General availability for the vaccine, and believed-to-be-sufficient supply (e.g. "doses for every person in X"), is not the endpoint for either the vaccination campaign or the pandemic, and is much farther from the endpoint of both than it is broadly believed to be.
Supply is hyperlocal and often non-fungible. From the perspective of many people who we need to vaccinate, much vaccine which we believe to be available and routable is as effective as vaccine stored on the surface of the moon.
We have some limited (and intentionally underexploited) ability to move demand around systemically but have functionally no ability to move around shipped supply and extremely limited (and intentionally underexploited) ability to retask future supply.
We appear to be tremendously underinvested in demand generation for the vaccine, largely because it was the most anticipated product in history among a large portion of the PMC, who almost literally cannot understand that much of the country cares about it less than Coke vs Pepsi
"That's an elitist thing to say."
I mean this as a neutral description of reality: there are many, many people whose entire job revolves around the reality that people will go to a different building for dinner based on what soda they offer.
In an ideal world, there would be a) less or b) more people whose entire job is convincing people to go to a different building for medical services based on whether that location can add a covid-19 shot to the day's other medical services?
Got a guess as to whether a or b true?
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Insurance underwriter: I mean check the tables; senior systems engineers are great risks. Negligible all cause mortality, inclusive of automotive accidents.
Company: What about competing job offers?
Insurance underwriter: Oh eff everything about that; you're on your own.
*sigh* While that makes a good joke, "key man" insurance policies are a real thing, but they're largely not used for line employees, even very critical line employees.
"Would that cover case of employee leaving of their own volition?"
If you're willing to pay for it, maybe.
A "key man" insurance policy is taken out by a business (as the beneficiary) against always the life and sometimes the health and availability of a person indispensable to the enterprise, to transfer a difficult-to-otherwise-control high-hazard low-probability risk to an insurer.
I've been asked recently "What's the importance of the effort if supply problems are improving?" and one of my answers is that it is not a given that supply continues to improve.
The probability space we're preparing for should include a lot of weight for future problems.
I’m really, really confused by “You thought we wouldn’t lie to you, BUT WE DID, hah, you should now forget about that lying thing” strategy.
“Is he subtweeting Volkswagen or the pandemic response?” *cough* Not sure.
(There’s honestly part of me which worries about describing government officials as having made bald-faced lies during the pandemic response, because that could potentially burn political capital, but as God is my witness I don’t think I will ever be able to forget that.)
And this doesn’t even require malfeasance on behalf of the OSS contributor.
A great deal of the effort to secure my laptop is because of what the laptop could do in someone else’s hands; the world has many laptops and few people paid to secure them constantly.
“What’s the drill if an engineer’s laptop is in a car which is broken into?”
“They won’t be able to log in, because we force a password prompt. But even if they could, would have to elevate privileges to push code. And we’d nuke box / roll chefs when they reported it gone.”
There are some huge, huge markets in upgrades-in-place of various governmental systems which round to "Put a consumer-grade web UI on top of it and answer questions quickly."
In many cases it will be the first time in history that anyone has ever cared about e.g. ease of task success.
That isn't even meant as bitingly cynical commentary; it's just descriptive. There is no budget or owner for improvement in many cases.
(An underappreciated insight for people who want reform of government processes is that you're not fighting for a change to an artifact you're fighting for change to an org chart, and the government cares about nothing and I mean *nothing* more than it cares about the org chart.)
Surprising absolutely no one working in marketing, a lot of people aren’t so much vaccine hesitant as “I’ve devoted less than 15 seconds of attention to this issue. Somebody will tell me when I need to devote more, right.”
I had a conversation with a person in California who, on learning I worked at VaccinateCA, asked what the story was on general availability. “Work was offering it but didn’t ask yet, figured I wasn’t old enough.” “Where do you work?” “(A pharmacy.)” “You are eligible anywhere.”
“So I have to go back to work and get it?” “Or make an appointment at any pharmacy, say healthcare worker, substantiate with your last pay stub.” “How do I make an appointment?” “... Same way you get anything from a pharmacy.”
(Not actually strictly true; maximized for impact.)