Thank you for an excellent summary. Provider cost is another huge obstacle. Some think private practice physicians profit from vaccination. In general, we lose money. Private practice physicians are working through a cash flow crisis caused by the pandemic. We will not be able to purchase large stocks of multi-dose vaccines, administer them at scale and then be reimbursed by Medicaid, Medicare and 3rd party insurance companies at a rate below the cost.

Articles on vaccination logistics often focus on hospitals and health departments. While those are important sites of service, the reality is most patients will receive a vaccine at their own doctors office.

US Private practice doctors want to be a part of the solution. A fiar and just pricing and reimbursement structure is needed to allow a scalable solution.