[HN Gopher] EU vaccine rollout severely lags behind
       ___________________________________________________________________
        
       EU vaccine rollout severely lags behind
        
       Author : undefined1
       Score  : 149 points
       Date   : 2021-03-22 16:44 UTC (6 hours ago)
        
 (HTM) web link (www.statista.com)
 (TXT) w3m dump (www.statista.com)
        
       | jariel wrote:
       | Here are national breakdowns:
       | 
       | https://ourworldindata.org/covid-vaccinations
        
         | Aardwolf wrote:
         | I wish this website would allow having a link to an individual
         | country, every time you refresh you have to deselect all
         | default countries again and add the country you're interested
         | in again
        
           | _Microft wrote:
           | You can link to a graph with a particular selection of
           | countries directly. There is a symbol with connected dots in
           | the bottom right corner of the graph that allows to copy a
           | link to it as it is shown.
           | 
           | Example:
           | 
           | https://ourworldindata.org/explorers/coronavirus-data-
           | explor...
        
       | config_yml wrote:
       | In Switzerland it's the same. In my state/canton they don't even
       | have enough vaccine for the high risk group of 240k people.
        
         | garbaty_ciul wrote:
         | This is exceptionally sad due to the country being 1) rich 2)
         | with small population (comparable to Israel) 3) big in pharma
         | industry
         | 
         | Yet from what i see the public discourse is most concerned
         | about opening up restaurant terraces, etc. and not the immense
         | economical damage that having late vaccination campaign will
         | inflict.
        
           | [deleted]
        
           | nairboon wrote:
           | What can you expect from an exceptionally incompetent
           | government. Today the Johnson vaccine was approved by the
           | Swiss "FDA", but the government actually forgot to this day
           | to order any doses of that vaccine... Instead they ordered
           | Novavax & Curevac which didn't even apply for approval in
           | Switzerland.
        
       | groos wrote:
       | People have friends but nations have interests. Looks like the EU
       | is rediscovering this the hard way.
        
       | VBprogrammer wrote:
       | My partner, who is 32 with only minor underlying health issues,
       | received her first jab yesterday. I'm obviously pleased that she
       | will shortly have some degree of protection both for her sake and
       | for our daughter and I, since my partner is the only one who has
       | to leave the house for work.
       | 
       | However, at the same time, I can't help feel that we've jumped
       | the queue slightly. The EU is experiencing another wave which
       | will doubtlessly culminate in thousands of deaths, the majority
       | will be from people older or with much more serious health
       | complications than my partner.
       | 
       | I'm kinda sick of reading these debates about who ordered what
       | and when under what conditions. There is a complete lack of
       | compassion, we should be doing what we can to help those
       | countries who still have older people unvaccinated. We can wait
       | another couple of months before our holidays to Blackpool and
       | Stalyvegas.
        
         | joelbluminator wrote:
         | So why help the EU - why should they jump the queue before
         | Africa or India or China?
        
           | VBprogrammer wrote:
           | I'm not sure what part of what I said you've misread as only
           | helping the EU. For the avoidance of doubt, I think we should
           | act with compassion, trying to save lives regardless of the
           | place those people were born in.
        
             | breakfastduck wrote:
             | I agree with that, but the UK was one of the first
             | countries to stump up cash and start developing a vaccine
             | before it'd even got bad in the UK.
             | 
             | That's basically the reason, it was part of the contract
             | that we get first dibs if fund it.
             | 
             | I don't think EU countries putting out bad press about the
             | AstraZenica vaccine is doing them any favors either - it's
             | the company they're in negotiations with!
             | 
             | Not saying what's fair or isn't here but that's the
             | reality.
        
         | secondcoming wrote:
         | > We can wait another couple of months before our holidays to
         | Blackpool and Stalyvegas
         | 
         | Speak for yourself. I'm not being glib. Compassion is wearing
         | thin. There are anti-lockdown protests all over the UK and EU.
         | There is a limit to how much more the ordinary citizen can
         | endure. If that means that some people have to risk death then
         | perhaps, as awful as it sounds, that may be for the best.
         | They're the ones who should stay at home.
         | 
         | And yes, I do have elderly relatives who are at risk.
        
           | donovanian wrote:
           | Yea I'm frankly tired of hearing from the authoritarian
           | agoraphobes. The ones that air their resentment of returning
           | to "normal life." Dumb stuff like getting dressed or not
           | working from bed.
        
         | astrange wrote:
         | Everyone who gets vaccinated is contributing, because you're
         | all preventing the spread. Once it's not spreading, then it
         | might be OK to hold off on shots so that the elderly can get
         | them, but for now as many people should get it as possible.
         | 
         | The US, despite actually doing very well at vaccine
         | distribution, should probably have switched to the one shot for
         | everyone model.
        
           | VBprogrammer wrote:
           | This is a fair point. I'm also sick of hearing about unions
           | complaining about this occupation not being vaccinated or
           | this group with this health condition not being vaccinated
           | first. If we expended all of the energy to somehow rate all
           | of these competing factors we'd never be done.
        
       | Graffur wrote:
       | The EU has been beyond useless during the whole covid-19
       | pandemic. I find it pretty disappointing since with quicker
       | action and common rules we could be in a much better place right
       | now.
       | 
       | I think it is silly that EU citizens are dying and/or locked down
       | because of money and/or contracts.
        
       | vrepsys wrote:
       | The EU has failed to secure contracts ensuring the EU produced
       | vaccine stays in the EU[1].
       | 
       | So far the EU has exported 41.6 million doses of the vaccine (the
       | largest importer being the UK)[2]. Both the US and the UK have
       | exported 0 vaccines.
       | 
       | [1] https://twitter.com/davekeating/status/1372897635577761803
       | 
       | [2]
       | https://twitter.com/AlexTaylorNews/status/137362147260701081...
        
         | DrBazza wrote:
         | The EU doesn't export anything, it's AZ and Pfizer that are
         | exporting, as per their contracts with the UK and other
         | countries. It is up to AZ and Pfizer to decide how to use their
         | factories to meet their contractual obligations with the UK and
         | the EU.
         | 
         | The UK (companies) on the other hand are exporting vaccine
         | components (fatty lipids) that enable those factories to
         | produce vaccines for not only the UK, but the EU, and
         | Australia, if it ever receives its doses.
        
           | systemvoltage wrote:
           | Why are people so defensive of any criticism of EU? There are
           | a lot of good things that come out of EU, their vaccine
           | program is a complete shitshow. Europeans should observe that
           | and shed light on it.
           | 
           | The social media is full to the brim with "EU exported
           | because they're nice guys" including the top comment on HN.
        
             | DrBazza wrote:
             | > Why are people so defensive of any criticism of EU?
             | 
             | Or any opinion these days? Social media. The mute button,
             | echo chambers, confirmation bias, lack of critical thought,
             | and so on?
             | 
             | I think the events of the last few years will keep
             | psychologists in business for decades.
             | 
             | A Douglas Adams quote feels apt:
             | 
             | "So long as you can keep disagreeing with each other
             | violently enough and slagging each other off in the popular
             | press, you can keep yourself on the gravy train for life. "
        
             | the_mitsuhiko wrote:
             | You can be both critical of the EU vaccine rollout and
             | still find it unacceptable that the other countries are not
             | exporting but the EU is supposed to.
        
               | systemvoltage wrote:
               | It seems like people are _violently_ defensive in this
               | thread. I flagged it because we are not getting down to
               | the facts.
               | 
               | There are convoluted aspects of who manufactures it,
               | where it is manufactured, what countries govern those
               | companies, trade laws and agreements, what the contract
               | was, what were the policies, what export/imports took
               | place, and what is planned.
               | 
               | People are talking past each other.
        
               | breakfastduck wrote:
               | The EU don't own the vaccines, it's so much more
               | complicated than that.
        
