Why is the Covid Vaccine so slow to rollout?

Melensdad

Jerk in a Hawaiian Shirt
Staff member
GOLD Site Supporter
I'm not putting this into the main COVID thread we have going on the forum. It certainly would be relevant in that thread, but this is more about a failure in how we are distributing the vaccine than in the actual disease.

I'm immunocompromised, age 60, taking immunosuppressive drugs. You'd think I might be able to get on a list for a possible vaccination. Even if I'm not a super high risk, I'm clearly a higher risk than my wife who is 3 months younger than I am, but has no known health issues. My state treats us the same. We both are not able to get vaccinated. In fact you need to be 80 years old in my state to get vaccinated. Or you need to be a health care worker or a 1st responder or some other special class of citizen.

I'm not looking for a debate, or to blame politicians, I'm looking for a vaccine and as a former logistics guy who distributed thousands of items to thousands of stores, I just want to get this vaccine out to people and get past this virus. I want life to return to the world.

From BLOOMBERG comes this excellent article.

See the link for the full article and other related articles--> https://www.bloomberg.com/opinion/a...-is-being-slowed-by-too-many-government-rules

Micromanagement Is Plaguing the Vaccine Rollout


A lot of people think that a take-charge attitude by Biden would inoculate America faster. Let’s hope he knows better.


Virginia PostrelJanuary 5, 2021, 8:30 AM CST​
For too many people, it’s a knee-jerk reaction: Blame the slow U.S. rollout of Covid-19 vaccines on too little central planning by the administration of President Donald Trump. Demand tighter control from the incoming administration of President Joe Biden. Limit the number of vaccination sites! Bring in the military! Put somebody in charge!​
But the problem with the rollout of Covid-19 vaccines isn’t that no one is in charge. Far from the answer, tighter federal control would probably be a disaster. It would only amplify the problem.​
By guaranteeing large purchases, the federal government gave manufacturers strong incentives to produce the vaccines. It was a smart move, and it worked. But now we’re experiencing the downside. Buying up the supplies and bestowing a vaccine monopoly on state governments blocked the normal distribution channels connecting producers with vaccinators.​
Whether you’re laying fiber optic cable or delivering packages, that last mile is the tricky, labor-intensive, expensive part. To reach individuals, the system has to go from centralized operations to decentralized ones. That’s why we have retailers rather than ordering our toilet paper from Georgia-Pacific, and why they, in turn, often rely on distributors. “Cutting out the middleman” is a catchy slogan, but intermediaries make the system work.​
When the federal government turned state agencies into the country’s vaccine distributors, it bypassed the usual supply chains. Doctors and hospitals couldn’t get Covid-19 vaccines the way they order other inoculations.​
Distribution also became politicized in ways that slow down vaccination. Every shot comes with a ton of paperwork, and the rationing rules are hard to understand. Who exactly qualifies as a health-care worker or an essential employee? Is it OK for hospitals to give shots to janitors or billing clerks?​
In Minnesota hospitals, one doctor who asked to remain anonymous noted in an interview, “there was a lot of focus on scheduling appointments and dividing up by departments to be sure they were fair” even if that meant delaying vaccines and potentially letting some supplies go to waste. It’s a widespread problem.​
As he threatens fines for hospitals that don’t use all their vaccines, New York Governor Andrew Cuomo also signed an executive order requiring providers to certify that every recipient qualifies under the current rationing protocol. Letting someone jump the queue now risks a $1 million fine and the loss of a state license. “If you wanted to make sure that rapidly expiring vaccines distributed in 10-dose vials end up in the trash, this is how you'd do it,” observed commentator Mason Hartman on Twitter.​
Micromanagement is impeding the rollout. In South Carolina, for instance, a medical assistant often gives injections in a doctor’s office, and the job requires no special certification. For Covid-19 vaccines, however, the state says that even someone with decades of experience can’t administer a shot unless they have an official credential.​
Instead of leaving decisions up to medical practices that give shots every day and know who can do the job, “each state has different rules on what level of person can give a [Covid-19] vaccine,” says Craig Robbins, a primary-care physician with Kaiser Permanente in Colorado, who has been working on the health management organization’s vaccine rollout.​
Distribution is hard enough without these roadblocks. Start with the numbers. At Kaiser Permanente facilities, a single vaccinator can give about 10 shots an hour, with much of the time spent filling out forms. To get to herd immunity, the U.S. needs to inject two doses several weeks apart to something like 240 million people. At 10 injections an hour, that’s 48 million hours of vaccinators’ time, 4.8 million hours a week over 10 weeks to get to early March. We’d need 120,000 vaccinators working 40-hour weeks. In a big country, that sounds doable.​
After all, the U.S. has nearly a million practicing physicians, about 4 million registered nurses, 920,000 licensed practical or vocational nurses, more than 670,000 medical assistants, plus pharmacists, paramedics and medical, dental, nursing and pharmacy students. The problem is that most of those people already have jobs or full-time coursework. Most aren’t available to spend all day giving Covid-19 shots.​
The last thing we need in these circumstances are special restrictions on who can administer vaccines — restrictions that send the perverse message that vaccines against this disease are somehow more questionable than those against the flu or measles.​
Before we lose more time, it’s worth asking what a program to get vaccines to people as quickly and effectively as possible might look like. Economist John Cochrane has made the case for selling vaccines to the highest bidder. That’s not going to happen, but we could do better by abandoning the urge to control every aspect of the process.​
Keep it simple. Use rationing rules people can easily understand. Worry less about queue jumping and more about getting vaccines into arms as quickly as possible. Trust medical professionals to do their jobs.​
Leaving matters to the states has one big virtue: It allows some pragmatic experimentation unapproved by the Centers for Disease Control’s bureaucrats. A growing number have gone to a simple age cutoff, offering vaccines to everyone over, say, 65.​
States could also make it much easier for medical professionals to organize vaccination drives. Allow any practice to set up days when they offer shots to their employees, patients and the community. Leave it up to them to decide who can administer the injections and how to manage sign-ups. Just provide the vaccines.​
Going a step further, allow any organization — a church, an alumni association, a sports league or any other legally incorporated group — that can round up the necessary space and qualified volunteers to offer a vaccination clinic. Hospitals and health departments can only do so much.​
Community groups offer two essential resources: trust and willing hands. For people who might be skittish about getting vaccines from strangers in impersonal institutions, having someone they know as the face of the injection can offer reassurance....​
 

