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They're working off of incorrect information & ideas. They think people will be better off not getting vaccinated. They genuinely think they're doing a good thing. They don't think we'll have resurgences of diseases at any large scale because they don't attribute the disappearance of those diseases to vaccines. They believe society will be relieved from some vaccine induced "side-effects" like increased autism (or 5G mind control... or whatever... it's hard to keep track of their nonsense).
Since they accept the above falsehoods; they don't need to "get" anything. They're as certain stopping vaccinations will help the general population as I am that it will do harm. But some idiot(s) put them in charge so they get to execute on their campaign promises.
No they don't. Some are simply stupid, others are genuinely evil.
But they get validation. It's not just that they think their ideas and information is correct. They are correct and doctors and entire industries are wrong or corrupt. That makes them smarter than those eggheads that went to school for sometimes a decade and have spent further decades with their face in a microscope. After decades of education and dedicated research somehow Cletus from BFE, Dumbfuckistan and Google was able to best them intellectually.
And your explanation for the ones who always get the vaccines themselves but spread lies about how other people shouldn't?