Far too often during the COVID-19 pandemic we have seen decisions driven by political ideology rather than science, leading to the United States having some of the worst outcomes in dealing with COVID worldwide. As we approach decisions on how to allocate a vaccine, once one becomes available, we need to have an approach driven by science.

The problem begins at the top with President Donald Trump continually making promises about how soon a vaccine will be available to everyone, contradicting his scientific advisers. The goal is to have a vaccine available to everyone, but that may take time. In the interim, we need to prioritize who gets the vaccine as limited amounts become available.

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