I would be skeptical of how much you just have people "tough it out" in these economies in order to vaccinate more people. The fact this drug is cheaper and

I would be skeptical of how much you just have people "tough it out" in these economies in order to vaccinate more people. The fact this drug is cheaper and better is really impressive. How does this compare to the price of the injectable vaccines? Retail cost out here seems to be $30–$40, of which I'd expect a large chunk of that goes to labor. So you were offered both as an covered options? I did this outside of insurance. Up until California started taxing people who didn't carry private health insurance it made sense to see a GP at a fee-for-service practice that didn't take insurance. This was long enough ago that I don't remember the exact cost, but it was in line with the more common injected flu vaccines. I can't think of another time I've been offered the nasal spray. Megacorp had Kaiser nurses on site annually, and they only offered the injection. I'm with (ick) Kaiser now and they were making some noise about covering COVID and flu vaccinations at CVS and Walgreens. If the nasal spray is offered there then presumably it would be covered by insurance. However… https://www.cdc.gov/flu/prevent/nasalspray.htm https://www.cdc.gov/flu/prevent/nasalspray.htm After the 2009 pandemic, several U.S. studies among 2 through 17-year-olds found that the nasal spray vaccine was as effective against influenza B viruses and influenza A(H3N2) viruses as inactivated influenza vaccines but was less effective than inactivated flu vaccines against the 2009 pandemic H1N1 viruses. These data led ACIP and CDC to recommend against use of the nasal spray vaccine for the 2016-17 and 2017-18 seasons. Since the 2017-2018 season, the manufacturer of nasal spray vaccine has used new influenza A(H1N1) vaccine virus ingredients in production. Because of limited use, there have been no effectiveness estimates in the United States since LAIV was recommended again in the 2018-2019 influenza season. Data from other countries have demonstrated protection from LAIV to be similar to that of standard-dose, egg-based inactivated flu vaccine in children. Which sounds to me like there aren't a lot of compelling reasons to use the flu spray unless you're severely afraid of needles and thus most places don't offer it.