               | Veen wrote:
               | > other countries are not exporting but the EU is
               | supposed to.
               | 
               | People keep saying this, but the EU is not exporting.
               | Companies with facilities in the EU are exporting. Those
               | vaccines don't belong to the EU; they belong to whoever
               | bought them. If the EU prevented their export,it doesn't
               | mean they own more vaccines, unless the plan is to steal
               | the property of other countries and companies.
        
           | vrepsys wrote:
           | The UK has partially funded AZ and added a clause into the
           | contract that will prioritise UK for future vaccine exports
           | from the UK. And that's exactly what's happening, all AZ
           | produced in UK stays in UK)
           | 
           | Whereas a similar contract between Germany and Biontech
           | (Germany paid biontech $445 million to help develop the
           | vaccine) didn't include a clause defining export priorities.
           | Pfizer-Biontech is exported all over the world.
           | 
           | Canada, for example, gets their Pfizer-Biontech from the EU,
           | instead of Michigan where they're also produced.
        
         | dundarious wrote:
         | AFAIK you are correct except perhaps that US and UK have
         | exported 0 vaccines, though the number is probably quite small
         | relatively speaking, and certainly smaller than the EU
         | (foolishly) expected.
        
         | FranzFerdiNaN wrote:
         | This os the EU being a good ally. The expectation was that the
         | UK and US would also help by exporting part of their
         | production, which was indeed dumb.
         | 
         | The US also didnt secure such contracts, they simply forbid any
         | export. The UK is helped by AZ not sending anything produced in
         | the UK to the EU, despite the EU contract stipulating that
         | doses would also come from the UK.
        
           | onetimemanytime wrote:
           | >> _The US also didnt secure such contracts, they simply
           | forbid any export._
           | 
           | USA bought vaccines from everyone a year ago and opened the
           | check book, giving them billions without knowing if the
           | vaccine will work. And then put all their weight to help them
           | find factories and stuff. So USA gambled relatively nothing
           | (Covid has cost many trillions) and gained a lot.
           | 
           | EU doing what they do best...meetings. USA bans exports in
           | this sense: if Pfizer agreed to give USA 50 million shots in
           | March, no exports until that number is delivered. Seems fair.
        
             | bryanlarsen wrote:
             | Pfizer wasn't part of Operation Warp Speed, they refused to
             | join because they figured the bureaucracy would slow them
             | down.
             | 
             | They did take some money from Germany though, because it
             | came without strings.
             | 
             | Is it a coincidence that they were the first vaccine
             | approved?
             | 
             | So to be fair it should be Germany getting all those Pfizer
             | shots rather than the US.
        
               | onetimemanytime wrote:
               | But USA signed a purchase agreement to buy the vaccines
               | way before EU did. Pfizer is obligated to deliver them
               | first. Warp speed was just to get it going, USA would
               | cover any loses.
               | 
               | Can we agree that $20 or even $50 Billion is NOTHING to
               | USA or EU at this point...each month in delays costs
               | more. USA realized that a year ago and blocked doses from
               | all, including 100 million Pfizer doses in July 2020.
               | https://investors.pfizer.com/investor-news/press-release-
               | det...
        
               | foepys wrote:
               | You cannot compare this just by contracts. The US is
               | blocking all exports of COVID-19 vaccines (except for AZ
               | to Mexico and Canada just now). Pfizer/Biontech were
               | until just a few weeks ago only producing in one location
               | inside the EU so they were bottlenecked in fulfilling EU
               | demand. Meanwhile the EU doesn't block exports.
               | 
               | The EU did a bad job but we have to keep the facts
               | straight.
        
           | makomk wrote:
           | No, the expectation was that the EU vaccine demand would be
           | supplied by EU factories. The UK doesn't even have final
           | manufacturing for any vaccines other than the AstraZeneca one
           | - for the most part, our government has taken a policy of
           | funding and signing contracts with the same factories
           | supplying the EU and assuming they wouldn't pull some export
           | ban stunt to distract from their own problems. (This was
           | probably naive.) And as for the AstraZeneca vaccine, the
           | expectation that the contracted-for doses would come from
           | their EU factories is literally written into their contract
           | with the EU...
        
             | yyyk wrote:
             | Lipids for the Pfizer vaccine are manufactured in the UK. A
             | total EU export ban would have elicited a response nobody
             | would have liked.
        
           | rsynnott wrote:
           | Not just that; quite a lot of EU AZ production goes to the
           | UK, too.
        
             | koyote wrote:
             | Do you have a source on that? I was under impression that
             | the UK manufactures their entire AZ stock and the only
             | vaccine produced in the EU for the UK is Pfizer/BioNTech
        
               | kuschku wrote:
               | 70% of the doses the EU bought were instead delivered to
               | the UK to fulfill AZ's obligation to the UK.
               | 
               | After that initial batch, a further 8 million EU doses
               | were exported to the UK, and a further 46 million EU
               | doses were exported to other countries, including the US.
               | 
               | Just this second batch would have tripled the EU's
               | vaccination rate so far.
        
       | dependsontheq wrote:
       | Well it's all just hindsight - depending on which vaccines are
       | approved first different countries would have one this race. The
       | EU is a bit of a nicer player internationally in general because
       | the only thing holding it together are the common market rules so
       | it is very rules focused.
       | 
       | I think talking about winning or failed vaccination campaigns
       | might be a bit early.
        
       | dang wrote:
       | Recent and related:
       | 
       |  _Europe 's Vaccine Disaster_ -
       | https://news.ycombinator.com/item?id=25964197 - Jan 2021 (418
       | comments)
       | 
       | I think there have been other threads as well?
        
       | bayareabadboy wrote:
       | Is Britain doing better than EU? I know nothing but that seems
       | like an easy comparison, right?
        
         | tinus_hn wrote:
         | Britain is almost halfway done vaccinating all of the adult
         | population. It's not in the same league as the EU.
        
           | celticninja wrote:
           | almost 50% have had the first dose, is different to halfway
           | done vaccinating the adult population. As I understand the
           | figures, only 2 million have had the second dose.
        
             | Robotbeat wrote:
             | The difference in benefit between one and two doses is
             | pretty small in absolute terms. Props to the UK for
             | prioritizing that first dose to maximize public health
             | (almost makes up for bumbling earlier parts of the COVID-19
             | response). Second, many of the people vaccinated in the UK
             | are getting single-dose vaccines, not Moderna or
             | Pfizer/Bio.
        
               | markus92 wrote:
               | Source on the UK using single dose vaccines? Afaik the
               | only one is the J&J one of which not a single dose has
               | been delivered to the UK so far.
        
               | evanb wrote:
               | They're not using single-dose vaccines. But they are
               | prioritizing (getting the first dose into as many people
               | as possible) over (getting everybody who had the first
               | dose their second dose the exact number of days later).
        
               | cheradenine_uk wrote:
               | Another example where the "precautionary approach" turned
               | out to be the wrong one - first doses first was self-
               | evidently the way to go if you read the data that came
               | out of the clinical trials.
               | 
               | Personally, as a (broadly) pro-european UK citizen -
               | there's a _moral_ case that, sometime soon, we should
               | make the case for exporting doses now we've covered off
               | the most vulnerable in our own country. A dead person is
               | a dead person.
               | 
               | And I'm _utterly dismayed_ that the EU's behaviour has
               | obliterated any chance of that getting off square 1.
               | Johnson is a populist - any move to restrict
               | contractually-entitled exports by the EU will have the
               | red-top press screaming blue murder and will back him
               | into a corner. I'd fully expect a destructive spiral from
               | there on out - starting with him blocking PZ precursor
               | chemicals being shipped to the EU from Yorkshire. We
               | should be shifting the conversation to "haven't we done
               | well; now is the time to help our friends and neighbors".
        
