{"id":2108,"date":"2011-11-17T09:16:44","date_gmt":"2011-11-17T15:16:44","guid":{"rendered":"http:\/\/stateimpact.npr.org\/oklahoma\/?p=2108"},"modified":"2012-12-27T13:27:31","modified_gmt":"2012-12-27T19:27:31","slug":"budget-cuts-end-free-for-all-flu-shots","status":"publish","type":"post","link":"https:\/\/stateimpact.npr.org\/oklahoma\/2011\/11\/17\/budget-cuts-end-free-for-all-flu-shots\/","title":{"rendered":"Budget Cuts End Oklahoma&#8217;s Free-for-All Flu Shots"},"content":{"rendered":"<div id=\"attachment_2141\"  class=\"wp-caption module image center\" style=\"max-width: 620px;\"><a class=\"fancybox\" title=\"A nurse administers a flu shot to a patient at the Cleveland County Health Department in Norman, Okla. The vaccine costs $25 for those who don't qualify for federal assistance.\" href=\"http:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/shot.jpg\" rel=\"\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-2141\" title=\"shot\" src=\"http:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/shot.jpg\" alt=\"\" width=\"620\" height=\"443\" srcset=\"https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/shot.jpg 620w, https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/shot-500x357.jpg 500w, https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/shot-150x107.jpg 150w, https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/shot-300x214.jpg 300w\" sizes=\"(max-width: 620px) 100vw, 620px\" \/><\/a><\/p>\n<p class=\"wp-media-credit\">Logan Layden \/ NPR StateImpact<\/p>\n<p class=\"wp-caption-text\">A nurse administers a flu shot to a patient at the Cleveland County Health Department in Norman, Okla. The vaccine costs $25 for those who don&#39;t qualify for federal assistance.<\/p>\n<\/div><p>It\u2019s time for annual flu shots. But due to state budget cuts, some Oklahomans who are used to getting vaccines at county health departments for free are being asked to pay up.<\/p><p><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]--><br \/>\n<audio class=\"wp-audio-shortcode\" id=\"audio-2108-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/11-16-FluShotStory-FinalCut.mp3?_=1\" \/><a href=\"https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/11-16-FluShotStory-FinalCut.mp3\">https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/11-16-FluShotStory-FinalCut.mp3<\/a><\/audio><\/p><p><!--more-->A patient filling out the required forms to get a flu shot at the Cleveland County Health Department might notice a new step to the process: Payment.<\/p><p>All children, the elderly and underprivileged adults still qualify for free flu shots under federal programs, but prior to last flu season they were free for <em>everyone <\/em>at Oklahoma\u2019s 70 county health departments. Ken Cadaret is the interim Chief of Immunization Services at the State Health Department.<\/p><p>\u201cI don\u2019t know of any other state that was giving free flu vaccine as long as we have,\u201d Cadaret said. \u201cIn the years past, when flu vaccine was still relative new, it was limited supply. And so it was a public health self-imposed mandate to make sure that the flu vaccine got to those who really needed it. We\u2019re talking the very old and the very young.\u201d<\/p><p>Cadaret said health department budget cuts made the $25 charge necessary. The agency took a cut of 7.5 percent in FY 2011 and 4.2 percent this year.<\/p><p>[module align=&#8221;right&#8221; width=&#8221;half&#8221; type=&#8221;pull-quote&#8221;]<\/p><p>\u201cEvery now and then you\u2019ll hear somebody who\u2019ll complain about it, but if you meet a certain income level then you can get the shot for free. But, yeah, I haven\u2019t heard a whole lot\u201d<\/p>\n<h6>-Kristin Russel, Registered Nurse, Cleveland County Health Department<\/h6><p>[\/module]<\/p>\n<h6><span class=\"Apple-style-span\" style=\"font-size: 14px; line-height: 21px; font-weight: normal;\">\u201cIf the state legislature wanted to provide us money to buy a bunch of vaccine, we most certainly could, but it\u2019s primarily due to our budget situation,\u201d Cadaret said. \u201cWe just don\u2019t have that money. We\u2019re not making a profit from this activity. We\u2019re attempting to cover our costs.\u201d<\/span><\/h6><p>Cuts are also coming to one of the two federal programs that provide vaccines to the state. The <a title=\"Vaccines for Children Program\" href=\"http:\/\/www.cdc.gov\/vaccines\/programs\/vfc\/default.htm\">Vaccines for Children Program<\/a> will continue to provide enough vaccine to immunize those under 18. But Oklahoma\u2019s approximately $5 million portion of the federal <a title=\"317 Program\" href=\"http:\/\/www.317coalition.org\/documents\/programinbrief.pdf\">317 Program<\/a> for underprivileged adults is expected to drop by about half a million dollars. This as the price of vaccines continues to rise.<\/p>\n<div id=\"attachment_2139\"  class=\"wp-caption module image left\" style=\"max-width: 300px;\"><a class=\"fancybox\" title=\"Registered Nurse Kristin Russell prepares a flu shot as she asks a patient questions about his medical history.