), public health professionals recognized that providing waivers deviated from their professional mission. Yet, they chose to prioritize client service in their interactions, thereby managing and absorbing conflict at the parent level. Politically, vaccine critics have succeeded in proposing bills to undo this rule. This suggests that conflict management and absorption is a vital policy function because conflict can turn into political action, endangering the future of a promising rule.

中文翻译：

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管理异议与异议：政策实施中的官僚职业精神和政治风险

本文研究了密歇根州规则的实施情况，该规则要求对疫苗有严格要求的父母必须在接受免疫豁免之前参加当地卫生部门的教育课程。在采访中（N = 35），公共卫生专业人员认识到提供的豁免偏离了他们的专业使命。但是，他们选择在交互中优先考虑客户服务，从而在父级管理和吸收冲突。从政治上讲，疫苗评论家已成功提出法案以撤销这一规定。这表明冲突的管理和吸收是一项至关重要的政策功能，因为冲突会变成政治行为，危及有希望的规则的未来。