If we assess the vaccine rollout against our goal of vaccinating as many people as possible in a systematic and equitable way, then the early days of this endeavor have been a failure. States, working through their local health departments and hospital systems, are ill equipped and under-resourced to manage a massive vaccination effort. The result has been confusion, with Americans unsure of whether they are able to get a vaccine and, if so, how to go about doing so. We hear reports of vaccines that are expiring, with states administering only a fraction of what they have been allotted, and other reports of long lines beginning to queue as early as 3 a.m.
