A-score 47.2: Institutional capture (5) dominates as vaccine skeptic RFK Jr. leads panel reversing evidence-based public health policy. Civil rights (4) reflects bodily autonomy implications and potential health access impacts. Rule of law (3) for deviation from scientific consensus protocols. Separation (2) for executive influence over independent health guidance. Policy change mechanism (1.3x) with federal scope (1.4x) and moderate severity multipliers yield high constitutional damage. B-score 45.6: Extremely media-friendly (9) health controversy with strong outrage potential (8). High novelty (7) for administration vaccine policy reversal. Layer 2 shows narrative pivot (8) to culture war terrain and mismatch (7) between public health science and political positioning. Moderate intentionality (8) for leveraging RFK Jr.'s controversial profile. D-score +1.6 indicates both substantial constitutional damage AND significant distraction/hype, qualifying as Mixed event where real policy harm coexists with culture war amplification.