My Thoughts on Vaccination Preference Order

11/30/2020 | Brian Griffin

[Brian Griffin]

Medical risk exists when a person might get very sick or die from Covid.

Spread risk exists when a person might get or spread Covid.

My Suggested Vaccination Preference Order Groups:
high medical risk - persons of age 65+ living in a nursing home, persons of age 80+/on dialysis/diabetic/HIV+/other immune deficient/normally immune suppressed
substantial medical risk - persons of age 50-64[people 65+ are typically of retirement age and most can self-isolate effectively], persons of age 65+ living in an assisted living establishment or with a person under age 65
modest medical risk - persons of age 65-79 not of "high medical risk" or "substantial medical risk"
low medical risk - not of "modest medical risk" or "substantial medical risk" or "high medical risk"
medical high spread risk - licensed drug prescribers, pharmacy/hospital/nursing home workers
non-medical high spread risk - professional bus drivers, airline plane crew members, persons selected by their department of corrections vaccination program, uniformed persons living in close quarters and their direct supervisors, law enforcement personnel, persons needing to typically physically work outside of an enclosure within ten feet of medical patients or over 24 strangers daily["customer service" people/cashiers/waiters/bartenders/TSA agents], abattoir & packing plant workers, produce workers, local public transit pass holders[7/10/14-day in any NBA/NHL/MLB/NFL metropolitan area, 28/30-day in any area], homeless shelter/"soup kitchen" persons with an organizational identifier
medium spread risk - occupational license holders/gym/bar/restaurant/resort/lodging establishment employed persons not at "high spread risk", professional teachers/drivers/delivery persons, returned merchandise handlers, store butchers
low spread risk - persons not of "high spread risk" or "medium spread risk"
strong economic driver - past frequent flier award fliers, cruise ship crew member[regardless of citizenship], federal income tax filers with 2019 "total income" income over $50,000/year/filer

When Covid is spreading fast, slowing its spread is probably most important(1&2).

My proposed preference order is:

1. hospital Covid stress/overload area
A. medical high spread risk
B. non-medical high spread risk
C. medium spread risk

2. recent 5% or greater Covid test positivity rate area
A. medical high spread risk
B. non-medical high spread risk
C. medium spread risk

3. other area
A. medical high spread risk
B. non-medical high spread risk
C. substantial medical risk
D. modest medical risk
E. high medical risk
F. medium spread risk
G. strong economic driver
H. low spread risk, low medical risk
I. those persons due for a second dose
II. persons having exhausted unemployment benefits
III. business license holders
IV. employed persons
V. valid passport/passport card holders
VI. others

I am not sure if medical risk people (3)(C-E) should have higher preference than medium spread risk people(3)(F) and strong economic drivers(3)(G). Perhaps medical risk people should simply be consistently assigned different vaccination sites.

Preference Order Related Rules:
1. Groups may be combined as follows by state level (or vaccination administrator) authority:
A. low risk groups
B. substantial medical risk, high medical risk groups
C. medium spread risk, strong economic driver groups
D. non-medical high spread risk, medium spread risk groups
E. appropriate groups at any vaccination site
2. Preference order should be appropriately waived to minimize wastage of vaccine supplies
3. Preference order may be appropriately waived to prevent squandering of licensed vaccine professional administrator time
4. Preference order is waived across state lines when not in violation of a specific CDC order
[A state with good Covid control can normally administer its own anti-Covid vaccine supplies even if a neighboring state has overstressed hospitals.]
5. Preference order may be appropriately waived within a state when not in violation of a specific CDC order by any applicable state department of health order
6. Any person who falls into two spread risk groups or two medical risk groups shall have the preference order of the higher level risk group.
7. Vaccine administration process safety shall take priority over direct enforcement of precedence order [better to just give a cheater/worrywart a shot than to argue with them]
8. A licensed prescriber can write a prescription valid in-state to regroup any patient (from say modest medical risk to substantial medical risk)

Very Preliminary Thoughts on Vaccination Preference Order Methods:
high medical risk persons - specifically invited to participate, vaccinated on site
substantial medical risk - invited to be vaccinated on say weekends
modest medical risk - invited to be vaccinated on say weekdays
medical high spread risk - vaccinated on site or specifically invited to participate
non-medical high spread risk - typically will be vaccinated on site or invited to participate
medium spread risk - invited to participate
strong economic driver - specifically invited to participate
low spread risk - vaccinated via media outreach
low medical risk - vaccinated via media outreach

Invitations to persons might take the form of site and date specific color flag stripe patterns displayable on mobile phones or six-digit personal numeric codes.

Invitations might also be made at public transit facilities and via employers and organizations whom might be given site and date specific color flag stripe pattern printouts for eligible people.

[Dutch Boy]

I agree, politicians first. I would also include Gates Fauci and the media in the first group too. It’s for the children don’t cha know.

[pepsi_junkie]

We don’t have 3,000 Covid deaths a day in the USA

You should have just stopped there. We do not have 3,000 deaths a day in the USA and at no point in this have we ever had 3,000 deaths on even one day, much less every day. That's just taking the official stats at face value (i.e. assuming they are accurate and have no deaths that clearly weren't really COVID caused).

[applpie]

EXACTLY.

[impimp]

Your list is stupid...let those willing to pay the most money get it, or do first come first serve. Your list is the kind of list that a communist technocrat would devise.

[HartleyMBaldwin]

You know, Brian, I’ve seen a number of your fix-everything schemes posted here on FR. They all seem to have one thing in common: an attitude that people should be directed by some centralized authority. Are you sure that this is the right site for you?

[crosdaddy]

LOL, I always thought the op thought of himself to be a ‘policy wonk’, you know, like Paul Rino Ryan.

[joe fonebone]

I disagree..
First, all politicians.
Next, all CDC people.
Next, all UN people.

Wait 90 days and see who dies.

[HartleyMBaldwin]

It’s an incredibly apt screen name, anyway. Every time I read one of this guy’s posts, I can see and hear the dog from Family Guy. This is not a compliment.

[Slyfox]

Melinda Gates wants Black Africans to get jabbed first.

I guess the country of India is not interested in being first.

[RayChuang88]

It comes down the these people getting it first:

1. Medical professionals and hospital workers.
2. First responders (police officers, firefighters and ambulance personnel).
3. Elderly over 70 living in retirement communities.

Once those are fully satisfied, transportation, retail and food service workers that do a lot of people interaction should come next.