This could be a chapter of my book Monopolized, I swear.
So if you look at this map it may confuse you to see that the top state in terms of getting the vaccine doses out is West Virginia. That's one of them anti-gubmint red states! How? Well... https://www.bloomberg.com/graphics/covid-vaccine-tracker-global-distribution/
More Than 18.9 Million Shots Given: Covid-19 Vaccine Tracker

It’s the start of the biggest vaccination campaign in history

https://www.bloomberg.com/graphics/covid-vaccine-tracker-global-distribution/
Well, West Virginia was the only state that didn't sign a contract with the federal government to let CVS and Walgreens administer the vaccination program in nursing homes. https://www.scpr.org/news/2021/01/07/96043/why-west-virginia-s-winning-the-race-to-get-covid/
Why West Virginia's Winning The Race To Get COVID-19 Vaccine Into Arms

To get vaccine into long-term care facilities, West Virginia was the only state to opt out of a federal partnership with CVS and Walgreens. Instead, a network of smaller pharmacies got a jump start.

https://www.scpr.org/news/2021/01/07/96043/why-west-virginia-s-winning-the-race-to-get-covid/
West Virginia has almost no chain pharmacies. The state instead delivered the supply to independent pharmacists, who had existing relationships with nursing homes in the state. As a result every facility in WV has gone through a first dose.
The CVS/Walgreens plan got out very slow and the low numbers are a result. Fully half of these states' allotments are going to this nursing home project.
The other state with the highest percentage of doses into arms is North Dakota. That state has a law that effectively bans chain pharmacies, because of an ownership law that requires pharmacies to be registered within the state. https://ilsr.org/big-win-local-ownership-north-dakota-votes-states-pharmacy-law/
In Big Win for Local Ownership, North Dakota Votes to Keep State’s Pharmacy Law

At North Dakota polls on Tuesday, local ownership was the winner.The state voted overwhelmingly to keep its forward-thinking Pharmacy Ownership Law, defeating Measure 7, the Walmart-funded effort

https://ilsr.org/big-win-local-ownership-north-dakota-votes-states-pharmacy-law/
So CVS/Walgreens: disastrous vaccine rollout.
Independent pharmacies: best rollout in the country.
Monopolistic harms are not just about price. http://thenewpress.com/books/monopolized
Monopolized | The New Press

Over the last forty years our choices have narrowed, our opportunities have shrunk, and our lives have become governed by a handful of very large and very powerful corporations. Today, practically...

http://thenewpress.com/books/monopolized
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