This exactly. I'm even in favor of saying "ok, you had your chance to get the vax, we got 200 doses left. Give em to the first 200 people in line." I hate to say it, but it's almost got to be run with a little more chaos. Almost like how I would envision how decisions in wartime with scarce resources and a time crunch would be made. At a certain point, it doesn't matter who's arms its going into, it just needs to get into peoples arms, and asap. period.

Sadly, NYC and other places have had to throw out the vaccines because they're not allowed to give it to non-first responders. How stupid...

https://www.nytimes.com/2021/01/10/nyregion/new-york-vaccine...

Former Mayor Willie Brown just said the same thing (good!).

https://www.sfchronicle.com/bayarea/williesworld/article/Wil...

It's disgusting that there's vaccine sitting in freezers. Just start giving it to anyone who wants one. I've seen videos of debates where they sit around and discuss which "vulnerable" group should get it first. (Even though many simulations suggest people who are more likely to travel and interact should get it first to optimize the slowing of the spread.)

Exactly. I question if this sort of strictly tiered approach is really the best. We're all gonna have to get it in the end, so why not err on the side of higher throughput?

I'd happily queue early (and do a volunteer shift) to get a dose from one of these people taking a pass....

I believe in CA, they have issued rule change instructing outlets with the vaccine to move down the tier levels if there is more vaccine than demand in the current official tier.

Unfortunately, this will need adoption and communication in all states separately since federal direction on these matters is lacking.