As I sat down to lay down my daily (or at least week-daily) dose of Insolence last night, my thoughts kept coming back to vaccines. Sure, as I pointed out in yesterday's post, we seemed to have dodged a bullet in that President Trump appears on the verge of appointing someone who is actually competent and pro-vaccine as director of the CDC. Of course, none of that changes the issue that Donald Trump's proposed budget takes a meat axe to public health programs, including vaccines, and that if Republicans succeed in dismantling the Affordable Care Act a large chunk of money going to vaccine…