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Vaccines reduce person’s chance of needing an expensive medicine. Thus, if someone chooses not to, then he imposes costs on the tzibur. Dina d’malchusa does not limit your personal obligations. You are still obligated to put up a fence to protect privacy of your neighbor even if building code does not require it. I am talking specifically about your Jewish patients who should think about such things. Ask them.
I think some insurances start charging non-vaxxed people more. This make sense instead of charging everyone for that. There is a downside here that these people will be even more reluctant to seek appropriate cate. Also, this is a long cycle – it takes a year to implement, then a year for new rates to come up, too slow and indirect.