Who should get priority for vaccines?

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  • #1939580
    ☕ DaasYochid ☕
    Participant

    I’ve see the following categories of people given, or suggested to be given, priority for the Covid-19 vaccines. Which do you agree or disagree with? Which should come first? (Did I miss any?)

    1) Older people (different ages suggested)
    2) Front line health care workers
    3) Others (e.g. administrators) in the health care field
    4) Minorities
    5) Teachers
    6) Others (e.g. administrators) in the education field
    7) Essential front line workers (e.g. grocery store workers)
    8) Funeral home workers
    9) People with underlying medical conditions
    10) Smokers
    11) Government officials

    #1939597
    ujm
    Participant

    1, 2, 9 and 11 should get priority.

    3, 4, 5, 6 and 10 should get no priority.

    7 and 8 are more debatable but I’d vote against any priority.

    11 should be limited to a small number of high government officials such as the President, VP, members of the cabinet, Congress and Supreme Court justices who should be given priority.

    #1939587
    Participant
    Participant

    the brave.

    #1939605
    yaakov doe
    Participant

    As one who has received the first dose I suggest that all the groups have priority to varying degrees with the exception of current smokers since they show disregard for their own health.

    #1939609
    ujm
    Participant

    There’s no reason a White Anglo-Saxon Protestant male should receive any lower priority than a Hispanic-Asian mixed race female.

    #1939655

    It looks like initial delays are due to some gov folks interpreting “priority” as – we will not go to next group until this whole one is done – and providers are punished for vaccinating the wrong group. Is this the case in NY state? This is different than merely prioritizing who will be the next recipient.

    This is where “darkei shalom” approach is applicable – make simply borad rules that are easy to identify – age is a good one, and then focus on doing it rather than arguing about it.

    #1939671
    Reb Eliezer
    Participant

    2,9,1,7,3,4,5,6,9,11,10

    #1939679
    Gadolhadorah
    Participant

    It would be illegal and politically toxic to prioritize by any racial or ethnic criteria. Do it by zip codes that have the highest infection/mortality rates.

    #1939693
    Yserbius123
    Participant

    @always_ask_questions NY State has an extra layer of difficulty. As we all know, once the vaccine is defrosted and diluted, it’s only usable for six hours. If on any given day on any given clinic everyone who was on schedule to receive a dose gets one, there’s a question of what to do with the remaining doses. Some clinics chose to hand them out, first come first serve, so they don’t go to waste. But then Cuomo got all angry at that one place, so now a lot of clinics are forced to throw out vaccinations lest they face they ire of the NY State government by allowing people to skip the line.

    #1939716

    ! Yeserbius>> so now a lot of clinics are forced to throw out vaccinations

    I heard that too. This seems to be totally inappropriate and seems to be changing. I am reading that now people are allowed to come and get it at the end of the day.

    Maybe politicians should have been last, not first, in line, then the line will move faster. I know some governors who honorably did not jump the line.

    #1939773
    Yt
    Participant

    Smokers go last definitely

    #1939817
    ☕ DaasYochid ☕
    Participant

    with the exception of current smokers since they show disregard for their own health.

    What about diabetics? Same thing?

    #1939821
    ☕ DaasYochid ☕
    Participant

    GH, you’re being careful to not say the priority should be based on social justice, but official CDC recommendations barely hide that it’s a consideration.

    From the CDC website:

    The recommendations were made with these goals in mind:

    Decrease death and serious disease as much as possible.
    Preserve functioning of society.
    Reduce the extra burden COVID-19 is having on people already facing disparities.

    #1939828
    ☕ DaasYochid ☕
    Participant

    Vaccine Rationing and the Urgency of Social Justice in the Covid‐19 Response
    HARALD SCHMIDT

    Additional article information

    Abstract
    The Covid‐19 pandemic needs to be considered from two perspectives simultaneously. First, there are questions about which policies are most effective and fair in the here and now, as the pandemic unfolds. These polices concern, for example, who should receive priority in being tested, how to implement contact tracing, or how to decide who should get ventilators or vaccines when not all can. Second, it is imperative to anticipate the medium‐ and longer‐term consequences that these policies have. The case of vaccine rationing is particularly instructive. Ethical, epidemiological, and economic reasons demand that rationing approaches give priority to groups who have been structurally and historically disadvantaged, even if this means that overall life years gained may be lower.

