Thread by @Coyoteblog

1. Government top-down planned solutions are never efficient. See: every socialist country in history

https://twitter.com/WarrenJWells/status/1347300225828876288

2. The government sets standardized rules for everywhere, but local conditions vary, & they don't give local people with knowledge of local conditions the authority & incentives to innovate based on overall program goals. Planners are uncomfortable with people going off the plan

3. Many state efforts are, in their rules, more concerned with NOT being caught vaccinating someone who isn't eligible than with vaccinating as quickly and as efficiently as possible. This is a very government problem -- they are more driven by not getting an anecdotal "bad"

story about some rich white duded getting vaccinated ahead of time than with actual success of the program.
I see this all the time -- without positive success goals government workers default to avoiding getting dinged for generating a negative media story

The exact same thing happened on the Panama Canal, where American efforts failed for the first year because those in charge were more worried about not having a single case of graft than about actually getting the work done.

In fact the Panama Canal is a great example, as it is often lauded as a shining example of government action, but its first year of US operations was a total clusterf*ck

So you have two choices
1. top down, rules and planning based system or
2. system where every level has the incentives to succeed and the authority to devise local solutions

#1 (aka "government") works if you have a planner w/superhuman ability to anticipate & write rules for every possible situation
#2 works in the real world. Not always perfectly, because some individuals will make bad decisions, which get publicized causing the media to demand #1