The “why can’t they” is not a question I can answer!
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Replying to @notdred @AaronRichterman
I think his point isn't that: "otherwise they'd go to waste" is a thing of our own doing, not some teleological outcome. (I don't even begrudge anyone wanting a booster). But we'd otherwise waste them is our choice, not a "let's booster" argument.
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Replying to @zeynep @AaronRichterman
It’s our choice on a national level but the choice now is an individual one. Yes we should fight the first battle. But now we’re talking about what we would actually advise patients to do and “don’t take one because it should go abroad” is the framing I find strange
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Replying to @notdred @AaronRichterman
Well, of course you can't advise individuals not to take it—that is the MD/clinical view, and I'm not disputing it at all—but you can still see the broader point that "it will otherwise go to waste" or "it's already here" is a reality of our making.
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I think most parents, as individuals, would not turn down a vaccine for their teen, but if you were setting policy, you'd vaccinate healthcare workers and the elderly first—globally—and that's the public health perspective. Individually, yes, people will take the vaccine/booster.
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Exactly all of this. The created reality of doses that “will be trashed” has led to indisputably misallocated vaccine. This is being pushed by some as the natural state of affairs.
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Replying to @AaronRichterman @notdred
The part I've been thinking about is can you imagine what might happen if we got a Delta-specific booster? All the wealthy countries will buy every last dose while whatever mRNA capacity we have will likely get directed to that. Talk about suboptimal local minima.
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Replying to @zeynep @AaronRichterman
Lots of variables here though - does Delta predominate, do we have billions more doses of protein vaxes, etc. It’s definitely not going to be all mRNA forever, maybe not even for another 2-3 months.
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Replying to @notdred @AaronRichterman
Well, given how terrifyingly good Delta is finding the unvaccinated, if you got a Delta-specific vax, you'd want to immediately direct it to the unvaccinated with blanket coverage. What are the odds of that happening? It might turn into be fourth booster in wealthy countries.
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Replying to @zeynep @AaronRichterman
Yes, I think that’s sadly right. Although I think we’re much farther from deploying a Delta specific booster than many people think.
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Yes I’m well aware of that. I just pointed it out as an example of how things are.
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I know second hand anecdotal information isn't data. But listening one day to the podcast
@inthebubblepod,@ASlavitt had@AlbertBourla from@pfizer on discussing boosters, and Bourla said they tested a delta specific booster and it performed no better than boosting with WT.2 replies 0 retweets 1 like -
This episode right here. Would be interesting if
@pfizer could elaborate or share that data.https://podcasts.apple.com/us/podcast/exclusive-pfizer-ceo-albert-bourla-on-the-delta/id1504128553?i=1000530256052 …0 replies 0 retweets 0 likes
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