    #1939833
    Reb Eliezer
    Participant

    The order should be 2,9,1,7,11,3,4,5,6,8,10

    #1939841
    rational
    Participant

    In a normal country (compared to the US and Europe) the vaccines are available so easily that there is minimal need for strict prioritization. I and most of my family and friends, ages 30-95, will have had their second vaccination by the end of the week. Long live the Zionist State, home of the Jewish people and nation.

    #1939903
    Gadolhadorah
    Participant

    To Daas Yochid. And you think there is something wrong with taking account of segments of the population who don’t have good access to health services and who have suffered a disproportionately high rate of infection and death?

    #1939918
    ujm
    Participant

    rational: The State of Israel badly messed up on the coronavirus, with the country suffering one of the highest rates.

    #1939942
    rational
    Participant

    ujm: sorry, wrong, כל הפוסל במומו פוסל
    Except for certain cities whose residents you personally identify with and who consistently and purposefully disobeyed the rules, Israel has better statistics than almost all developed western countries. USA, England, Italy, Germany, France, Sweden, Holland, Spain, Switzerland, etc….
    Everyone here knows that if not for these easily identifiable populations, we’d be home-free by now.

    #1940033
    ☕ DaasYochid ☕
    Participant

    To Daas Yochid. And you think there is something wrong with taking account of segments of the population who don’t have good access to health services and who have suffered a disproportionately high rate of infection and death?

    If that will save lives, no. If it will cost lives, yes.

    They are advocating for prioritizing minorities for the sake of social justice even if it will cost lives.

    Don’t you agree that there is something wrong with that?

    #1940176
    charliehall
    Participant

    “Don’t you agree that there is something wrong with that?”

    No. Minorities experience much higher death rates, particularly if they are under 70.

    Do you think that there is something wrong with prioritizing Ashkenazi Jews for Tay-Sachs screening?

    Or white people for skin cancer screening?

    #1940197
    ☕ DaasYochid ☕
    Participant

    Charlie, you are not arguing with my answer, you are denying the question.

    You are claiming prioritizing minorities will save lives. If that is true, then I agree that they should be vaccinated first.

    The question was should they be vaccinated first even if that policy will cost lives. So I ask once again: do you agree with that?

    It’s not a moot point, because there are experts who say prioritizing minorities over older people will cost lives, yet some think it should be done anyway.

    #1940205
    ☕ DaasYochid ☕
    Participant

    I will once again quote Schmidt:

    “Ethical, epidemiological, and economic reasons demand that rationing approaches give priority to groups who have been structurally and historically disadvantaged, even if this means that overall life years gained may be lower.”

    (Whether we should measure in life years gained or number of lives saved is also something I disagree with him about, but that’s perhaps a different discussion).

    #1940349

    We get to be careful when we are agreeing to the word “prioritizing” – it might mean encouraging/making more available OR it might mean cutting off other people.

    It sounds like a positive word – who would not want to “prioritize” someone disadvantage, and then the government person who is afraid of being blamed will simply not vaccinate anyone until he found everyone in the previous group, registered them, convinced everyone who does not want to take a vaccine.

    Also, when they give you a nice-sounding list of priorities, they might interpret it as each item in the list is a hard priority before next. So, “medical, essential, elderly” might be interpreted as every last admin in the hospital first, then every last college admin, before they give it to anyone over 80….
    We need lawyers to talk to our own government

    #1940352

    Charlie, Daas,
    you are discussing as if there is perfect data to decide what is better and there is a perfect way to implement a policy. We are dealing with already too much delays due to complex rules. I am pointing you to a Gemora discussing water allocation along the river – we allow the first one to get more water “le darkei shalom” instead of creating an army of inspectors to maximize fairness.

    Simplify and you will get less angry people in the street. Use the age, and then add a reasonable number of field offices in underprivileged areas. This is already done for testing. All “free testing” sites I heard of are in the poor areas.

