As vaccine eligibility broadens, we are at risk of leaving our most vulnerable community members behind. Disparities in COVID mortality and vaccination rates in Minnesota are well documented, yet vaccine providers must adhere to metrics that prioritize speed and in doing so harm equity. To solve this, we should relax the focus on vaccination speed and repeal the "three/seven" rule.
The three/seven rule requires that clinics and pharmacies use 90% of their vaccine within three days of delivery and 100% within seven days. If not, they risk their future vaccine supply. Clinics do not have much advance knowledge of the vaccine quantity they will receive week to week and therefore race to vaccinate people when supplies arrive. This often means scheduling appointments online, which is fast. It is easy to reach people who are online and can drive a variable distance on short notice. It is harder to reach people who don't have a phone or internet, can't easily create or track multiple online pharmacy accounts, don't speak English, or are homebound or rely on public transportation. So, in meeting the three/seven requirement, Minnesota vaccinators are leaving these people out.
This is why Gov. Tim Walz must repeal the three/seven rule. Instead of measuring only speed, we should hold clinics accountable to equity metrics. What percentage of vaccines go to people who are Black or Indigenous, other people of color or people who are non-English speaking, disabled or eligible for services like SNAP or Medicaid? We get the results our system prioritizes, and we need to start prioritizing equity.
Hannah Lichtsinn, Mendota Heights
The writer is a physician and chair of Our Stories Our Health.
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Really? Gov. Walz, what gives you the right to block out the majority of people between the ages of — let's say — 30 to 65 to allow teenagers to receive the vaccine along with us. Many of us, some who voted for you (I did not) have been waiting patiently, with others more urgent to receive their vaccine. Now it's going to be a free-for-all. I am 63, have a pre-existing condition and have not been able to get a vaccine appointment through my Allina clinic because I am under the age of 65. I am now in a pool of hundreds of thousands of people. On the front page of the Star Tribune on Friday, a subheadline read "How to score a vaccine appointment." This is not a game! We deserve better.
Julie Ruether, Shoreview
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Chris Serres got it right in his excellent look ("VA makes vaccination easy for vets," front page, March 26) at how the Minneapolis VA has handled the COVID-19 vaccination effort. As a Minnesota vet getting a great deal of medical care at our Minneapolis VA Medical Center, I have witnessed in person the truly amazing performance of VA professionals, staff and service workers confronting this urgent and demanding task.
Despite staff shortages due to unfilled positions at the VA, the vaccination program has been carried out carefully and expeditiously. I was at the Minnesota VA on the very first day of inoculations, initially targeted at medical staff and workers in close contact with patients under treatment for COVID. I have returned there since, witnessing the mass vaccination program in progress.
With only a few glitches and misreads on eligibility rules and priority scheduling, the program rapidly expanded to where it is now: Every veteran can easily get an appointment and get vaccinated quickly.