I got it this year because I'm pregnant and it's a bad flu year. I got it every year for my nephew who lived with me for 9 years, he has asthma and is at higher risk. This year he moved in with his mother, didn't get the flu shot, and got the flu. He was sick as a dog, poor boy and had all sorts of complications. I say that people with higher risk factors should get it, but generally healthy people with healthy immune systems don't really need it.