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Secondly, casual turns of phrase that aren't technically accurate are normal, and using them isn't the anti-intellectual gesture you're construing it as here.
Thirdly, the antivax propaganda line you mentioned is a bad example, since it refers to an ableist conspiracy theory and represents an attack on modern medicine-- the claim that vaccines cause autism is harmful both because it discourages people from protecting themselves from disease and because it implies that the risk of one's child dying is preferable to that child being autistic. Neither of these problems apply to "cold blooded," so no, it isn't the same. The difference is not only a matter of degree, but of something more substantial: the presence or absence of a harmful political motive.
Fourthly, I nonetheless appreciate the variety of facts you've shared here.