The ongoing drama in Washington over changes to national vaccine policy has many people wondering just how difficult and expensive it will be to get flu and coronavirus shots this fall. While experts say that the situation is still uncertain, the biggest changes are likely to impact healthy adults under age 65 who are covered by Medicaid, called Medi-Cal in California, the federal health coverage of last resort for more than 70 million Americans, nearly 1 million of whom live in San Diego County.

Those who are covered by private health insurance plans from their employers or purchased through health insurance exchanges such as Covered California are likely to see significantly fewer impacts, because most carriers have signaled that they intend to continue providing their members with COVI

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