On May 10 last year — remember last year is now 2020 — this blog posted an article that described the need for a wholly federally-directed effort to discover, produce and distribute Covid-19 vaccines on a scale comparable to the Manhattan project.
The following is from that article:
“From start to finish, from top to bottom this must be, should be a federally directed project to cause researchers to work together as they did at Los Alamos, to test and accelerate testing of suitable vaccine candidates collectively not competitively, to produce one or more vaccines with government command through the Defense Production Act over those pharmaceutical companies with the capacity to ramp up manufacturing swiftly.
“Production, allocation, and distribution of a vaccine or vaccines should be planned, coordinated and carried out with government direction but not by the market because in the market there will be price gouging, favoritism, discrimination, tampering — all the things that in George Orwell’s imagination made some animals more equal than others.
“It should be done on a scale organized by region, by state, by county and then within each county on a prescribed town by town and city by city timetable that enables local health authorities — supported by local law enforcement to maintain order at vaccination sites — to schedule your vaccination, mine, everyone’s with certainty, clarity, fairness and public calm.“
Think about the date, May 10, fully 8 months ago and think about what we are reading or hearing incessantly on the cable new shows: That the December target for vaccinations was 20 million but as of Dec. 31 the number administered was less than 3 million; that 19 million doses were shipped in December but so far only 11 million had been accounted for on arrival, that the states are in charge of distribution, largely through Walgeens, CVS, Walmart and some but not all supermarket chain pharmacies like Shoprights in New Jersey.
Governors, finding themselves charged with responsibility for this are taking different routes. In most states no one can tell you much of anything it seems. In Florida we have seen TV footage of long lines of older people waiting in line for hours and hours for vaccinations, another tribute to the incompetence of Gov. Ron DeSantis. Would you want your fate in the hands of the maskless lady, South Dakota Gov. Christy Noem?
In my state, New Jersey, a friend brought to my attention a state website describing some but not all general and particular information about the state’s plan to distribute and administer vaccines. My bad on that – I know how to get to the State of New Jersey website and thanks to her for brining it to my attention. But it does not provide key information about how to register or apply for vaccination. Where is the public information campaign that should be part of this, a vital part of it?
Lately the CDC, once the paramount health agency in the United States and admired worldwide for its knowledge and expertise– but like everything in and about the federal government hollowed out and wrecked by Donald Trump and his gang of gangsters, incompetents, knaves, fools, miscreants and malcontents – lately the CDC says the second tranch of vaccinations should be given to essential workers and those over age 75.
Who’s an essential worker? Well you can read or hear news definitions of those who are. It sure has to include all those people working in food markets. Who is and is not essential? Who decides that? Governors? The CDC? A roulette wheel?
Do you know anyone over 75 who has been notified about where and when to be to get a vaccination? Probably not because – because there is no central plan. Because this could only have been, should only have been a federal program and project from top to bottom.
Instead in so typical and usual avoidance of responsibility, Trump has thrust that job onto the states in the greatest demonstration of incompetence, cowardice, and unfitness for office in the 230-year history of the American presidency.
How would we, the United States of America, have done in WWII if that had been a 50-state project? Yes, that is exactly the right analogy.
What agency knows where everyone over the age of 75 resides and how to reach them? Answer: The Social Security Administration
In fact who knows where everyone who has a Social Security Number can be found? Again the Social Security Administration. Who knows where every legal alien resident with a Green Card or a valid visa of any kind is? The Department of State, maybe the Departent of Homeland Security (let it do some good for a change), and if non-citizens are working legally they also have Social Security numbers.
One way or another, the federal government knows more about us and how to find us than any other level of government. Some find that repellent, some find it inevitable in our data-driven world. But like it or not, it’s a fact. I didn’t ask for a draft card all those years ago. The U.S. Selective Service knew where I could be found and sent it to me.
Th right vaccination program needed and needs to be one in which all 330 million of us, in orderly turn, are notified to be at such and such a location at an appointed time on a specified day to receive the first inoculation and to be notified again for the second, since thus far all vaccines require two shots.
Where? At a Walgreens, Walmart, CVS, a Shopright pharmacy? No, no, no, no, and no. At public facilities like armories, now-empty school gyms, senior citizen centers. Innoculated by who? Not by pharmacists unless they are drafted to do so, but by public health professionals, National Guard medical personnel, qualified EMT personnel and so on and on.
Then what? Then how do we know, how will we know who has and has not been vaccinated? How will we know whether it will be safe to enter a restaurant even if vaccinated?
An official, verifiable registation card like my long ago draft card, like the Medicare card seniors carry would be one means of proof, issued on site after the second shot – not the first but the second.
How to enourage those who would refuse vaccination? Well, to be admitted, require everyone to show that card at any public facility and at optional private ones like restaurants, theaters, museums (not supermarkets, which belong to a category of essential services that also would include health facilities and health providers).
Yes, there are civil liberties issues in this but there are civil liberties issues in being told to remove your shoes at an airport security check, or to open a purse or bag at a ballpark entrance or to enter the Metropolitan Museum of Art, any museum. The lie in Libetarianism after all is that, actually, we all do stop for red lights.
We are told and see evidence that the Biden administration is preparing to take this on in a big way. Whether it can federalize this now as suggested here or if instead the best plan will be to rationalize the state-centered mess it inherits, one thing is certain: It needs to take hold of the distribution and administration (the actual shots in arms) as fast, capably and calmly as can be done.
Could that have been done in the past 8 months by a competent president and administration? History says it could have been. Can it yet be rescued?
Yes, if it’s under federal agency control — not federal political direction — with all the funding it needs and the most competent management possible; because to distribute and administer 660 million vaccine doses (two shots each) is a project on a scale unlike anything since the end of WWII. Can it yet be done through the states? Yes, but with one federally mandated set of rules, procedures and expectations, not 50.
To do all that efficiently and effectively within the next six to nine months without corruption, without infection by a black market, with price controls, federal funding, under federal command calls for capability, commitment, management, and accountability.
We haven’t had any of that for four years. It is on the way.