H1N1 is already becoming resistant to Tamiflu. The last I saw about 20% of the infections were resistant. This will go up significantly as more people are treated this fall.
And yes, the flu is only causing about 3x the death rate as the anual flu but it has been identified in swans in South America which greatly increases the risk that it will pick up more virulent genes from the avian flu.
Unless I get it naturally over the next few months, which is fairly likely, I will get the vaccination when it is available.