    #1940409
    ☕ DaasYochid ☕
    Participant

    you are discussing as if there is perfect data to decide what is better and there is a perfect way to implement a policy.

    Not at all. I’m discussing whether to prioritize minorities in theory even if that would cost more lives. I’m not necessarily disagreeing that it might actually save lives.

    #1940453

    DY: whether to prioritize minorities in theory

    again, define “prioritize” –
    1) put some extra vaccine stations in poor neighborhood to facilitate access?
    or is it: 2) do not vaccinate Whites until all Blacks (of certain age) are vaccinated?
    there is a difference here.
    It looked like some states tried to go for option (2) at the beginning, under an euphemism of “essential workers” but are now switching gears to a more balanced approach

    #1940486
    ujm
    Participant

    rational: It’s time to overcome your zionism. Israel messed up nationally on covid-19:

    Israeli Hospitals Collapsing: “Soon We’ll Have To Decide Who Will Live & Who Will Die”

    #1940488
    charliehall
    Participant

    “there are experts who say prioritizing minorities over older people will cost lives”

    I just looked at the age specific death rates. Minority death rates at age 60 are siimlar to white death rates at age 80. That is a big difference and argues for vaccinating 60something minorities before 70something whites. .

    #1940489
    charliehall
    Participant

    “In a normal country (compared to the US and Europe) the vaccines are available so easily”

    There are no such countries. Even in Israel, only 1/3 of the population has been vaccinated.

    #1940492
    charliehall
    Participant

    “The State of Israel badly messed up on the coronavirus, with the country suffering one of the highest rates.”

    Not the state, the people. Or more precisely, people who think that the rules don’t apply to them. But in any case, the US has an even higher rate of COVID infection and death.

    #1940495
    ☕ DaasYochid ☕
    Participant

    That is a big difference and argues for vaccinating 60something minorities before 70something whites

    Ok, so you’re suggesting a combination of variables be taken into account.

    As long as the goal is to save the most lives, I’m all for it.

    Agav, I’m also in favor of prioritizing those at higher risk because they’re smokers. I’m not at all advocating for smoking, but saving lives should be the goal, not punishing people.

    #1940627
    rational
    Participant

    ujm: Do the math. Don’t know how ? Here…A few numerical facts:

    Population of New York Sate: 19, 450,000
    Number of Corona deaths: 41,000
    Death rate 21 per 1000 or 1 in 480

    Population of State of Israel : 9,052,000
    Number of Corona deaths : 4,144
    Death rate: 0.46 per 1000 or 1 in 2,170

    The death rate is 450% (that’s 4.5 X , ujm)) higher in New York State than in Israel. So who exactly messed up?
    And it could have been a lot better here, except that in Betar Illit, Modiin Illit and Bnei Brak, they would rather see the elderly die than follow the Zionist rules.

    If you can understand Hebrew, listen to what Yehuda Meshi Zahav said after burying his mother yesterday. If you can’t understand the Hebrew, learn it, it will do you good.

    #1940667
    ujm
    Participant

    Israel Number of Corona deaths per million: 450.66

    Jordan Number of Corona deaths per million: 412.8

    Palestine Number of Corona deaths per million: 371.59

    Denmark Number of Corona deaths per million: 315.54

    Lebanon Number of Corona deaths per million: 294.64

    Turkey Number of Corona deaths per million: 291.6

    Norway Number of Corona deaths per million: 98.17

    rational: please get you zionist friends in touch with the Arabs. Or with Denmark or Norway. Even Abbas can teach them a thing or two how to deal with the pandemic better.

    #1940694

    ujm, I asked another poster, and I would like to ask you. I am really interested in an answer:
    what is the point of quoting statistics out of context?
    you can say – Israel is Mth out of N comparable countries, that would give us an idea. You just pick countries from the list with lower numbers. Is Norway comparable to Israel? how big are their school classes? When readers see abuse of statistics they would either (a) skip it with no comment, (b) believe of opposite of what you are trying to proof, as your arguments are not convincing.

