The CIA cleared that the vaccination program was not fake at all, and this clarifies the underlying credibility of the vaccination program. This statement supports the justification of the program, because it stresses the responsibility of the Pakistan government in ensuring that the vaccination program continued, not the CIA. A senior U.S. official pointed out that the vaccinations were real: “Dr. Afridi was asked only to continue his program. The vaccinations were real, and he never harmed a soul in the course of this campaign”. Though it is claimed that the vaccination doses were not completed in some target areas of the program, this shows that the CIA did not derail or concoct any health public campaign. The CIA is not responsible for Pakistan’s success or failure in its healthcare programs. The CIA is only accountable for the success of its vaccination strategy, so that it can attain its primary objective of eliminating Osama bin Laden. Hence, the CIA did not malign all public vaccination efforts. This argument lacks validity, however, when the role of the CIA in the erosion of the credibility of public health programs is not considered. It is not responsible for the general poor healthcare conditions of Pakistan, but it is accountable for the direct effects of its vaccination ruse on worldwide health public campaigns in high conflict areas.
Moreover, the supporters also claim that the Pakistan health system and political conditions are to be directly blamed for its poor vaccination rates, and not the CIA. This claim is persuasive, because it highlights that Pakistan and the international community should not lay the entire blame on the CIA, because Pakistan has its own socio-economic and political problems that directly shape its healthcare conditions and programs. First, Pakistan is not investing on its people’s health, since it allots only “2.6% of gross domestic product” to it (Nature, 2011). Second, the political instability and poverty in Pakistan are the primary drivers of its poor healthcare system. Nature (2011) underlined: “Many cases are in the Federally Administered Tribal Areas, a semi-autonomous region that is difficult to reach, in part because of ongoing military activity.” The same editorial stressed that Pakistani leadership is “weak” and its vaccination workers are underpaid (Nature,