This is a case study centered on cervical cancer vaccine that was to be used in the Texas school system. It raises all the issues of "sexual health" in a deeply conservative political environment and provides a balanced treatment of issues that recognized why this public health concern was so controversial. It required working familiarity with drug science that supported the vaccine. It investigates the complicated interplay between the science, political ideologies behind opposition, and the choices that faced the Governor - who ultimately resorted to an Executive Order.