At a moment when vaccines promise to end the coronavirus pandemic, emerging new variants threaten to accelerate it. The astonishingly fast development of safe and effective vaccines is being stymied by the glacial pace of actual vaccinations while 3,000 Americans die each day.Minimizing death and suffering from COVID-19 requires vaccinating the most vulnerable Americans first and fast, but the vaccine rollout has been slow and inequitable. Prioritization algorithms have led to the most privileged being prioritized over the most exposed, and strict adherence to priority pyramids has been disastrously slow. Yet without prioritization, vaccines go to those with greatest resources rather than to
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