shocked that the people who brought you the DMV would fuck up vaccine distribution
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That is more or less what is already happening. The vaccines are given to private firms, which then vaccinate and get reimbursed by Medicare for each inoculation. This is supposed to properly structure incentives. It's just these private firms aren't great at their job.
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We had last mile problems when we did this with polio. After just handing everything to the government, things went pretty smoothly.
End of conversation
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