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And when young people die? They are often again from African-American, Latino communities. This is what the data shows. So discussing racial equity in health isn't a conversation about affirmative action @Harvard. It's about understanding who gets sick, who dies. 21/
Yes a strong case can be made for age-based triaging of vaccine allocation. It doesn't take a pundit to see that. 22/
But in addition to age, race/ethnicity are a strong factor in predicting death from #COVID19 in the US. It's just the facts. 23/
So if you wanted to frame vaccine allocation around preventing the most deaths, you'd go with age+race/ethnicity. 24/
But some people might say you want to prevent "premature deaths,", which might skew vaccine allocation younger. 25/
You might also make a case for instance, for keeping schools open as a social priority, and that would mean teachers would be categorized as "essential workers," and be moved ahead in line. 26/
If you believe these vaccines actually prevent transmission rather than blunting serious disease alone you might want to cluster-bust and head towards prisons, jails, meatpacking plants and Amazon warehouses. 27/
The main point here? It's complicated. But not complicated for @NateSilver538, @mattyglesias & @DouthatNYT who've got the answers and will take down an entire field, well, a diverse set of fields under the rubric of public health with their arrogance and snark. 28/
Who is #ACIP? "14 of the members have expertise in vaccinology, immunology, pediatrics, internal medicine, nursing, family medicine, virology, public health, infectious diseases, and/or preventive medicine; one member is a consumer representative." 29/
But sure, put @NateSilver538, @DouthatNYT and @mattyglesias in charge. How hard can public health be? 30/
