Qualifying individuals in hard-hit communities are underserved compared to the well-connected and technically savvy. In North Dakota, the vaccine eligibility criteria even varied between pharmacies and vaccinating locations.īecause of the technical complexity in navigating this information space, there is a healthcare equity concern as to the ability of different groups to access vaccination resources. In Los Angeles and Chicago, eligibility criteria were different between large cities and their surrounding counties. In states like Arizona and Massachusetts, we observed eligibility differences from county to county. The question of eligibility has been a complex topic, with rules and qualifications differing state-by-state – and sometimes differing at county and city levels. As Covid-19 vaccine rollouts began in January 2021, it became clear that the phased eligibility approach in use by the United States was causing widespread confusion.
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