*apolitical intense screaming* 
A weakness of the American system of government is that it expects everyone to be Dangerous Professionals in being able to navigate their own government to access basic services, versus e.g. “Just go to the ward office and somebody there will clearly be able to handle it.”
There’s also an unwillingness, for a combination of resourcing, turf, political, and bureaucratic reasons, to curating efforts that originate outside one’s own fiefdom.
(Applicability to national vaccination initiatives left as exercise to the reader.)
(Applicability to national vaccination initiatives left as exercise to the reader.)
(For those who don’t know me: “ward office” refers to the central local government structures in Tokyo. They also have satellite offices. For anything a “retail” user of government could want in Tokyo, you can get a useful, definitive answer by walking in.)
(And if you don’t know what you need to do, hum a few bars to the people staffing the reception desk immediately at the front door and they will happily direct you to which desk on the 3rd floor has the answers you seek.)
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