In the early days of the West Texas measles outbreak, Thang Nguyen eyed the rising number of cases and worried. His 4-year-old son was at risk because he had received only the first of the vaccine’s two doses.
So, in mid-March, he took his family to a primary care clinic at the University of Texas Medical Branch in Galveston.
By the end of the visit, his son, Anh Hoang, had received one shot protecting against four illnesses — measles, mumps, rubella, and chickenpox. He also received a second shot against tetanus, diphtheria, and whooping cough, as well as a flu shot. His twin daughters, who had already had their measles vaccinations, got other immunizations.
Nguyen, who is a UTMB postdoctoral fellow in public health and infectious disease, said he asked clinic staff whether his family’s insurance would cover the checkups and immunizations. He said he was assured that it would.
Then the bills came.
The Medical Procedure
The first measles vaccine was licensed in 1963 and became part of the combination measles, mumps, and rubella, or MMR, vaccine in 1971. Today the vaccine against chickenpox, or varicella, is sometimes combined into what is known as the MMRV vaccine.
A first dose of the measles vaccine is usually given between 12 and 15 months, with a second between ages 4 and 6. Experts may recommend vaccinating children at younger ages during an outbreak — like the ongoing U.S. measles outb …