We have private insurance. I hate to think about the cost for Malarone and the oral typhus. Someone told me to check out Costco or Walmart (editing to say that was John at the top of this thread.) I'm not sure we really need the typhus (or malarone for 3 days before the rainy season even starts). But, since we paid for the travel clinic and have the typhoid prescription, we might as well take it since the effects last for 5 years. Surely in the next 5 years we'd need typhus protection. I have lots of travel plans!