First, we were told in October that we'd have 100 million doses by end of December
100 million
Who said that? @SecAzar
In The Hill. Like 10 weeks ago
Then, by november, Azar was saying 40 million doses ready to ship out by end of Decemberhttps://thehill.com/changing-america/well-being/prevention-cures/520297-us-could-have-enough-covid-19-vaccine-for-every …
-
-
Show this thread
-
Here's Azar in
@thehill saying 40 million by end of the year In December, Operation Warp Speed says 20 million doses will be out by end of year, they'll keep the other 20M in reserve for 2nd dose. Fine 3/nhttps://thehill.com/changing-america/well-being/prevention-cures/526593-us-will-have-40-million-coronavirus-vaccine …Show this thread -
Now, we'll miss 20M deadline but might be able to get to 20M by sometime in early January But this is really not the worst part The worst part is no real planning on what happens when vaccines arrive in states No plan, no money, just hope that states will figure this out 4/n
Show this thread -
So who manages state level? Departments of Health mostly These well-funded agencies (yes, I'm kidding) who manage all the testing, data analysis & reporting, providing advice to businesses, schools, doing public campaigns, etc Non-stop. For 9 months They get vaccines too 5/n
Show this thread -
So DOHs adding vaccines to their plate Most are super stretched and they are trying to make a plan They are trying to stand up a vaccination infrastructure Congress had given them no money. States are out of money So many are passing it on to hospitals, nursing homes 6/n
Show this thread -
Any of this familiar? Like our national testing debacle, being repeated And now, hospitals and clinics are scrambling to figure out how to implement This article from
@CNN is helpful There is one line in this piece that drove me crazyhttps://www.cnn.com/2020/12/23/health/vaccine-rollout-slow-data-lags/index.html …Show this thread -
The line when Mississippi health chief says its not state's job to ensure vaccines get into people's arms What? Whose job is it? Not the Feds. They just get vaccine to states Not the states. They just get vaccine to hospitals, clinics So its all on front line providers? 7/n
Show this thread -
To be sure, many states are taking real responsibility LOTS of overburdened public health folks are still making this work. Heroically But now hospitals trying to figure out where to set up vaccination sites. And folks sorting out who can do vaccinations in care facilities 8/n
Show this thread -
So that's where we are, but here are a few key data points 1. We have about 11.5 million doses distributed 2. About 2.1 million given 3. I think the real number of given is higher (reporting lag) but its still not that great But here's the part that is so frustrating 9/10
Show this thread -
There appears to be no investment or plan in the last mile No effort from Feds to help states launch a real vaccination infrastructure Did the Feds not know vaccines were coming? Shouldn't planning around vaccination sites, etc not have happened in October or November? 10/11
Show this thread -
Public health has always been a state/federal partnership States are stretched Feds are suppose to help But same folks who blamed states for testing mess now ready to blame states for vaccine slowdown They are again setting states up to fail But now, there is hope.... 11/12
Show this thread -
Congress finally passed $ for vax distribution States now building infrastructure. Should have been built by Feds months ago After a slow ramp up, it'll get better We're learning again we can't fight pandemic with every state on its own An effective federal govt helps Fin
Show this thread -
Addendum
@SpoxHHS are pushing back on this thread Their point? Over past 9 months, on average, states/territories got $6M each, yes Million, for vaccine readiness True So not "no money" Just trivial $Show this thread
End of conversation
New conversation -
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.