         | jlouis wrote:
         | Yes. UK and US have both had some export regulations on
         | vaccines, which aren't present in EU. So the current flow of
         | available doses isn't really a free market in the usual sense.
         | 
         | There are other factors than dose availability though. Putting
         | vaccines into people isn't easy to do on a large scale in a
         | short time window. Vaccine programmes are usually running with
         | a much larger window, with vaccines that doesn't require
         | extreme cold temperatures.
         | 
         | UK seems better prepared for this than many of the EU-bloc's
         | countries.
         | 
         | The other part of the question however is: "Severely lags
         | behind what?". Even with a "slow" rollout, EU countries in
         | general are better off than many other countries in the world.
         | It isn't the case they are trying to keep up with the pack in
         | general, as they are well positioned. It's more that there are
         | a few countries who are doing _extremely_ well on a quick
         | rollout.
        
           | mattmanser wrote:
           | There's no export restrictions in the UK, they just ordered
           | vaccines earlier and in bigger bulk than the EU
           | (comparatively).
           | 
           | One of the many spats about this between the EU and the UK
           | was when an EU functionary incorrectly claimed the UK had
           | export controls and they had to back track[1].
           | 
           | As far as I know, the EU gambled on a French vaccine that
           | unfortunately failed, then ordered other vaccines much later
           | than everyone else.
           | 
           | [1] https://www.ft.com/content/6d28903d-3723-45cc-878a-21e1f2
           | d39...
        
             | youngtaff wrote:
             | UK is also one of the producers for the lipids that are
             | needed to make the pfizer vaccine and that's still being
             | exported
        
             | thefounder wrote:
             | I think you are wrong. UK gov blocked exports to the EU.
             | 
             | "Two factories in Britain run by Oxford Biomedica and Cobra
             | Biologics are also listed as suppliers to the EU in the
             | contract with AstraZeneca, but no vaccine has so far been
             | shipped from Britain to the EU, despite Brussels' earlier
             | requests."
             | 
             | "AstraZeneca told EU officials that the UK is using a
             | clause in its supply contract that prevents export of its
             | vaccines until the British market is fully served, EU
             | officials said."
             | 
             | https://www.reuters.com/article/us-health-coronavirus-eu-
             | uk-...
        
             | the_why_of_y wrote:
             | The EU signed contract with AstraZeneca 1 day before the UK
             | did, claims
             | https://twitter.com/DaveKeating/status/1372897637469458432
             | 
             | There's no export restriction, it's more subtle.
             | 
             | UK has funded Oxford vaccine development on condition that
             | UK gets preference for doses produced in UK (if not
             | elsewhere too).
             | 
             | This has exactly the same practical effect as an export
             | ban, but it technically isn't an export ban, hence the
             | recent grandstanding from UK politicians.
        
               | xiphias2 wrote:
               | As a comparision BioNTech got $445M funding from Germany
               | and in return Israel is getting priority.
        
               | tick_tock_tick wrote:
               | I mean did they expect a lot with just that? The USA was
               | willing to commit to billions if they delivered.
        
               | throwaway19937 wrote:
               | The Israelis paid more[1] and placed orders earlier than
               | the EU; it's not surprising their orders are higher
               | priority.
               | 
               | [1] (https://www.timesofisrael.com/israel-said-to-be-
               | paying-avera...)
        
               | xiphias2 wrote:
               | It wouldn't matter if Germany asked for vaccine priority
               | for providing $440M, just like what US and UK did. EU is
               | extremely inefficient compared to how much money it's
               | spending for the pandemic.
        
               | VBprogrammer wrote:
               | Israel got priority by being 'just right' sized with an
               | efficient healthcare system and being able to demonstrate
               | the ability to organise a mass vaccination as quickly as
               | possible. As such they acted as a very large scale test
               | of what we can expect as the number of people vaccinated
               | increases.
               | 
               | I don't think this is particularly to the detriment of
               | Germany. Wasn't Israel vaccinating people before Germany
               | had approved any vaccination?
        
         | chimeracoder wrote:
         | In addition to everything else mentioned, the UK is also
         | prioritizing first-doses while delaying the second dose far
         | later than recommended (second dose at 12 weeks, instead of 3-4
         | weeks)[0]. That's on top of administering first doses without
         | keeping a complete stockpile for second doses (ie, they are
         | betting that it will be relatively easy to obtain a supply of
         | second doses when the time comes).
         | 
         | So yes, the UK is far ahead of most other countries in first
         | doses administered, but they're also going off-book for their
         | vaccination protocol in a lot of ways that make it a bad point
         | of comparison for other countries which are following clinical
         | recommendations more closely.
         | 
         | [0] There's some clinical evidence in support of the 12-week
         | gap for the AstraZeneca vaccine, though the UK made this
         | decision before that study had been released, and there is not
         | yet analogous data to support the efficacy of a 12-week period
         | for the Pfizer and Moderna vaccines, which the UK is also
         | administering on a 12-week gap.
        
           | mprovost wrote:
           | The UK has been vaccinating for more than 12 weeks now and
           | the evidence shows that people aren't getting infected in
           | that time period once they've had their first dose.
        
           | orangecat wrote:
           | Both theory and data overwhelmingly support delaying second
           | doses in favor of getting first doses to more people, e.g. ht
           | tps://marginalrevolution.com/marginalrevolution/2021/02/fi...
           | . Notably, the "recommended" 3 week delay wasn't the result
           | of determining the medically optimal interval; it was chosen
           | to reduce the time needed for vaccine trials.
        
         | pfortuny wrote:
         | More or less infinitely better, yes.
        
         | toyg wrote:
         | A better comparison is with US, China, or Russia. And yes, it
         | doesn't look very good. The rollout has been slow for a number
         | of reasons, from actual resistance in some countries to the
         | well-publicised shenanigans with manufacturers. Also, Europeans
         | export a significant portion of their vaccine production,
         | unlike others.
        
         | philjohn wrote:
         | Well, the UK is prioritising getting as many people a first
         | dose as possible, so the number "fully" vaccinated in the UK
         | lags behind the EU.
         | 
         | Jury is still somewhat out about which method is better, and
         | who will finish first. I'd put money on both reaching 70% of
         | eligible people vaccinated with both doses around the same
         | time.
        
           | toyg wrote:
           | It's even more complex than that, since some countries have
           | now switched to UK-like intervals between doses (11 weeks)...
           | but not all. And there are a bunch of country-specific issues
           | too.
           | 
           | This is one of those situations where "EU" as a concept is a
           | bit of an overgeneralization for 27 loosely-coordinating
           | countries.
        
           | jariel wrote:
           | Yes, but the UK is so far ahead with jabs/person that it's
           | going to make a the bigger difference.
           | 
           | The volume of jabs will dictate the outcome more than the
           | 1-now-1-much-later or 1-now-1-soon strategies.
        
         | dragontamer wrote:
         | Britain is one of the fastest vaccinating countries in the
         | world. Maybe THE fastest (they're over 50% adults vaccinated
         | already), ignoring smaller countries like Israel who don't have
         | to worry about scale quite as msuch.
         | 
         | Britain erred on the side of faster rollout: many countries
         | criticize them for rushing AZ's vaccine approval process
         | actually.
         | 
         | Because Britain somewhat rushed the vaccine rollout, its
         | probably not a fair comparison to other countries. USA vs EU is
         | probably a better comparison (but maybe not, because USA has a
         | *dominating* industrial base and can physically make more
         | things than most other countries)
        
           | tinus_hn wrote:
           | Most western countries could have easily afforded to build
           | their own factories but they cheapened out and didn't want to
           | spend the 10 million for a one off factory. That's a lot
           | harder to defend than throwing 100 million a day out of the
           | window on lockdowns.
        
