Short story: they put in a higher bid and agreed to actively participate in studies, something that vaccine producers were looking for. But I would not discount the money aspect.

"The first question is how Israel was able to get that many vaccines when supply is short? It is not because—according to reports—Israel paid about $30 per dose, almost double what other nations did. [...] The answer: Israel is a great pilot country for the pharma companies—small and able to put together a massive vaccination program quickly and effectively." https://www.brookings.edu/blog/up-front/2021/01/05/the-secre...

Exactly. Israel was willing to play the game. Other countries like Canada decided to wait for more info. That proved to be a bad move.

And Canada isn’t the only one: Australia, New Zealand, Singapore. Vietnam really screwed itself over trying to get domestic production going (homegrown and in-licensed). Once Delta got hold they saw a 400x increases in cases. Once it dawned on them vaccines were the only out, then acquired whatever they could by begging and borrowing. Now they are looking at a loss of foreign investment and a possible recession.

>> And Canada isn’t the only one: [...] are looking at a loss of foreign investment and a possible recession.

Except that, now, Canada (78%) has a higher vaccination rate than most western nations, including the US (65%). And there is zero talk about loss of foreign investment.

a) Canada has 4x the population of Israel

b) Israel agreed to the extraordinary term of sharing their data with Pfizer, in exchange for getting doses early, something Canada almost surely won't be willing to do

c) The Israeli PM Netanyahu was facing significant electoral challenges and desperately needed a win, so there was a lot of political will

I wouldn't place too much weight on C. Even under the new Bennett-Lapid government, the country has been willing to go all out on booster shots.

There's just a lot of willingness to go for "good enough" solutions in emergency situations, and forget the rules for the duration.

Civil defense culture also helps, in that it's trained people to reason about countermeasures that are not 100% ("hermetic" in the local lingo) - you still get in the stairwell to protect from shrapnel, even if a direct hit will kill you anyway. People don't have the gut reaction of betrayal when a 90% countermeasure fails sometimes.

Israel was paying something like $65/dose, which is way, way ahead of what other nations were going to pay.

Bibi's career at this point was up against a wall, and he was willing to do anything to 'be first'. Israel has a cagey foreign policy apparatus, I have no doubt they went 'all in' on this, calling in favours, applying pressure in addition to the regular negotiations.

In terms of B that’s called a “patient registry” which is quite common and done in Canada as well. It’s basically a clinical trial post-approval where you aim to capture every patient on the drug. I’d argue Canada’s lack of interest has more to do with capability and overall interest in early access.