\" href=\"http:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/nurse.jpg\" rel=\"\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-2139\" title=\"nurse\" src=\"http:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/nurse.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/nurse.jpg 300w, https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/nurse-150x100.jpg 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p class=\"wp-media-credit\">Joe Wertz \/ NPR StateImpact<\/p>\n<p class=\"wp-caption-text\">Registered Nurse Kristin Russell prepares a flu shot as she asks a patient questions about his medical history.<\/p>\n<\/div><p>The number of people getting flu shots at county health departments <em>has dropped<\/em> considerably, but not because of the reasons just mentioned. Tom Skinner, with the CDC in Atlanta, explained why that\u2019s a <em>good <\/em>thing.<\/p><p>\u201cWe continue to see doctors\u2019 offices being the primary place where individuals go to get vaccinated,\u201d Skinner said. \u201cBut certainly over the years we\u2019ve seen a large increase in people going to pharmacies. Going to grocery store pharmacies. Getting vaccinated at their workplace. We\u2019re seeing more and more children getting vaccinated at their schools. So anything that leads to more people getting vaccinated is a good thing.\u201d<\/p><p>State funds paid for 90,000 flu vaccines for this season. That\u2019s down by about half from last year. Despite the cuts, Oklahoma&#8217;s flu vaccination rate is still slightly better than the national average. That\u2019s due to wider availability at places like the Westminster Family Drug Store in Nicoma Park, just east of Oklahoma City. Pharmacist John Blomgren said his customers don\u2019t mind trading cost for the convenience of avoiding the health department.<\/p><p>\u201cActually, when you go down there, you\u2019re standing in a huge \u2013 I\u2019ve never been down there \u2013 but I know there are probably long lines, stuff like that,\u201d Blomgren said. \u201cI just had a rush. In the midst of that rush there were four or five flu shots. So there\u2019s not a whole lot of waiting.&#8221;<\/p>\n<div id=\"attachment_2140\"  class=\"wp-caption module image right\" style=\"max-width: 300px;\"><a class=\"fancybox\" title=\"caption\" href=\"http:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/pharmacist.jpg\" rel=\"\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-2140\" title=\"pharmacist\" src=\"http:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/pharmacist.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/pharmacist.jpg 300w, https:\/\/stateimpact.npr.org\/oklahoma\/files\/2011\/11\/pharmacist-150x113.jpg 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p class=\"wp-media-credit\">Logan Layden \/ NPR StateImpact<\/p>\n<p class=\"wp-caption-text\">At Westminster Family Drug, Pharmacist John Blomgren stands next to a glass case filled with medicines and devices not used for decades.<\/p>\n<\/div><p>Back at the Cleveland County Health Department, Registered Nurse Kristin Russell prepares to stick another patient. She said those now required to pay the $25 have adjusted for the most part.<\/p><p>\u201cEvery now and then you\u2019ll hear somebody who\u2019ll complain about it, but if you meet a certain income level then you can get the shot for free. But, yeah, I haven\u2019t heard a whole lot,\u201d Russell said.<\/p><p>There\u2019s no plan to return to free flu shots for all anytime soon. But the federal healthcare law will require insurance plans to cover preventive treatments, like flu vaccines, by 2014.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s time for annual flu shots. But due to state budget cuts, some Oklahomans who are used to getting vaccines at county health departments for free are being asked to pay up.<\/p>\n","protected":false},"author":42,"featured_media":2138,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[15],"tags":[212,858,132,210,857,208,209,211,213],"acf":[],"_links":{"self":[{"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/posts\/2108"}],"collection":[{"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/users\/42"}],"replies":[{"embeddable":true,"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/comments?post=2108"}],"version-history":[{"count":6,"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/posts\/2108\/revisions"}],"predecessor-version":[{"id":2195,"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/posts\/2108\/revisions\/2195"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/media\/2138"}],"wp:attachment":[{"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/media?parent=2108"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/categories?post=2108"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stateimpact.npr.org\/oklahoma\/wp-json\/wp\/v2\/tags?post=2108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}