During the late summer, Iowa State Auditor Rob Sand issued a statement asking people to get vaccinated. He wrote, “Adults aged 18 and older who are eligible for the COVID-19 vaccine but refuse it are costing the U.S. health system billions of dollars, according to a study by the non-partisan Peterson Center on Healthcare and the Kaiser Family Foundation (KFF). Any hospitalization due to a serious illness is difficult for the patient and their families.