We have insurance so we only have a co-pay of like $10-$15. We aren't vaxing, but I like to go in for the check-over. But it wouldn't bother me if I missed some visits. I just kind of like to get the weight and height, etc. My ped is neutral on the vax issue, which is nice, but she recommended flouride for ds ... she said to give him tap water, yuck! I just said, "Oh, okay"....umm, yeah. She also told me to feed him rice cereal for iron...umm, again I said, "Oh". hehehe. Gosh, I really wish I had insurance for natural health care....I would just go to my chiropractor so much more often and take ds there with me.