I very much agree that we don't have all of the information here and that it's very easy to Monday morning quarterback a decision that was made under pressure w

I very much agree that we don't have all of the information here and that it's very easy to Monday morning quarterback a decision that was made under pressure without good guidance. Sadly, it's possible that this whole situation will turn into a trap where there all available options have some kind of negative outcome. That said, I don't think that it's entirely inappropriate to discuss or postulate other courses of action because it's something that can help other people in the same situation. With respect to the freestanding ERs, I would contend that they would probably take it. A friend of mine owns a couple in Houston. My wife used to work off and on with a different company at them as the attending physician. That does not make me an expert in this area, but I can say with absolute confidence that getting hold of the physician on duty quickly with this kind of matter is guaranteed. Whether they would want the liability to give the vaccines is unknown to me. The next time I see my friend, I'll ask him because I'm genuinely curious. I'll also mention that there are certain cultural biases that come into play here as well. I spent years doing federal contract work and it was well ingrained into me that avoiding the appearance of impropriety is important for a well functioning organization. As much as the organizations that I worked with don't want waste, the bias is to side with clean, unreproachable conduct even if this is more wasteful. Not all of the government works this way and the reality of life is that this isn't always so easy. I mention this because that kind of bias suggests a different way of looking at the problem and provides a different set of solutions. That's not a value judgement to say that these solutions are better or worse, but an implicit assumption that there has to be a different way.