As I do every year at this time, I’m seeing many patients who refuse the influenza vaccine. This refusal used to frustrate me. OK, it still frustrates me. But I think I understand it better than I used to. I’ve come to realize that deciding not to have a flu shot may have less to do with opposition to the vaccines themselves than with my patients’ desire to regain a measure of control in a health care system that often makes them feel powerless.
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