Although the anti-vaccination movement is based on discredited scientific and conspiracy theories, it does not deny the validity of my patient's concerns.• Describe at least one mechanism for overcoming the barrier discussed. To overcome the barrier created by the discrepancy in beliefs and values ​​regarding vaccinations, I would use clear communication as it is one of the key elements of ethical decision making. According to Hamric et al. (2014), the main source of discrepancies “in many ethical dilemmas is the erosion of open and honest communication”. (p. 329). I would try to address their concerns and provide the best possible evidence needed for my patients to make an informed decision. I would respect and support whatever decisions my patients make to respect their autonomy. • Examine the potential costs and benefits of doing so