             | dragontamer wrote:
             | The factories needed to be set up last year, before the
             | vaccines were approved.
             | 
             | IIRC, there were well over 20+ vaccines in the USA alone
             | that were being developed. I dunno about other countries...
             | it turned out that the mRNA (Pfizer / Moderna) and
             | adenovirus (J&J / AstraZeneca) seem to have been the
             | fastest at production.
             | 
             | Everyone who spent $Millions on other vaccines are still
             | waiting for those tests to finish. Only if you were lucky
             | enough to pick Pfizer / Moderna / AZ / J&J are you actually
             | winning in the vaccine race right now. At this point, its
             | looking like if you bet on the wrong vaccine, you lost your
             | entire investment.
             | 
             | -------------
             | 
             | USA spent billions on building "all the above". We have
             | millions of AZ-doses sitting on the shelves, waiting for
             | final approval (final tests just finished this past week).
             | 
             | UK ordered 4-doses per person (when only 2-doses are
             | needed, and even though its not known if children can
             | safely take the vaccine yet). That's another reason why UK
             | is so fast: they aggressively bought extra vaccines at an
             | extreme rate. UK plans to either sell, or donate, those
             | extra vaccines later on.
             | 
             | By buying so much extra vaccine, UK ensured that they are
             | at the front of the line when it comes to vaccine supply
             | from the various companies.
        
               | oezi wrote:
               | The US didn't spend significantly more than Europe, nor
               | did the UK, but both did so a bit earlier and with more
               | nationalistic approaches. Due to the production ramp this
               | leads to 2-4 months delay for Europe. Still better than
               | Canada or Mexico.
               | 
               | That German Biontech was allowed to partner with Pfizer
               | will probably have cost 100000 European lives at the end,
               | while saving 200000 American ones.
        
               | throwaway19937 wrote:
               | According to
               | (https://www.nytimes.com/2021/03/20/world/europe/europe-
               | vacci...) the US spent at least 3x (10 billion) as the EU
               | (3.2 billion).
        
               | brianwawok wrote:
               | Which if you look at the economic damage of a lockdown,
               | either price is laughably cheap. Like this is a multi-
               | trillion dollar economic event, spending even 10x that
               | much would still likely be a "deal".
        
               | astrange wrote:
               | Note you don't even need the "lockdown" for the economic
               | damage, it will happen anyway. People don't want to go to
               | restaurants if it's going to kill their grandma.
               | 
               | The lockdown is actually merciful for many businesses;
               | it's cheaper to close a restaurant entirely than run it
               | at 50% capacity, and it's the only way conventions and
               | other events can get out of their contracts with their
               | venues.
        
               | dcolkitt wrote:
               | Agree. I think a fair approach rather than targeting
               | price would have been to pre-allocate a percent of the
               | economic impact of the lockdown.
               | 
               | If pandemic lockdowns cost about 10% of annual GDP, then
               | pre-allocating 1% of GDP to vaccines seems pretty
               | conservative if anything. That means something like
               | $100-200 billion for the US or EU.
               | 
               | The EU should have just pre-allocated $100 billion on
               | vaccines. That would have been enough to secure every
               | adult a vaccine from the big four manufacturers, plus
               | leave a big pot of money leftover for contingencies.
        
               | oezi wrote:
               | The article says 10bn was the budget of project Warpspeed
               | not the spend. I also would call into doubt the 3.2bn
               | figure. The UK alone spent 2.9bn pounds on vaccines.
               | 
               | Also compare: https://www.npr.org/sections/goatsandsoda/2
               | 020/12/03/9423037...
        
               | maxerickson wrote:
               | US spending exceeds $10 billion:
               | https://time.com/5921360/operation-warp-speed-vaccine-
               | spendi... (the Biden administration has since committed
               | further funds also)
               | 
               | That NPR article proceeds on the very unlikely assumption
               | that unused vaccines will not be reallocated to other
               | countries.
               | 
               | It's also hard to really judge the potential other
               | scenarios in the overall situation; the US production
               | ramp up is going to benefit everyone in the medium term,
               | and it's not really clear that it would have been much
               | different if BioNTech partnered with a different
               | manufacturer (much of the work in the US is being done at
               | purpose built contract manufacturer facilities;
               | AstraZenaca and J&J share some sites...).
               | 
               | Edit: There's also the question of whether potential
               | partners were really interchangeable, or if Pfizer has
               | some advantage in knowledge or whatever.
        
               | bryanlarsen wrote:
               | Canada ordered 9.6 doses per person, and we're
               | substantially behind the US/UK.
        
               | Robotbeat wrote:
               | At least for Moderna, it wasn't pure luck to pick them. I
               | was following it from near the beginning, and there was
               | really solid data coming out on its effectiveness.
               | Pfizer/Bio took a nearly identical approach.
               | 
               | And overspending by buying a hundred million doses of
               | each of the 20 vaccines STILL would've been a massive
               | bargain.
        
               | astrange wrote:
               | Moderna and Pfizer are the "best" vaccines but it doesn't
               | matter that much - everyone of them out there is good
               | enough. The flu shot is only 50% effective, and all of
               | these are better.
               | 
               | Some like AZ report low top line numbers like 60%, but
               | you can look at the number of severe cases needing
               | hospitalization. It's still approximately zero.
        
             | bryanlarsen wrote:
             | It takes more than money to build a factory. Canada started
             | refitting an old GSK factory to make vaccines in May 2020.
             | It'll be ready November 2021.
             | 
             | I'm not sure where your $10M number comes from, Canada is
             | spending CAD170M (USD135M).
        
           | pacificmint wrote:
           | > Maybe THE fastest
           | 
           | Almost, but not quiet. As of 3/21 Britain has done 44 doses
           | per 100 people.
           | 
           | Israel is leading with 112, followed by United Arab Emirates
           | with 74 and Chile with 44.31. These countries are all smaller
           | than Britain though, as you point out. No country as big or
           | bigger than Britain is doing it faster.
           | 
           | For comparison, the US has done 37 per 100, while most of the
           | EU countries are between 12-13. Hungary is at 21, because
           | they have not only used the EU provided vaccines, but also
           | using the Russian vaccine.
        
             | phnofive wrote:
             | 112/100?
        
               | dragontamer wrote:
               | 2-doses needed per person for Pfizer, Moderna, and AZ
               | vaccines.
               | 
               | So 200 doses per 100 people is the finish line. (Except
               | now that USA just released J&J's single-dose vaccine,
               | things got complicated...)
        
               | ars wrote:
               | For Israel it's actually 140 is the finish line because
               | kids under 16 can't get it yet.
               | 
               | They are pretty close - around 115 right now.
               | 
               | They are hoping to start immunizing 12-16 in about 1 to 2
               | months.
        
               | dragontamer wrote:
               | I'm under the assumption that child-vaccinations will be
               | proven safe within the next few months, so the finish
               | line at that point will be moved to ~200 doses per
               | person.
        
           | DrBazza wrote:
           | The AZ was the second vaccine to be approved after the Pfizer
           | one at the beginning of December, and then Moderna was
           | approved days later.
           | 
           | All of the vaccines passed through the standard clinical
           | trials and phases and were approved by the MHRA using the
           | same process that would be applied to any other vaccine.
           | 
           | The vaccine testing and approval was fast because layers of
           | bureaucracy were removed (e.g. writing proposals, securing
           | funding, finding volunteers).
           | 
           | It's not fair to say that the UK rushed either the approval
           | or the rollout. It's a bit like saying Usain Bolt rushed to
           | win the 100m. Someone has to do it first. The UK approval
           | process is one of the most stringent in the world.
        
             | dragontamer wrote:
             | 1. USA only finished its trials this past week of AZ's
             | vaccine, and those trials took place basically the same
             | time as the UK's. In contrast, UK approved the vaccine in
             | December 2020.
             | 
             | The 3-months of difference between the two countries is
             | pretty pronounced, no matter how you look at it.
             | 
             | 2. https://www.businessinsider.com/uk-approved-pfizer-
             | covid-19-...
             | 
             | I remember articles at the time that highly criticized the
             | UK's rollout of AZ vaccine.
             | 
             | 3. It probably doesn't matter: the USA has found AZ to be
             | very safe and highly effective: in fact, the USA's trials
             | suggest a 79% efficacy rate (while the UK's own trial
             | numbers were in the 60s). So if anything, the AZ vaccine
             | has been proven to be safer and better in the tests on our-
             | side of the Atlantic.
             | 
             | The issue is that extra 3-months of difference. Whether
             | December 2020 approval was premature or not.
        
