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Although I neither oppose vaccines nor rely on Reb Moshe’s heter for commercial milk, let me point out that this heter does not depend on trusting the government. On the contrary, Reb Moshe takes for granted that government inspectors can be bribed, and will be if there’s any money to be made from it. His heter for commercial milk rests on several factors, one of which — but not the most important one — is that in the setting of a large commercial plant it’s impossible to do anything wrong on any significant scale without bribing people not to report it, so it will only be done when it’s profitable. Substituting non-kosher milk for kosher at the plant is not profitable, so it’s not worth paying the bribes that are necessary to hide it.