The failure of federal and state distribution systems coupled with the failure of local governments and medical systems inability to staff up to a level needed to quickly vaccinate people.
Except that is only true where it is true and in some places that is the case but not all.
The reality seems to be that we are encountering vaccine reluctance among even health care workers and that was largely unanticipated and many hospitals or distribution centers did not and do not have a plan B or people on call to fill in for a no-shows. There are LOTS of people who do want the vaccine. The priority system is supposed to be about prioritizing competing demands, not about preventing people from getting it. DUH!!!!!
The other issue- and this is major- is that the states and locals have had conflicting or restrictive information about how much vaccine must be kept on hand for second doses when giving first doses. Or to what extent can they rely on future supplies without withholding parts of a previous shipment.
The smart states- having followed the feds guidelines and ended out with wasted vaccine- are adopting Plan B's right off. Some of that has been sloppy whereby if a medical care worker does not take it or enough do not they have just given it to anyone else who was nearby and wanted it. Which is okay but not as good as getting it to another priority group.
In the meantime, there are people who need it. And too bad there cannot be a registry where an eligible person donate theirs to those who are needy. Y'all know my view that there are hotspots that do not qualify in first rounds but a few hundred vaccines would be do a lot of good.
Among those to be considered, let us not be like the Canadians and forget our indigenous peoples. As I said, sometimes a few hundred people voluntarily contributing AND THEN REDIRECTING their prioritized vaccine could do a lot of good. Unlike this bullshit that is going on now where hospital administrators are hogging vaccine just because they are classified as medical worker.
https://www.adn.com/alaska-news/202...a-has-northwest-alaska-village-on-high-alert/
COVID-19 outbreak in Kivalina has Northwest Alaska village on high alert
At least 10% of the population of the community of Kivalina tested positive for COVID-19 this week as elevated case levels continue around Western Alaska.
Tribal officials have started water deliveries to home-bound Kivalina residents to stave off additional spread of the virus.
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