               | DrBazza wrote:
               | > The issue is that extra 3-months of difference. Whether
               | December 2020 approval was premature or not.
               | 
               | And yet the USA approved the Pfizer vaccine on Dec 11,
               | only a week after the UK.
               | 
               | I'm not sure why there's a 3 month difference in
               | approving the AZ vaccine, but I do know that the USA has
               | some particularly draconian import rules on foreign
               | medicines, especially untested ones, so perhaps extra
               | bureaucracy, and almost certainly a different testing
               | regime for medicines to the UK and EU.
               | 
               | I'm satisfied that the UK MHRA and JVI have
               | satisfactorily assessed the data from AZ, Pfizer,
               | Moderna, (and Novavax). They're world experts in their
               | fields.
        
               | brianwawok wrote:
               | We had Pfizer and Moderna approved. We had JJ in the
               | final steps. I think there wasn't a huge urgency behind
               | the fourth vaccine when all signs pointed to three good
               | vaccines.
        
               | mprovost wrote:
               | Since both approval processes reached the same conclusion
               | it clearly wasn't premature.
        
               | dragontamer wrote:
               | A coin-flip would have reached the same conclusion 50% of
               | the time.
               | 
               | That's why process is important: you can get lucky and
               | come to the correct results with an improper process (ex:
               | coin flips).
        
               | mprovost wrote:
               | I don't think you can argue that the UK's process was
               | random. There is a process, it went faster, and achieved
               | the same result. Maybe in some other universe it would
               | have missed something and the longer process would have
               | had a different result but that's not the world we live
               | in, in which some not-insignificant number of people
               | didn't die of covid in those 3 months.
        
               | dragontamer wrote:
               | I'm not saying the UK's process is random. I'm saying
               | your logic and argument is fundamentally unsound.
               | 
               | In 50% of the universes that exist, your logic applies
               | just as easily to coin-flips / random-chance to make
               | decisions.
        
               | dbetteridge wrote:
               | For 1. That would be because the FDA insisted on a US run
               | phase 3 trial (which is fine) but that only began around
               | the time the UK approved Oxford/AZ as AZ had first tried
               | to use their UK/SA study for US approvals
        
           | dustinmoris wrote:
           | I'm not British, but I live in Britain and I can guarantee
           | you that the vaccine rollout hasn't been rushed.
           | 
           | The difference was that Britain invested early on in multiple
           | vaccines, created a whole new government task force with the
           | only job to get the country vaccinated, they collaborated
           | between AstraZeneca and the University of Oxford in trials
           | and the MHRA (which itself is one of the best if not the best
           | medical regulator in the world) was running a lot of the
           | approval checks in parallel which the EU and other regulators
           | didn't do. Additionally the UK evaluated all data regarding
           | the new COVID-19 vaccines and what we historically know from
           | other vaccines that the chances of an initial one-jab
           | strategy were extremely high almost to a point where it would
           | be irresponsible to not first vaccinate as many people with
           | one jab as possible. For once the UK put science and common
           | sense above red tape and nationalistic rhetoric unlike many
           | leaders in the EU like Macron or Ursula Von Der Lying.
        
             | stevesimmons wrote:
             | The UK also put a lot of effort into the full vaccine
             | supply chain. And wrote a more comprehensive contract with
             | AstraZeneca than the EU did. Details in the different
             | approaches are here:
             | 
             | https://www.politico.eu/article/the-key-differences-
             | between-...
        
             | noir_lord wrote:
             | Exactly, they botched multiple other things but on this
             | they got it right.
             | 
             | I had my first AZ Oxford shot on Tuesday, I'm 40 and have
             | health issues but nothing that is directly affected by
             | COVID (though coughing is dangerous for me).
             | 
             | Second one is due June 2nd, the first dose to as many
             | people paid off, evidence was good it would but it was
             | still a gamble with so many lives on the line.
        
               | pmontra wrote:
               | > they botched multiple other things but on this they got
               | it right
               | 
               | This was the single most important thing to get right
               | since 1945, by a large margin.
               | 
               | As a EU citizen I must say that the multiple layered
               | structure of the EU is not worse than any other one in
               | normal times but it was a disaster in these exceptional
               | times. Too many indirections, nobody responsible for
               | anything, the people in charge of the vaccination
               | procurement not there because of elections.
        
       | tablespoon wrote:
       | The free market saves the day again!
       | 
       | https://www.nytimes.com/2021/03/20/world/europe/europe-vacci...
       | 
       | > While Washington went into business with the drug companies,
       | Europe was more fiscally conservative and trusted the free
       | market.
        
       | gaha wrote:
       | The EU has exported 41 millionen vaccine doses of which the UK
       | has gotten 8 million so far [1]. Meanwhile, the UK and US do not
       | export any vaccines at all. So just as a back of the envelope
       | calculation, with 41 millionen doeses the EU could have
       | vaccinated an additional 10% of its population, while the UK
       | would have had more than 10% less vaccinatetions without those 8
       | million. This would not completetly close the gap, but the
       | numbers would be quite different then.
       | 
       | Anyway, you can interpret this in a postivie way: the EU is
       | trying to be good and is sharing its vaccinations more or less
       | fairly with other countries (for now). However, you can also see
       | it as the EU has no real power at all and is just an easy target
       | to get fooled over by other countries..
       | 
       | [1] https://www.dw.com/en/coronavirus-eu-not-ready-to-share-
       | covi...
        
         | genghisjahn wrote:
         | The US is exporting vaccines (AstraZeneca) to Canada and
         | Mexico.
         | 
         | https://www.dw.com/en/coronavirus-digest-us-to-send-first-va...
        
           | mrighele wrote:
           | Not "is exporting", but "plans to send", quite different.
           | Meanwhile EU exported at least 3.9 million doses to Canada,
           | 3.1 million doses to Mexico [1]
           | 
           | https://trade.ec.europa.eu/doclib/press/index.cfm?id=2252
        
           | mahkeiro wrote:
           | Yes and AZ vaccine is not even approved in the US...
        
           | [deleted]
        
         | goatinaboat wrote:
         | _The EU has exported 41 millionen vaccine doses of which the UK
         | has gotten 8 million so far_
         | 
         | Not "the EU". Private companies with factories in European
         | countries fulfilled pre-orders placed and paid for months ago.
         | "The EU" owns no factories and produces no vaccines itself.
        
         | krona wrote:
         | > _the EU is trying to be good and is sharing its vaccinations
         | more or less fairly with other countries_
         | 
         | The AstraZeneca factory in the Netherlands is owned by
         | AstraZeneca, not the EU commission. World War 2 ended a long
         | time ago.
        
           | [deleted]
        
           | smnrchrds wrote:
           | Pfizer and Moderna production factories in the US are not
           | owned by the government either, but they are prohibited from
           | exporting a single dose of vaccine until the US government
           | has enough doses to vaccinate the entire US population.
        
             | krona wrote:
             | If that was a condition of the contract between two parties
             | and the two parties agreed, then what's the problem?
        
               | mahkeiro wrote:
               | So why are doses of AZ vaccine produced in the US not
               | exported despite the fact that AZ vaccine is not approved
               | in the US?
        
               | tick_tock_tick wrote:
               | They are https://www.cnn.com/2021/03/17/politics/us-
               | astrazeneca-mexic...
        
