Disagree. We should be honest. IT IS A ZERO-SUM GAME. Vaccine manufacturers are not able to meet demand. Production is already maxed out. If we hoard or have vaccines expire rather than share, that doesn't make it a non zero-sum game, it just makes us morally bankrupt.https://twitter.com/jburnmurdoch/status/1438103141216575490 …
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I'm not disagreeing that boosters may well be indicated for the elderly and the immunocompromised. J&J needs a booster. But, let's not lie to ourselves. SUPPLY IS LIMITED. A third dose here is a first dose denied to someone else. Whatever we choose, that is just plain reality.
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Replying to @zeynep
All fair points! I think what I worded badly (or indeed just got wrong) and addressed more in my second point, is that I’m thinking more of real-world utility of a dose distributed to different parts of the world.
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Replying to @jburnmurdoch @zeynep
Obv I think there’s far greater need to get first and second jabs to many developing countries than thirds to the rich. But from what I’ve seen and heard to date, it’s not clear that dose distributed to country A has the same chance of ending up in an arm as it does in country B.
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Replying to @jburnmurdoch @zeynep
Hence I’m interested in how to change that — how to make sure vaccines distributed become vaccines used at as high a rate as possible — in addition to the obviously critical task of getting vaccines out there.
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Yeah multiple issues. How to distribute doses to maximize impact and how to increase supply. But, of course, how much wealthy countries purchase absolutely has an impact elsewhere because of the tragically-limited supply (maddening we did not work hard earlier to change this).
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