Governor Rick Perry, of Texas, has bypassed the Legislature and has mandated that: Beginning in September 2008, girls entering the sixth grade -- meaning, generally, girls ages 11 and 12 -- will have to get Gardasil, Merck & Co.'s new vaccine against strains of the human papillomavirus, or HPV. http://www.cnn.com/2007/HEALTH/conditions/02/02/tx.cervical.cancer.ap/index.html According to the AP: But in the real world, Gardasil is getting used less than doctors would like. Pediatricians and gynecologists from Arizona to New York are refusing to stock Gardasil because of its $360 price for the three doses required and "totally inadequate" reimbursement from most insurers. Pediatricians, in particular, are rebelling, fed up after years of declining insurance reimbursement for vaccines, an explosion of new vaccines and fast-escalating vaccine prices. Many practices must tie up $50,000 or more in vaccine inventory, run multiple refrigerators, insure the vaccines and spend lots of time on inventory management. They also must absorb the cost of broken or wasted vials and say that's not possible with most insurers reimbursing at just $2 to $15 over the $120 per dose charged by Gardasil's developer, Merck & Co. of Whitehouse Station, New Jersey. http://www.cnn.com/2007/HEALTH/conditions/02/02/cancer.vaccine.ap/index.html One troubling thing is the close ties between Governor Perry and Merck, the drug manufacturer. Not only has Merck contributed to Perry's campaign, but Mike Toomey is one of Merck's three lobbyists in Texas and is Perry's former chief of staff.