               | smnrchrds wrote:
               | First of all, I don't know if this is purely contractual
               | or not. Perhaps it is, perhaps it's not. But I remember
               | earlier in the vaccination campaign the news talked about
               | how the companies will be free to export after they have
               | fulfilled their 100-million-dose obligation to the US,
               | but later that changed to 300-million doses. Perhaps this
               | was part of the original contact, perhaps it was forced
               | on them later on. Regardless:
               | 
               | The problem with this approach is that if this becomes
               | the norm, which so far it seems it will, the next
               | pandemic, the rest of the world will be mega super
               | screwed. Right now, the saving grace of us folks in
               | Canada is that the EU, unlike US and UK, did not prohibit
               | vaccine exports. If they had put the same barriers, we
               | Canadians (as well as most other nations on earth) would
               | have had to wait for the great powers (US/UK/EU) to
               | finish vaccinating their 16-year olds before we could
               | start vaccinating our 90-year olds. So many would have
               | died who would have survived if the vaccines were shared
               | between countries based on population or elderly
               | demographics. It would have been a net gain for US/UK/EU,
               | a net loss for Canada/etc and a net loss for the world as
               | a whole. That's because when you prioritize not-at-risk
               | population from country A over at-risk population from
               | country B, for every A citizen you save, you cause 7900
               | citizens from country B to die [0].
               | 
               | Also, let's not pretend any country could have signed
               | such a contract with the vaccine manufacturers. If Canada
               | tried to sign a contract with a US manufacturer that said
               | they would give Canada their 96-million-dose contract
               | before selling a single dose to the US, I bet the US
               | government would have ripped the contact to shreds and
               | imposed their own rules on it. Only the countries in
               | which the vaccine producers are located can sign such
               | contracts. So in practice, there is little difference
               | between contract and rule-making in terms of who can do
               | it and what the outcomes are.
               | 
               | [0] https://www.cdc.gov/coronavirus/2019-ncov/covid-
               | data/investi...
        
               | the_why_of_y wrote:
               | This is a pretty weird kind of contract?
               | 
               |  _Executive Order 13962--Ensuring Access to United States
               | Government COVID-19 Vaccines December 08, 2020
               | 
               | By the authority vested in me as President by the
               | Constitution and the laws of the United States of
               | America, it is hereby ordered as follows:_
               | 
               | https://www.federalregister.gov/documents/2020/12/11/2020
               | -27...
        
           | markus92 wrote:
           | Halix is an independent contractor, AZ is not the owner at
           | all.
        
           | raducu wrote:
           | The Netherlands/EU can ban exports of certain items, they can
           | even nationalize factories if they wanted to.
           | 
           | At this point I think it would be the best that they did, pay
           | AZ/pfizer/moderna royalties but just use the military in a
           | WW2 style effort to produce as many dosages possible.
        
         | secondcoming wrote:
         | The UK is exporting vaccine components to the EU though.
        
           | reddotX wrote:
           | source?
        
             | secondcoming wrote:
             | > Those EU facilities are in turn dependent on vaccine
             | inputs -- such as the lipid nanoparticles needed in mRNA
             | vaccines and the plastic bags used in bioreactors -- some
             | of which are imported from the UK and the US.
             | 
             | https://www.ft.com/content/773245da-900a-468e-aaf3-96ec8c43
             | 3...
        
             | cheradenine_uk wrote:
             | https://www.thesun.co.uk/news/14400027/pfizer-warns-eu-
             | threa...
             | 
             | Block AZ in the EU, you'll force the populist Johnson into
             | tit-for-tat retaliation - and we'll all go to hell in a
             | hand-cart.
        
               | reddotX wrote:
               | the sun LMAO, stop reading British tabloids
        
               | cheradenine_uk wrote:
               | You don't think Croda are important then?
               | 
               | Or that this deal doesn't exist? https://www.business-
               | live.co.uk/manufacturing/croda-covid-va...
        
               | libertine wrote:
               | This has been debunked, it's just rumors with no support,
               | both Pfizer and BioNTech secured critical supplies in the
               | beginning of the year for EU production - internally in
               | Europe (2 German companies if I recall correctly), from
               | Canada, and from the UK.
               | 
               | At best banning those exports would just harm the
               | production of surplus vaccines/exports. It would be the
               | UK crippling their own supply of vaccines - which they
               | have received 10 million so far from Pfizer made in
               | Belgium.
        
               | cheradenine_uk wrote:
               | I agree such a move would be somewhat self destructive.
               | But given the uk is already >50% with a 1st dose, and has
               | Moderna contracts supplying from next month, I would not
               | rule it out.
               | 
               | I also would point out: Boris, aka mini-trump. Populists
               | would not let such a challenge go without reply.
               | 
               | Good luck if you think the report is completely wrong.
        
         | reddotX wrote:
         | also AstraZeneca failed to deliver to EU in a big way. 70% less
         | than agreed!!! at the same time AZ exported vaccines from EU. i
         | hope EU will take legal action against AZ
        
         | outside1234 wrote:
         | When you are in a crisis, the first thing you do is put the
         | oxygen mask on yourself. The crisis in the UK and the US has
         | been severe and it does not help to spread the vaccine around
         | peanut butter style across every country in the world such that
         | only 5% of the population has it.
         | 
         | If anything else, we should be focusing it more on single
         | countries impacted the most to get their essential workers and
         | most impacted covered before moving on to a next one.
        
           | Ma8ee wrote:
           | It certainly helps to vaccinate the most vulnerable people in
           | all countries, instead of vaccinate everyone in certain
           | countries first.
        
           | raducu wrote:
           | Actually, "putting the oxygen mask on yourself" would be the
           | equivalent to vaccinating your medical staff, not your whole
           | friggin country.
           | 
           | The US and UK don't fare much worse than the rest of the EU,
           | per capita, do they?
           | 
           | USA+ UK = 34 million cases, EU=24 million cases.
           | 
           | The biggest problem with vaccine mercantilism is if we don't
           | rationally share the vaccine, the vaccine technology and
           | means of production, then the fact we vaccinated 100% of one
           | country will be useless in 2 years with all the variants
           | mutating in less fortunate countries.
        
             | hef19898 wrote:
             | Somehow, the EU plan to over purchase (which they did
             | already end of 2020, early 2021) and share surplus vaccines
             | withe developing countries to _avoid_ exactly that gets
             | completely ignored.
        
         | tempestn wrote:
         | As a Canadian it's certainly contributing to my goodwill toward
         | the EU. We'd be SOL if they were taking the same approach as
         | the US.
        
           | birken wrote:
           | In about 2 months I suspect the US is going to flooding
           | Canada/Mexico with vaccine doses.
        
             | retrac wrote:
             | Canada will, with luck, already be half done with the first
             | dose in two months. But yes, there's likely to be a surfeit
             | in the entire developed world by July or so. The
             | domestically manufactured Canadian vaccine for example, if
             | approved, will likely end up primarily exported.
        
             | tempestn wrote:
             | I agree, as at that point it will be in their self-interest
             | to do so. So yes, we wouldn't be completely SOL, just in
             | rougher shape than we are.
             | 
             | I certainly understand the desire to keep doses within the
             | country. I don't even necessarily blame the administration
             | for doing so. But I do appreciate the EU giving us the
             | opportunity to vaccinate our seniors prior to 18 year olds
             | in the US.
        
         | blibble wrote:
         | > However, you can also see it as the EU has no real power at
         | all and is just an easy target to get fooled over by other
         | countries..
         | 
         | the position it finds itself in is entirely a result of its
         | inability to competently and promptly negotiate contracts with
         | its suppliers
         | 
         | it was entirely focused on price instead of delivery, and it
         | took months more than the suppliers other customers (e.g. the
         | UK) to agree anything
         | 
         | none of this is surprising behavior for an organisation that is
         | primarily a producer's cartel
         | 
         | the mistake was putting such an organisation in charge of the
         | procurement in the first place
         | 
         | the other outrageous fact is that France, Germany, Italy and
         | the Netherlands (the "Inclusive Vaccine Alliance") had all but
         | signed a deal back in June, then the EU commission forced
         | itself into the process, spent three months trying to re-
         | negotiate (for a product being produced at cost), then signed
         | the original deal regardless
        
           | gebruikersnaam wrote:
           | This is not true, the contract for EU and UK are largely the
           | same. The EU even signed 1 day earlier.
           | 
           | This is FUD originating from AZ, which are downright lying.
        
