1\\ Ok, I have to do a thread on vaccine distribution, because it is just so insane

As everyone knows by now, governments around the world are paralyzed by vaccine logistics

Who should get it? In what order?

Does age trump race? Does profession trump health?
2\\ What is enabling this political paralysis is the illusion, universally held by Very Decent People, that if we don't distribute in accordance with Equity (undefined bullshit word), then various needy people will be Priced Out, and Inequality Will Increase!
3\\ Now, let's take a giant step back

This vaccine costs somewhere between $3 & $40 per dose

NOBODY in the US for whom COVID is an existential thread cannot afford this

The average welfare recipient's cable bill is 2x the cost of this vaccine

ANYONE who wants it can afford it
4\\ So why isn't the obvious answer for Amazon and Walmart and whoever else to set up shop selling vaccines on a first-come, first-serve basis?

It's how we distribute food, and food is FAR more important than vaccines

And food is so plentiful that our poorest citizens are fat
5\\ The answer is that there is no answer. Long ago COVID was politicized, and once you politicize healthcare, it's like trying to get the glitter off of dogshit.

You can't.
6\\ There's a lesson here, of course. The reason you never, ever, ever want government involved in allocating resources is because politics paralyzes

People hate tradeoffs, and politicians get elected by pretending that there are no tradeoffs

"User pays" is political suicide
7\\ Which is a shame. The beauty of markets is that they use prices to elicit distributed knowledge

80yo but already had COVID? You don't buy it

18yo but uncontrolled diabetes? You cash in your Gamestop credits to buy it

Prices economize resources
8\\ My only hope is that a few of you who watched gov bungle COVID science will now watch gov bungle vaccine distribution and conclude:

"Hey, maybe gov shouldn't be involved at all in healthcare. Or in education. Or in telecom. Or in housing..."
9\\ PS: my comment about food distribution wasn't rhetorical

Various govs through history have announced that food is "too important to leave to markets" and taken it upon themselves to distribute it

Which led without fail to...famine

And just so with vaccine distribution
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