"77% of white adults who want a shot have gotten one, compared with 60% of Black adults and 55% of Hispanics who want one."
Not everyone who WANTS a vaccine has been able to get one. "The survey suggests that vaccine access is at least as big of a problem as vaccine hesitancy."
"The racial gap persists across income levels, but is widest among people making less than $50,000 annually: 72 percent of white adults in that group who want a shot have gotten one, compared with 57 percent of Black adults and 47 percent of Hispanic adults in that income range."
"Otis Rolley...of The Rockefeller Fdn's U.S. equity and economic opportunity initiative, said the emphasis on vaccine hesitancy puts the burden on individual people rather than on institutions that should be providing information about the shots and making it easy for people."
It's interesting that the poll title is about "the vaccine holdouts" and "what's fueling their opposition" (more clicks?) rather than "people who really want vaccines but haven't been able to get them" or "people who have a lot going on but will get vaccinated if we make it easy"
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COVID-19 remains a pandemic that causes serious, widespread, not fully understood harms
Universally stopping an efficacious COVID-19 vaccine should only be done after seriously weighing the harms of stopped access against side effects of the vaccine
ACIP didn’t do this
2/12
ACIP justified not rigorously weighing harms/benefits b/c other vaccines “are available”
Not just MDs but:
- health econ (@healthecon_dan)
- behavioral health (@abuttenheim)
- literally wrote the book on "nonmaleficence" (Jim Childress)
- tribal health (@echohawkd3)
et al
2/6
In contrast, every #ACIP voting member (exc 1 community member) is a MD/DO/RN. Couple w/a MPH. But no health econ. No ethicists. No behavioral sci. No tribal health experts.
Great group for indiv patient care & virology expertise
We have enough supply that we could send MI more vaccines. Only Jeff Zients’ bizarre burden-insensitive conception of “fairness” prevents this
Or we could let MI extend dosing intervals by 2 weeks to get first doses to more people
But apparently sticking w/an ethically ungrounded Trump Admin holdover policy of giving vaccines only proportional to population (which many states aren’t doing intra-state), & an arbitrarily selected dosing interval, is more important than letting people in MI protect themselves
For those following #ACIP vaccine prioritization debate - proposal to have 75+ alongside frontline workers in phase 1B is interesting, and different from prior discussion. But there are still pitfalls with any age cutoff, whether 75 or 65, as I explained in a comment to ACIP /1
Down Syndrome deaths are disparately high and happen before 75. 54%, 61%, and 69% of Black, Hispanic, and AI/AN deaths (respectively) happen before 75. I haven't seen US data on income x age at death, but a similar gradient is plausible, and may help explain the race data. /2
So I continue to think #ACIP should encourage states & localities to look at overlapping risk factors like housing+age as LTCF priority did and @CDCDirector suggested, rather than using age cutoffs that sweep in ppl at very different risk & exclude some
Last (grumpy) thread about #ACIP vax prioritization before bed. Sure, there are some hard tradeoffs, though looking for overlapping risk should make it easier, & ACIP could have had better framing. But critics have been a real mess. Exhibit A, dishonest quoting (aka lying): 1/6
Redfield: need to"demonstrate that we as a Nation also prioritize the elderly (>70 yo) who reside in multi-generation households. Often our Hispanic, Black and Tribal Nations families care for their elderly in multigenerational households and they are also at significant risk."2/
Here, current @CDCDirector Redfield (hardly "Mr. Woke"), after endorsing long term care priority, is sensibly arguing for another multi-factor (age+housing risk) priority similar to LTCF, which would also address disparities for "Hispanic, Black, and Tribal Nations families" 3/6