Thread by @DKThomp

To vaccinate America by this summer, we don't face one challenge but rather 4 bottlenecks:

1. regulatory approval
2. vaccine supply
3. shot distribution/eligibility
4. demand for vaccines

This is my proposal to solve all four bottlenecks.

theatlantic.com/ideas/archive/…

1. Approve the AstraZeneca vaccine

@PeterHotez: “If we don’t accelerate the pace of vaccinations, we’re looking at an apocalypse ... The first out-of-the-box thing I’d do right now is release the AstraZeneca vaccine."

2. Test "First Doses First"

@ashishkjha: “I am really anxious about the next two months ... The best argument against FDF is that it goes off script from what the clinical trials suggest. But one way to solve the data shortage is to get more data.”

3. Use the expansion of vaccine supply to radically simplify eligibility requirements

Per @ScottGottliebMD: “If you’re young and it’s not yet your turn, the web site doesn’t say ‘check back later,’ it sends you a ticket that guarantees you a slot in a future week or month."

4. The last battle is persuasion. One-third of Americans say they “probably” or “definitely” won’t get a vaccine.

@SalomonJA: “I see very little attention being paid to vaccine hesitancy, which is a mistake. It’s an illusion of a period when vaccine demand outstrips supply.”