the US is administering ~250k covid vaccine doses per day. we prob need to get ~100-150M ppl vaccinated = 200-300M doses = 800-1200 days at current rate. last mile clearly a problem as many doses sitting with states, who have discretion over admin process.
states + hospitals don’t know what to do. this likely becoming key issue in coming days. lots of finger pointing. problem may be paperwork burden, process and procedural overhead. or just complete lack of uniform planning. distribute and hope clearly not a great strategy
math for alternative central planning: 10k care providers give 1 dose every 3 minutes for 8 hours/day = 1.6M/day = 4 months to achieve goal...
there are 3.8M nurses in US. fed govt could hire 10k nurses at $1k/day, assign them pop-weighted to congressional districts, track patients with SSNs, administer at federal sites (post offices), don’t charge. $1.2B total delivery cost.
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