Sufferers will have to wage the type of political battle that AIDS and Gulf War Syndrome patients have waged, until there are accurate tests, effective treatment, adequately funded and responsible research, and fair insurance coverage. My own Lyme specialist does not recommend vaccination for patients with a history of Lyme Disease. I'm holding my own and staying employed, and I really don't want to introduce any more complications into the picture, so I will not be vaccinated. Your choice should be made after learning as much as you can about the subject and discussing it with a doctor you trust. Birders are among the most at-risk groups for Lyme Disease, along with others who work or play outdoors.
Birders are by definition likely to go to a variety of habitats including tick-infested areas.
Despite the best precautions, most birders probably have been bitten more than once. To understand the risks and choices birders need all the information we can get, and must actively work at self-protection. First, don't stop birding, but be aware of the potential hazards. If you are bitten, seek immediate treatment. There are Lyme Disease support groups all over the country now who can provide referrals.