             | readittwice wrote:
             | No, this isn't FUD. AZ wasn't lying. Yes, it's true that
             | the EU signed one particular contract one day before the UK
             | on August 27. However, the UK had a binding contract with
             | AZ since May already.
             | 
             | "However, the key lies in an earlier agreement that
             | AstraZeneca made back in May with the U.K., which was a
             | binding deal establishing "the development of a dedicated
             | supply chain for the U.K.," an AstraZeneca spokesperson
             | said."
             | 
             | This quote is from this article:
             | https://www.politico.eu/article/the-key-differences-
             | between-...
        
               | snowwolf wrote:
               | The origin of the UKs priority access to the AZ vaccine
               | was due to their early funding of the Oxford vaccine on
               | condition of 1st priority. This was before AZ even got
               | involved. In fact the UK govt had such deep involvement
               | that they were able to veto a deal between Oxford and
               | Merck to manufacture and distribute the vaccine over
               | fears that it would allow Trump to block their priority
               | access through export controls (as Merck would
               | manufacture in the US) so the UK make Oxford partner with
               | AZ. AZ inherited that pre-existing deal between Oxford
               | and the UK govt.
        
               | gebruikersnaam wrote:
               | AZ is lying:
               | 
               | Here the boss is telling the UK signed in june :
               | https://www.researchprofessionalnews.com/rr-news-europe-
               | inno...
               | 
               | Except it didn't, the UK signed on august 28th, 1 day
               | after the EU (per your link).
               | 
               | In the interview from my link he also says that no
               | vaccines manufactured in the EU leave for countries
               | outside of the EU.
               | 
               | Except he lies about that too: Italy prohibited the
               | export of vaccines to Australia. Last i checked Australia
               | is not a part of the EU.
        
             | [deleted]
        
             | Zenst wrote:
             | I'm not sure AZ said otherwise. I did check and you are
             | correct about signing date.
             | 
             | However the devil as always is in the detail and the two
             | contracts are different and best covered here:
             | https://www.politico.eu/article/the-key-differences-
             | between-...
             | 
             | Crux being the UK contract was a contractual commitment to
             | deliver whilst the EU contract was best effort.
        
               | gebruikersnaam wrote:
               | This link says that the contract are comparable:
               | https://www.thelondoneconomic.com/news/astrazeneca-
               | signed-va...
        
           | markvdb wrote:
           | I do not care one single iota about who was first or paid
           | most. What is clear is that people are dying unnecessarily
           | because of this competition. The ethical thing would to be
           | minimise the number of people dying of covid-19.
           | 
           | Distributing these vaccines evenly based upon risk factors
           | (age, BMI, ...) is what should have happened. Practical
           | example:
           | 
           | - My double marathon running, under 40 brother in law in
           | Israel is low risk. He should not have received the vaccine
           | yet, even if I like him.
           | 
           | - My heavily overweight 71 years old father is high risk. He
           | should have received the vaccine already.
           | 
           | The EU, the UK, the US, Israel _and_ most of the
           | manufacturers failed abysmally at this.
        
             | blibble wrote:
             | > Distributing these vaccines evenly based upon risk
             | factors (age, BMI, ...) is what should have happened.
             | 
             | this is exactly what the UK has been doing?
             | 
             | https://ichef.bbci.co.uk/news/976/cpsprodpb/17157/productio
             | n...
        
               | iso1210 wrote:
               | I suspect the poster was saying that 80 year olds in
               | India should receive the vaccination before 50 year olds
               | in New York
        
             | hackeraccount wrote:
             | Does that even make sense?
             | 
             | What if your 71 year old father is an agoraphobic hermit
             | and your brother has some wonder job that puts him in a
             | position to literally save the lives of other people as
             | long as he's in close proximity to them.
             | 
             | I understand this is a hard to credit hypothetical but in
             | those circumstances or similar ones we might want your
             | brother at the head of the line. Not because he's more
             | likely to die but because he's more likely to infect me. Or
             | say, any hypothetical fellow citizen.
             | 
             | Frankly I think the most critical thing is to get as many
             | people vaccinated as quickly as possible. Any other
             | criteria should come after "as many as quickly." After that
             | sure, have an argument over if more important to get people
             | who might die vaccinated or people who might spread it
             | vaccinated. Knock yourself out - but don't get in the way
             | of the critical thing.
        
             | optimiz3 wrote:
             | Straight out disagree. One of the most fundamental purposes
             | of a country is to prioritize the interests (and most
             | fundamentally life) of its own citizens.
             | 
             | If countries agreed on things like resource distribution,
             | human rights, economic structure, reward incentives,
             | culture, there would be no need for different nations.
             | 
             | This is purely a negotiation. "Ethics" is a weak appeal
             | stemming from a failure to plan, invest, and execute.
        
             | stale2002 wrote:
             | > The ethical thing would to be minimise the number of
             | people dying of covid-19.
             | 
             | Yes and when the EU delays signing contracts, and focuses
             | so much on price, they cause more people to die from covid
             | by slowing the process along.
             | 
             | I agree that the best way forward would have been to
             | minimize deaths of covid, by them not worrying so much
             | about prices and instead supporting development of the
             | vaccine as quickly as possible.
        
           | mytailorisrich wrote:
           | It seems that they focused too much on price.
           | 
           | Like if a few cents or even a few euros per dose would make
           | any difference considering the accruing cost of the pandemic.
        
             | hef19898 wrote:
             | Problems like these, availability of goods and
             | distribution, are usually not solved by throwing money at
             | them.
        
               | mytailorisrich wrote:
               | On the contrary, that's exactly how they are solved.
               | 
               | You can entice suppliers to serve you first by paying
               | more than others, that's what Israel did.
               | 
               | I don't think that distribution is an issue but that can
               | also be resolved by throwing money directly or through
               | resources at it. Same for production and supply.
               | 
               | It was useless and counter-productive to drag
               | negotiations to lower prices while throwing away 10s of
               | billions a month to prop up locked down economies. It
               | would have been more useful to work with suppliers to go
               | all in on production with unlimited funds and resources
               | so that as many factories as possible could produce (and
               | that would have probably been cheaper overall).
        
         | mytailorisrich wrote:
         | The EU has received more than 62 million doses (of all
         | vaccines) and has more than 10 million doses _in stock_.
         | 
         | They've also created problems to the AZ vaccine at every turn.
         | So much so that now some people simply refuse it.
         | 
         | So if they hadn't shipped 8 million doses to the UK (where that
         | vaccine was developed with public funds) there is no guarantee
         | at all that they would have vaccinated 8 million more people.
         | 
         | Edit with non-UK source (as of 2 weeks ago):
         | 
         | " _Millions of Vaccines in EU Unused (March 11, 10:00 a.m. ET)
         | More than 11.5 million Covid vaccine doses that have been
         | delivered to European Union countries have not yet been used,
         | according to Bloomberg. The number of shots sent by
         | manufacturers now totals 54.2 million, compared to 46 million a
         | week previously. The data covers the week to March 7._ [1]
         | 
         | [1]
         | https://www.supplychainbrain.com/articles/31024-coronavirus-...
        
           | bArray wrote:
           | I believe several EU Countries have still not cleared AZ for
           | use on (false?) fears of blood clots. And then there is the
           | problem of distribution - not so easy in a place as large as
           | the EU.
        
             | mytailorisrich wrote:
             | First some countries refused to give the AZ vaccine to
             | people _over_ 65, then they recklessly suspended it
             | altogether, now some countries refuse to give it to people
             | _under_ 55. That 's ridiculous.
             | 
             | Distribution is no more a problem than in the UK. The EU
             | has probably the best infrastructure in the world and vast
             | resources, while being smaller than the US.
        