    #1940717
    ujm
    Participant

    AAQ: How did Israel’s next door neighbors in the Palestinian Territories, Jordan and Lebanon do better than Israel? As far as statistics, if you’ll notice, my comment with statistics was a response to the previous comment with statistics.

    #1940782
    ywnjudy
    Participant

    I’m a fan of the Rav Vosner Vaccine PDF, comprehensive and non-dictatorial.

    #1940877

    ujm: my comment with statistics was a response to the previous

    exactly, and we are polluting internets with these numbers for no reason. And the question you asked is a good one. With all these very noisy numbers, better to look at more numbers and look at robust statistics, such as order, rather than at direct numbers.

    So, overall Israel is 56 out of 200+ countries in death rates. Lebanon is 71, Jordan is 62, Turkey 76. Not that far. European and other random countries of similar to Israel economic condition: Greece 49, Spain 17, Poland 32, Germany 45, Serbia 61, Argentina 25. I would say Israel is on average same as peers. And note that poor and non-free countries probably undercount COVID deaths.

    If you have time, look at these statistics separately by month. You will probably see countries jumping up and down the list over time. Virus attacks very unevenly. Recall all these Sweden success stories (N 23 total).

    #1950374
    ☕ DaasYochid ☕
    Participant

    I’ll add one more to the list: people who wear glasses.
    😉

    #1950399
    MadeAliyah
    Participant

    I’ll add one more to the list: people who wear glasses.
    😉

    LOL.

    (BTW, the vaccinated still need to wear masks, for no good reason)

    #1950422
    Yt
    Participant

    “ (BTW, the vaccinated still need to wear masks, for no good reason)”

    There is a reason, we still don’t know if the vaccinated ppl can carry the virus

    #1950433
    MadeAliyah
    Participant
    #1950434
    ☕ DaasYochid ☕
    Participant

    Yes we do

    #1950441
    ☕ DaasYochid ☕
    Participant

    Besides for MadeAliyah ethical shtickle Torah (which does not yet apply since many who want to get vaccinated have not yet been able to), the study done in Eretz Yisroel found that the vaccine doesn’t just reduce symptoms, it seriously reduces infections. Unless you want to claim that people who are not infected can still spread it, getting vaccinated means there’s little reason to wear a mask.

    #1950444
    ☕ DaasYochid ☕
    Participant

    (I’m not addressing the issue of that causing non vaccinated to abandon mask wearing. You can still argue that)

    #1950458

    Glasses might be protective too. So (less seriously) is eating garlic.

    One early statistic observation was a French observation that smokers are better than surviving Covid. This research did not age well. Presumably, observation can be explained as following: younger, generally healthier in general, smokers get hospitalized, and are more likely to survive.

    Even latest Israeli research in Lancet – 99% reduction in difficult cases, 85% reduction after first dose. This is among health-care workers, not elderly.

    #1950473
    MadeAliyah
    Participant

    >Besides for MadeAliyah ethical shtickle Torah<

    Not ethical, practical.

    >I’m not addressing the issue of that causing non vaccinated to abandon mask wearing. You can still argue that<

    We can and we did and still found no reason for the unvaccinated to wear masks. If that remains the case, then this should not be controversial.
    Of course it “does not yet apply since many who want to get vaccinated have not yet been able to” in the US. I think I’ll bump the thread when it does apply.

    #1950503
    ☕ DaasYochid ☕
    Participant

    Not ethical, practical.

    Ethical. Practically, if someone decides not to get vaccinated, they might still get Covid and ch”v die.

    #1950507
    ☕ DaasYochid ☕
    Participant

    if you don’t mind catching the virus; that’s your problem is an ethical question, not a practical one.

    #1950514
    MadeAliyah
    Participant

    >if someone decides not to get vaccinated, they might still get Covid and ch”v die.<

    I’m not an anti-vaxxer and I don’t discourage getting vaccinated.

    >if you don’t mind catching the virus; that’s your problem is an ethical question, not a practical one.<

    I answered the ‘ethical question’ in the thread and as of now I haven’t gotten any counter-arguments.
    The main question was a practical one; why not reopen?

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