So if high risk people choose not to vaccinate, then we don't need to modify our lifestyle any more. They've accepted the risks.

You still have to care about the immuno-compromised people they might infect.

And the people for whom the vaccine was not effective.

As a countering anecdote, the pharmacy where I got my shot had two pharmacists trying to deal with the normal work of distributing prescriptions while also juggling incoming vaccine appointments from multiple systems with a list printed that morning and people coming to the counter to request any "extras" they had. The main guy was keeping a cool head, but it looked like it had been a long day.

Took a lot of work to get a vaccine appointment at CVS pharmacy chain in MA. Friend who works in IT there told me over the weekend, they get 10-100X the hits every morning that they have doses for. So apparent lack of activity may just be lack of doses.

But he also said shipments are improving and I also got a message from one of the mass vaccination sites.

Many (most?) vaccination centers are still supply constrained, and will use up most of their supply early in the day, just serving stragglers later. This is good news, in that it means that it's pretty easy to scale up distribution as supply increases. The one I worked at was doing something like 6000 doses a day, and most of them before noon. If you came by at 4pm, you'd think we were doing nothing at all.

Did they also have lots of unused vaccine? Given the cost of every additional day until back to normal it would be foolish to set up for anything less than best case supply, and then some.

No idea. I would guess so, because of all the various types of workers that were doing nothing. And this wasn't a walk-up thing, you had to have an appointment.

Buddy of mine got the vaccine because someone from the pharmacy was walking around the store asking if anyone wanted a spare dose so it would not go to waste.

Or they had more needles, more staff, than vaccine. If there is extra, send it to canada. Their shortage us getting less funny by the day.

Maybe, but wouldn't they send excess workers home?

To be clear, these were places where an appointment was needed, so they should have had a clear picture of demand.

In this economy you don't send people home unless you have to.