The vaccine rollout

Vaccines are being shipped out across the country, but most of them have not yet made it into actual Americans. Bloomberg has been tracking vaccination progress across the country – at time of writing, about 12.5 million doses have been sent out, yet just over 3 million shots have actually been administered. At this rate, it will take something like seven years to inoculate the whole country, and many doses may expire before they can be used.

There was no way this wasn’t going to be a disaster. President Trump, of course, has completely failed to organize anything at the federal level. For all his manic shattering of political norms, his most characteristic behavior is simply not doing anything in a moment of crisis. Since early November, over a thousand people a day have died of COVID, steadily increasing to nearly 4,000 on some recent days, but Trump has done virtually nothing except try to overturn the election with tweets, play golf, watch television, and pardon his criminal friends. What federal action that is happening is being rigged up by the remaining shreds of the bureaucracy Trump has not yet destroyed. He says himself that states are on their own.

That of course is making things exponentially more difficult for those lower levels of government. The federal government has always played a central role in previous mass vaccination efforts, because it is the only entity that can coordinate the whole country. States and cities have already endured brutal austerity, laying off millions of employees and cutting back services. Now they are trying to organize a massive logistical operation during a murderous pandemic by the seat of their pants.

Trump’s constant firehose of lies and misinformation have also done terrible damage. The Los Angeles Times reports that even many frontline health-care workers are hesitant about taking the vaccine, in part because they are skeptical of the political and economic motives behind the production of the vaccine. Clear and consistent communication is vital in pandemic control, so the population will trust that control measures will work. Instead Trump has undermined trust in everything.

That said, it is clear that many states and cities could be doing much better than they currently are. It has been obvious since January 2017 that the Trump administration would provide little help in a crisis. States and cities have had months to lay out a plan, and scrounge up the relative pittance needed to get shots into arms – cannibalizing every other department if necessary, for there can be nothing more important than getting that vaccine out.

Yet a great many states and cities are whiffing it. It appears that the culprit here is some combination of authorities getting tangled up over who deserves the vaccine the most.

Excerpted: ‘America Was Always Going to Bungle the Vaccine Rollout’

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