As a former naval officer and retired physician I am stunned and bewildered in the face of the national inefficiency and frank chaos around the distribution of COVID-19 vaccines.

The chronically erratic, illogical and utterly dysfunctional delays and inconsistencies in vaccine delivery and associated communication to patients and the public at large defies analysis and is disgraceful.

Any competent Medical Service Corps officer with any experience in procurement and logistics could rationally and rapidly develop a plan wherein medical practices would report patient load and risk stratification and request vaccine accordingly. Appointments could then be issued on the standardized triage basis already in place. That large numbers of high-risk and vulnerable patients remain without appointments is unconscionable and unnecessary.

I appreciate the exigencies of population size and social complexity, but I must ask: Where is the public health leadership in this country?

Peter Pressman, M.D.
Yarmouth

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