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Yo_Mama_Been_Loggin

(107,646 posts)
Tue Dec 1, 2020, 03:57 PM Dec 2020

Trump's "Plan" to Distribute COVID-19 Vaccines Is a Predictable Clusterf--k

In the U.S.’s fight against COVID-19, there’s good news and there’s “Forced to sit next to Don Jr. at a dinner party and listen to the intricate details of his workout regimen”–type news, i.e. the kind you never want to hear. On the good-news front, a number of drugmakers have said early data show their vaccines are highly effective in preventing the novel coronavirus. The less-good news: Donald Trump is still president, meaning we’ll probably have to wait at least seven weeks until the federal government has a plan to distribute lifesaving drugs that actually inspires confidence and not sheer dread.

According to Politico, the Trump administration has basically decided to pass the gargantuan, daunting task of getting vaccines to people to individual states, a strategy it used to address the pandemic this spring that led to disastrous results. While state and federal officials agree that the country’s 21 million health care workers should be the first to get doses, “there is no consensus about how to balance the needs of other high-risk groups, including the 53 million adults aged 65 or older, 87 million essential workers and more than 100 million people with medical conditions that increase their vulnerability to the virus.” Trump and company have told governors they have the ultimate say when deciding who gets vaccinated when; it’s also chosen to “allocate scarce early doses based on states’ total populations,” which will ultimately lead to difficult choices in states with a bigger proportion of residents who are at at risk. (The virus has disproportionately affected Black, Latino, and Indigenous communities when it comes to hospitalizations and deaths.) Experts worry that could undermine confidence in the effort to vaccinate the population, the success of which is dependent on persuading a huge number of Americans to get immunized. (As for any hope of achieving herd immunity, approximately 200 million Americans would need to get the vaccine and/or be infected; as of last month, only about half the country said it would get it.)

“States are going to have to pick and choose who gets the first doses,” Josh Michaud, an associate director for global health policy at Kaiser Family Foundation, told Politico. “It’s very obvious that states are in different places when it comes to planning and identifying who those people are.” Moncef Slaoui, who leads the government’s Operation Warp Speed program, said he doesn‘t “expect the states to make uniform decisions. Some may prefer long-term care facilities or the elderly, while others may prioritize their health care workers. It would be wrong to immunize 18-year-olds first. I hope no one does that. But otherwise it’s shades of gray.”

While most screw-ups from the Trump administration can typically be attributed to incompetence, it says something about the federal government’s current reputation that incompetence is the best explanation for vaccine-distribution planning thus far. As a member of Joe Biden‘s COVID task force told Vanity Fair’s Katherine Eban earlier this month, there’s fear Team Trump purposely hamstrung the transition for weeks to “make timely vaccine distribution all but impossible,” leaving Trump “with the victory of overseeing its successful development, and an incoming President Biden with the failure to distribute it.”

https://www.vanityfair.com/news/2020/11/donald-trump-vaccine-distribution

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Trump's "Plan" to Distribute COVID-19 Vaccines Is a Predictable Clusterf--k (Original Post) Yo_Mama_Been_Loggin Dec 2020 OP
I actually think letting states decide is better than the alternative... TheRealNorth Dec 2020 #1
ive no doubt that the Trump admin will screw it up. drray23 Dec 2020 #2
I feel like there might be some better news here genxlib Dec 2020 #3
I read the article at the link GopherGal Dec 2020 #5
No guidelines? Nothing? underpants Dec 2020 #4

drray23

(7,615 posts)
2. ive no doubt that the Trump admin will screw it up.
Tue Dec 1, 2020, 04:07 PM
Dec 2020

However I think its better left up to the states to organize the dustribution in their states with the appropriate government support. I am sure the Biden administration will work together with states to ensure it happens.

genxlib

(5,517 posts)
3. I feel like there might be some better news here
Tue Dec 1, 2020, 04:15 PM
Dec 2020

This was just done in a 60 minutes episode a few weeks ago. I actually feel like this one of the few things he did right. He put army logistics people in charge and got out of the way.

https://www.cbsnews.com/news/covid-19-vaccine-distribution-60-minutes-2020-11-08/

The way I see it, there are multiple moving pieces to this.

1) Availability - How fast they can manufacture and have doses ready

2) Coordination - Deciding priorities for who, what and where the shots go

3) Distribution - Effectively getting the doses to the locations with all of the challenges in storage, safety, security and temperature

4) Administration - Actually giving shots

This will all happen in waves with different factors being critical at different times. In the beginning, Availability will be the key and we have already started making these things going back months ago. One thing we did well.

Coordination is being spun off to the states which I think is fine. I think the earliest decisions are the easiest but it gets harder when you get down a few tiers (ie age before comorbidity etc.)

Distribution will be challenging but will have to ramp up over a month or two. That is where the 60 minutes interview comes in. Again I think the early days will be the easiest and will get more complicated to reach the masses.

Administration in the early days should be easy since it will take place in Medical facilities for medical professionals. It gets harder when we hit the masses. I expect that all of those arenas and conference centers that were used for polling places will be repurposed for shots. No particular reason it can't be done in drive through the same way the testing is done.

Bottom line for me is that I think availability will limit how fast that it can be distributed anyway. If they showed up with 600 million doses on January 1rst, it would be a mess. But rolling out 20-30 million a month is going to be a more natural wind up anyway

GopherGal

(2,006 posts)
5. I read the article at the link
Wed Dec 2, 2020, 12:18 AM
Dec 2020

Or, more correctly, I guess, the transcript of the video.
The 4-star general sounds a little bit reassuring to me.

David Martin: So if this distribution of vaccine is-- doesn't go according to plan, where does the buck stop?

General Gus Perna: Me. Conversation's over. It's pretty easy, me. I hold myself 100% personally accountable to that end.


I guess because he sounds like the anti-Trump.
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