pirate_girl

Infirmière essentielle
GOLD Site Supporter
For the general public.

Now that just about every hospital employee and healthcare worker in long term care have received the vaccine, I don't understand why they aren't just making the vaccine available to all of YOU right now.

All of my residents have received theirs.
So have most (but not all) of the staff.
We're up for the second dose toward the end of the month.

It's nothing to fear.
I've yet to see an adverse reaction.
 

Melensdad

Jerk in a Hawaiian Shirt
Staff member
GOLD Site Supporter
My brother and other health care workers in my area have already gotten their 2nd dose. But I need to be 80+ to qualify to get one. WTF?
 

TiredRetired

Mr Lovable
SUPER Site Supporter
Well, kinda hard not to blame politicians when they are the ones that got the vaccine first and totally politicized this whole China Virus and are responsible for this piss poor rollout for not effectively coordinating the shipments with their respective Health Departments. The elderly continue to wait and wait for their vaccine. I know of no one outside of the healthcare profession that has received the vaccine, other than politicians. While it is important for the healthcare workers to be vaccinated, it is just as important for immuno comprised people to get it as well.

At 72 It will be at least 6 months before I ever see a vaccine, guaranteed.
 
For the general public.

Now that just about every hospital employee and healthcare worker in long term care have received the vaccine, I don't understand why they aren't just making the vaccine available to all of YOU right now.

All of my residents have received theirs.
So have most (but not all) of the staff.
We're up for the second dose toward the end of the month.

It's nothing to fear.
I've yet to see an adverse reaction.
I read that 50% of hospital workers dont want the vaccine and 60% of retirement home employees dont want it.
I certainly dont want it. I dont trust it nor the people behind making it.
My good friends daughter that works at a hospital took her 2nd dose a few days ago. All her joints felt like they were on fire. She was in a insane amount of pain. I hear about 20% have similar reactions BUT MSM isnt saying a word about that.
 

pirate_girl

Infirmière essentielle
GOLD Site Supporter

The state will then begin a cascading dispersal, wherein every week after the January 19 start, the vaccine will be eligible for those a little younger.

On January 25, those 75 and older can get the vaccine. On February 1, those 70 and older can get it, and so on.

More guidance will be provided on Thursday when the Ohio Department of Health will post information on what providers are being allocated vaccinations for next week.
 
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