Unlike patients who have a choice about getting the flu shot, many health care workers didn't have a say this year. For the first time in Rhode Island, hospital and nursing home workers were told to roll up their sleeves, and hundreds of hospitals in other states have similar policies. "No one likes to be coerced, and there were some people who objected," says Virginia Burke, CEO of the Rhode Island Health Care Association, which provides skilled nurses and rehabilitation workers to the state's nursing homes. "My fear when the mandate came out was we'd lose workforce. To my delight, that hasn't happened." But more than 1,000 workers filed a petition to oppose the directive.