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It would be so simple to have a system where everyone can sign up with the local health department to receive extra doses at the end of the day. If there are ex
by wycy 6y ago
It would be so simple to have a system where everyone can sign up with the local health department to receive extra doses at the end of the day. If there are extra doses, you receive a text message and have 10 minutes to confirm that you'll be there within the hour, otherwise it moves on to the next person. There should be no reason a single dose of this stuff should ever go to waste.
- hntrader 6y agoThis might be a rare edge case case involving unforseen circumstances. For rare cases like this (presuming that that's true), we probably don't want to set up a whole communication apparatus, since doing so is quite expensive. Instead rely on common-sense ad hoc decision making, just like the doctor in question did. We just need a small caveat in the rules that only people the doctor doesn't know (either directly or through a mutual acquaintance) are allowed to receive an unplanned shot in this manner, to eliminate the incentive to do it on purpose. As well as some accountability after the fact, depending on the details of the case. The outcome of this is fairly tragic, I consider this doctor somewhat of a hero and here he is being punished by unthinking bureaucrats. What a shame.
- wycy 6y agoI don't know that this situation is that rare. I just got Moderna dose 1 last night and heard the nurses talking about no-shows and how many bottles they were going to have left over (I didn't catch the number). Anecdata of course, but I don't think leftover doses is some crazy rarity. Edit: To be clear, I don't know whether these left over bottles were going to go to waste or if they had contingency plans to use them.
- hntrader 6y agoIf it's not rare then disregard what I'm saying above. I was just presuming that that was the case (no data either way here).
- topspin 6y ago"It would be so simple" It may seem simple but your scheme a fraught with equity issues. The ability to respond in a timely manner or arrive within a limited timeframe such as you propose is likely to reflect the luxury of privilege. And yes, equity concerns are more important than concerns over whatever minimal delays or waste they create.
- wycy 6y agoI guess this is just a point upon which we disagree. I'd rather any given dose make it into the arm of a some rich asshat than go down the drain.
- deleted 6y ago[deleted]
- topspin 6y agoPlease consider that such views complicate efforts to deliver justice. Recognizing inequities and the potential for inequities before they emerge is crucial to achieving equity and justice.
- defen 6y agoThis is like the trolley problem, but even dumber. You have a trolley headed for a bunch of people. You can throw a switch to take some people out of the path of the trolley, or do nothing. You are suggesting that doing nothing is better, because that way there won't be "equity" disparities in trolley victims.
- topspin 6y agoCorrecting historical equity disparities such as unfair distribution of medicines is one example of the steps necessary to achieve a just world. Note that placing the term equity in quotes as you have done can be seen as implying some qualification of the concept, as though it is in doubt or not legitimate. I'd ask that you please avoid this in the future.
- NMDaniel 6y agoYou don't even need a system In Israel, before vaccines were made available to the entire public, people created Facebook groups reporting clinics which had spare vaccines, nurses would even go outside and offer random passerbys an option to get vaccinated.