Should Insurance Cover Routine Immunizations?

Abstract

ONE of the key recommendations of the National Vaccine Advisory Committee—for what it terms the nation's ailing immunization system—calls for medical insurance companies to cover routine childhood vaccinations. If compliance is not voluntary, the committee says, it should be mandated by legislation. The federal advisory committee's recommendations were made in response to the recent measles epidemic (JAMA. 1991;265:2163) and because evidence suggests that an increasing number of children who have medical insurance are being referred to already overtaxed public clinics for vaccinations. As a result, an alarming number of children, with and without insurance coverage, are failing to get vaccinations on schedule, the panel concludes. As serious as the measles situation is, it is only a "warning flag" of a potentially far greater problem, the advisory committee predicts: "The increase in measles cases is likely to be followed by outbreaks of other vaccine-preventable diseases." As one of the most contagious

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