The Success of Top-Down Simplicity
Blue states have pulled far ahead of red states in vaccinations. Why?
But it has not turned out to be much of an issue in the U.S. Instead, the states with the highest vaccination rates are now mostly Democratic-leaning, and the states with the lowest rates are deeply conservative.
“The parts of the U.S. that are excelling and those that are struggling with vaccinations are starting to look like the nation’s political map: deeply divided between red and blue states,” Russ Bynum of The Associated Press wrote this week.
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In the most successful state programs, one theme is what you might call centralized simplicity. In Connecticut, Gov. Ned Lamont gave priority to older residents, including people in their 50s, rather than creating an intricate list of medical conditions and job categories that qualified people for shots (and that more privileged families often figure out how to game).
In New Mexico — which has the country’s highest rate of fully vaccinated people, despite also having a high poverty rate — Gov. Michelle Lujan Grisham has overseen the creation of a centralized sign-up system. The state has one vaccine portal that all residents can use to sign up for shots, rather than the piecemeal, confusing systems in many other states, my colleague Simon Romero reports from Albuquerque.
South Dakota, the red state with the highest share of vaccinated residents, has also taken a centralized approach, NPR’s Ailsa Chang points out.
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Hesitancy is also somewhat higher among Black Americans than white or Hispanic Americans — and the south has a large Black population. “Most of the states where vaccination rates are lowest happen to be ones where the Black population is high and where the percentage who graduated from college was low,” CNN’s Harry Enten writes, “while the reverse is true in the states with high vaccination rates.”
Dr. Vernon Rayford, an internal medicine doctor in Tupelo, Miss., told The Times that he had noticed a difference in the sources of skepticism. White skeptics often express a general distrust of government. Black skeptics are particularly mistrustful of the medical system, which has a long history of giving them substandard care — and even outright harmful treatments.
https://www.nytimes.com/2021/04/16/briefing/fedex-shooting-chicago-video-vaccination-rates.html
