In response to the dismantling of the CDC, California, Oregon, and Washington have launched the West Coast Health Alliance, which will make their own science-based vaccine guidelines, and make sure vaccines are accessible to everyone.
"Through this partnership, California, Oregon, and Washington will start coordinating health guidelines by aligning immunization recommendations informed by respected national medical organizations. This will allow residents to receive consistent, science-based recommendations they can rely on — regardless of shifting federal actions." https://www.gov.ca.gov/2025/09/03/california-oregon-and-washington-to-launch-new-west-coast-health-alliance-to-uphold-scientific-integrity-in-public-health-as-trump-destroys-cdcs-credibility/
California, Oregon, and Washington to launch new West Coast Health Alliance to uphold scientific integrity in public health as Trump destroys CDC’s credibility | Governor of California

State of California

Governor of California
@luckytran I hope this will impact what insurance covers
@luckytran This country is sick, no one will help them, so from the inside
@luckytran I fervently hope this works so well that it expands to other basic public health provisions; a multi-state bloc like this might be able to make good contraception and prenatal care free and easy to obtain region-wide, for example.

@luckytran

The West Coast Health Alliance is a great idea!

More states and countries need to form new alliances because the US government is now a #pariahnation

@luckytran I can't wait for the West Coast to declare independence.
@BackFromTheDud @luckytran I'm all for CA/OR/WA being Canada's West Coast mullet
@lackattack @BackFromTheDud @luckytran The whole rotten house needs to be dismantled. It's not fit for purpose.
@lackattack @BackFromTheDud @luckytran
If we're cracking countries, let's do it properly and create Cascadia. Alaska, Yukon, BC, Washington, Oregon, and California.
@Bolt @lackattack @BackFromTheDud @luckytran nice thought, but as a Canadian, I’m happy to remain one.
@annecavicchi @lackattack @BackFromTheDud @luckytran
Canada is nice for sure. However, I'm pretty done with Ontario and especially Quebec driving the bus. It would never happen without a major North American breakdown but we'll see what rises from the ashes when the Fourth Reich collapses coupled with some major climate change wallops. Cascadia makes more sense to me than a country centred around the GTA to Quebec City corridor.
@Bolt @lackattack @BackFromTheDud @luckytran following that logic, in Cascadia we would have a smaller voice as the numbers to the south would be far greater than compared to ON & QC.

@BackFromTheDud @luckytran

I was just thinking that... They are quite wealthy states.... They fund health care and vaccines and with hold the money they pay to Government to fund it... Not a far cry to withhold all the money and pay for other services

@luckytran secession next please???
@luckytran I wish my state of Arizona would join them.
@luckytran Before you ask, Idaho, you are absolutely not allowed and are barred forever.
@luckytran NY should join too, even if it is on the East Coast.
@luckytran Someone has to fight the idiotic anti-vaxxer nonsense.

@luckytran

Wondering if and how they will work with BC CDC..

@luckytran What’s the chance that the Alliance will be forced to shut down as a Congressionally-unapproved interstate compact? #lang_en #USPol #InterstateCompacts

@melanie @luckytran The risk regarding the compact clause is low: "A literal reading of the Compact Clause would require congressional approval for any agreement or compact.12 In the context of interstate compacts, however, the Supreme Court has adopted a functional interpretation in which only compacts that increase the political power of the states while undermining federal sovereignty require congressional consent."

From https://constitution.congress.gov/browse/essay/artI-S10-C3-3-1/ALDE_00013531/

@luckytran

Hope more will join them and we can call it the Union.

The end of the federal state, ruled by a tyrant and irresponsible ultraconservatives that think they can find the future in the past...

#uspol #cdc #health

@luckytran I don't like this. It shouldn't be just the west coast. It should be *all* the states who want sensible vaccination guidelines. Together we stand.
@SomeVeganCheeseIsOk @luckytran This is because so many states are opting out of mandatory vaccination. Our “union” isn’t unified.
@luckytran and a few years down the road, "Oregon Trail"s plot will have to be updated to make it "You have NOT died of dysentery"
@luckytran
Likely great for tourism as well. Come for the vax, then smoke a legal joint at the beach.

@luckytran

Westcoastia, Eastcostia and wedged between them Gilead: The divided states of America, the legacy of fascist dictator Krasnov.

@luckytran

And vaccine production capability? I hope they are planning on creating/developing/preserving that.

@luckytran - it’s like they’re just begging to join Canada. 🇨🇦
#california #oregon #washingtonstate #canada #vaccines
@luckytran And thus begins the end of the *United* States.

@luckytran

If they were to call it the Jefferson Health Alliance, they would get lots more MAGA support:

https://en.wikipedia.org/wiki/Jefferson_(proposed_Pacific_state)#21st_century

Jefferson (proposed Pacific state) - Wikipedia

@luckytran As a Californian, now living in Washington, I completely approve of this. Yay us!
@luckytran Cool, now let's suceede!
Florida plans to become first state to ban all vaccine requirements

Vaccine mandates are immoral and akin to slavery, says Florida Surgeon General Joseph Ladapo.

@luckytran

Next step - stop paying federal taxes.

It’s the war of independence all over again. Paying taxes and getting nothing for them.