People love to frame this as "patient choice" but this:

> They will recommend that decisions on vaccinations against flu, Covid-19 and rotavirus be based on “shared clinical decision-making,” which means people who want one must consult with a health care provider.

Will directly mean that a vaccine, which used to be free, will now cost a doctor-consultation fee (between $35 and $100+ depending on insurance plan). So for the poor they actually lose the "choice" if they cannot afford the new higher cost.

For example in my state, COVID-19 which was free last year, cost a doctor visit this year ($110) even if the actual vaccine remains 100% covered.