I was reading the other day about a scandal rocking Peru. It involves nearly 500 current and former government officials who used their connections to get Covid vaccine even though they weren’t eligible.
They include a former President, Health Minister and Foreign Minister. At least the health minister apologized in a public letter, calling her decision the worst mistake she ever made. “It won't be enough to ask for forgiveness to all of those I have disappointed," she said.
Meanwhile, in Argentina, the President fired his health minister after learning dozens of officials and their friends had also gotten vaccine shots they didn’t qualify for under the country’s guidelines. Then he released a list naming 70 of them.
Still, the United States is in a good position to claim we are Number One in Covid Vaccine scandals. Give credit to Horry County, South Carolina, where a lot of government officials and their associates jumped the line in front of the county’s elderly.
How many?
Well, the state Department of Health and Environmental Control reported 2,319 people affiliated with Horry County government got the vaccine, and a local CBS affiliate pointed out there were only 2,250 people currently employed by the county.
But, in a larger sense, you could blame a whole lot of Republicans and Democrats on the state and federal levels for creating the unholy mess that is still our national effort to get Covid vaccines out to the general population.
Now it is true that we are doing a lot of things right, and that a lot more people are getting vaccinated against Covid than ever before. The numbers change from week to week, and from people who got their first dose to those fully vaccinated.
Alaska, with just over 13 percent of its population fully vaccinated, has the best record. West Virginia comes in second with 11.5 percent, and New Mexico is third with 11. California, Utah and Iowa are all under 6 per-cent. Don’t look for a simple answer why. It’s really complicated.
But, it also seems as if every state in the Union shares the same big problem. They all have priority lists, all those lists are all different, and all have changed. And, worse of all, they don’t actually mean what you think.
If you are on a priority list, you are supposed to get the vaccine before people who aren’t on it. But, you aren’t supposed to compete with thousands of others who have the same priority.
Now I could be wrong. Somewhere, in some state or county in our vast nation, there could be a health department which has a priority list, strictly follows it, and actually gives the vaccines to the people who need it the most.
Which, of course, is one of the big problems. Figuring out who needs it the most.
In a way, that’s a trick question. There are so many competing needs, so many good reasons to pick one person or one group over another, that it would be hard to find any group of people to make up that kind of list.
But, is it asking too much to try and get a priority list that actually matches the availability of vaccine?
There is enormous political pressure from different groups to get on the priority list, and to be placed in front of others. The elderly, because they are more susceptible and are more likely to die. Police because they are more likely to be exposed while doing vital work. The first responders, who have to bring the sick to hospitals.
But some places originally gave priority status to police and not the ambulance crews. Or to the ambulance crews and not the people who cleaned the ambulances. Or the people who cleaned the ambulances but not the mechanics who had to work on them.
There are stories about every doctor in a hospital getting vaccinated, including doctors who only did on-line treatment or who reviewed X-rays and CT scans remotely.
Teachers, bus drivers, people stocking the shelves in supermarkets - all of them in positions where they could contract or spread Covid. Who goes first?
Well, our politicians - the ones who hire the people who make the lists - had a good idea. Put everyone on the list. Well, not everyone. Just enough so there were five or ten or 20 people for every available dose. There will be more vaccine eventually, and until then, they can go on a waiting list. Hey, what could go wrong?
It sort of reminds me of what happened to the financial markets when the housing market was going up quickly and lots of people were making money buying and selling houses. Others were making more by buying and selling mortgages, and refinancing mortgages, and going to court to sue people who defaulted on their mortgages.
Some traders had a great idea. They put a thousand mortgages into one big financial package, then split it up with the least risky ones sold as a separate financial instrument. It was called a junk bond, for obvious reasons. Paid great interest, carried great risk.
The financial magic came when the best of the worst got a better rating than the worse of the worst. That group was higher rated and cost the most. Buyers got great interest rates and the bond market was shooting up. Everyone was doing great.
Until the people who couldn’t afford their mortgages in the first place couldn’t find people who would buy their homes. More and more, faster and faster.You might remember the collapse, even though it was way back in 2008.
Back then there were lots of competing mortgages - no down payment, balloon payments so you only paid interest for years (as long as the assessed value of your home remained high enough to cover your debt, just like today’s reverse mortgages) and no-documentation loans. Heck, some deals let you borrow more than your house was worth.
Then the housing market collapsed. So did much of the U.S. economy. It took down a lot of businesses, here and around the world that had invested in the various mortgage schemes.
Sorry to go so far off the point. Which is this - it might be a good idea to inject some reality into our vaccine priority decision making. Or, at least, stop pretending we are doing anything except trying to get credit for creating priority lists that don’t really do much.
How about a national standard that would set a top priority for workers who actually work with Covid patients on a daily basis. Then a lower priority for those who regularly encounter people with Covid - people like police officers who are actually on the streets.
Or, if you don’t like that, how about looking at the data on who is getting the disease and who is in regular contact with them. What do they have in common? Where is the exposure risk?
Oh, that’s right. Let’s give top priority to people who go to annual motorcycle rallies in Sturgis, or CPAC conventions and cheer loudly that they won’t wear masks. Is invading the capital a reason to go on a priority list?
Well, scratch that last one. They were probably anti-vaccers anyway.