           | sprafa wrote:
           | Way to go on repeating UK media disinformation.
        
             | outoftheabyss wrote:
             | You keep repeating the same claim in this thread, a claim
             | that runs counter to citations you are provided with and
             | here you are, yet to provide any reliable sources of your
             | own
        
         | kjakm wrote:
         | Nonsense. This isn't really about countries exporting/not
         | exporting. These vaccine deals are with private companies who
         | produce their product around the world. Just because vaccines
         | are manufactured in a specific country doesn't make them
         | property of that country.
         | 
         | Whichever country is contractually at the front of the line
         | will have their order fulfilled first/according to the terms of
         | the contracts.
         | 
         | The EU wasted months negotiating lower prices and then took
         | longer with approvals.
         | 
         | There is no good guy or bad guy (at least until the UK or EU
         | blocks exports preventing execution of the private contracts -
         | at that point the country blocking the exports becomes the bad
         | guy).
        
           | hourislate wrote:
           | >Whichever country is contractually at the front of the line
           | will have their order fulfilled first/according to the terms
           | of the contracts.
           | 
           | Tell that to Canada. They were securing doses from day one
           | and still suffered from delayed shipments and now have to
           | contend with countries of manufacture forbidding export. What
           | really pisses me off is that the US Gov had 30 million doses
           | of Astra for several months and it it isn't even approved for
           | use. Why hoard it when you can save lives in other countries
           | while you have no intention of using it soon if ever? Sure
           | they might get their approval in May or June but by then I
           | expect the other manufacturers to have ramped up to cover
           | everyone everywhere.
        
             | zdragnar wrote:
             | My understanding is that the manufacturer of the vaccine
             | didn't apply for emergency approval- they are letting it go
             | through a longer process by their own choice.
             | 
             | There might be perfectly valid reasons for this- I am not
             | sure to what extent the government could or would want to
             | force it to fast-track.
        
               | bonzini wrote:
               | Probably the same reason why the manufacturer hasn't
               | requested EU approval of the Dutch plant where they
               | manufacture vaccines exported to the UK. That is, to make
               | more money.
        
           | radicalbyte wrote:
           | The time-wasting meme is a lie from the UK Government. The UK
           | contract was signed _after_ the EU contract. They posted the
           | contract by accident which was picked up on in some of the
           | press. It also had the same clauses as the EU.
           | 
           | On the other hand the UK still has a fully nationalised
           | health service which means that it was in a much better
           | position to be able to scale the vaccinations. That's
           | probably the real reason that they're ahead.
           | 
           | Give it another 10 years of Tory rule and they'll "catch
           | down" to the rest of the world.
        
             | adav wrote:
             | The EU "time-wasting meme" comes from a direct quote from
             | the AZ CEO.
             | 
             | According to Dominic Cummings recent select committee
             | hearing, the vaccine programme was largely built
             | outside/adjacent to any existing NHS processes. It was
             | given NHS branding for public trust reasons (just like the
             | new-from-the-ground-up Track and Trace endeavour).
        
             | einarvollset wrote:
             | Sources? I've heard the "EU signed before UK" multiple
             | times now, but nobody ever links to a source. It just seems
             | unlikely, no? Why would they be so catastrophically far
             | behind in that case?
             | 
             | Similarly - the NHS is great, but not unique. Norway for
             | example has a system akin to the NHS (and so do _many_ EU
             | countries) and there 's no correlation there. Norway is
             | _waaaaay_ behind the UK and the US. Again, it seems
             | unlikely that the NHS is the cause.
             | 
             | It's obvious you hate the Tories, but that shouldn't cloud
             | your judgment to such a degree that you fail to celebrate
             | the real achievement of the UK's vaccination rate.
        
               | liversage wrote:
               | It's my impression that the vaccination program in
               | Denmark is very efficient just like in the UK. However,
               | the speed is limited by the vaccine imports which are
               | governed by deals made by the EU. I would think that
               | Norway is similarly limited by imports. (They are not in
               | the EU so probably are making deals at a national level.)
        
             | Mvandenbergh wrote:
             | This is a misunderstanding, as incidentally is the claim
             | that the UK contract was signed three months earlier,
             | because in both cases there is the assumption that there is
             | "a" contract and no money flowed or contractual obligations
             | were created before then. The reality is that in both
             | cases, memoranda of understanding, investment agreements,
             | and all sorts of other documents also exist and in some
             | cases were signed earlier. In particular, there were
             | agreements first with Oxford and then with AZ to start
             | scaling capacity very early and even before the notional
             | purchase contract signature in May (that's the one that was
             | later superseded at the same time as the final EU contract
             | was signed).
             | 
             | So it is simultaneously true that they signed a contract
             | within a few days of each other, but also not quite the
             | full picture.
        
             | stupidcar wrote:
             | The original claim regarding the EU dragging its feet over
             | signing the contract was made by the AstraZeneca CEO, not
             | the UK government. And the UK's contract is _not_ entirely
             | the same as the EU 's. For example, the EU waived its right
             | to sue AstraZeneca for delivery failures, something the UK
             | did not. This article by Politico does a good job of going
             | beyond the rather reductive coverage (both pro-UK and pro-
             | EU) in most of the press coverage of this affair, and
             | digging more deeply into the facts:
             | 
             | https://www.politico.eu/article/the-key-differences-
             | between-...
             | 
             | The conclusion, at least as I interpret it, is that both
             | the UK and the EU can reasonably claim to have priority,
             | based on their respective contracts, but that the UK did a
             | better job than the EU in making theirs enforceable. Hence,
             | AstraZeneca has prioritised them, while the EU has been
             | forced to resort to political rather than legal measures to
             | attempt redress (publishing the contract, export controls,
             | etc.). And the UK's closer ties to the AstraZeneca vaccine
             | project likely did mean they started work on the UK supply
             | chain somewhat earlier than in the EU, even although the
             | final contracts were signed essentially simultaneously (one
             | day apart).
             | 
             | I honestly don't really see this as an affair with clear
             | good guys and bad guys, but it seems like most people are
             | determined to do so, and inevitably along the lines of
             | their pre-existing sympathies.
        
               | Mvandenbergh wrote:
               | Part of the issue, and this is something that both AZ and
               | the EC fucked up in their contract negotiations is not
               | thinking about this contingency. "Best reasonable
               | efforts" is pretty clear... if you only have one
               | customer.
               | 
               | If you have multiple customers, who signed slightly
               | different contracts at different times, and who also have
               | different side agreements regarding specific facilities
               | they may have paid for in part or in whole, you really
               | need to define how you make allocation decisions in case
               | of shortfall so that everyone understands their risk
               | exposure.
               | 
               | I will personally hold the EC responsible because
               | although AZ has also messed up by not negotiating a
               | clearer contract, it is the EC that indirectly works for
               | me and it is their job to think about this on my and my
               | family's behalf. Had they understood the consequences of
               | being so far back in the production queue much earlier
               | they could have spent more on upgrading production but it
               | is not clear to me that they even understood this until
               | January. While I'm sure that they are trying their best,
               | and bad luck with Sanofi plays a part here as well (as
               | does the incompetence of e.g. the Dutch government in
               | managing distribution), I am pretty unimpressed with how
               | they have dropped the ball here.
               | 
               | It's not good them saying, "oh AZ isn't producing as much
               | as they thought they would". Ok, cool story bro but
               | they're making a novel biological, so you should have
               | anticipated this and done more to prepare plans B, C, all
               | the way through F. Not just placed a few commercial
               | orders and then hope it all works out.
        
               | SiempreViernes wrote:
               | I think the underlying problem is that there is just not
               | _any_ real cooperation on global vaccine distribution.
               | Certainly the details about the enforceability of the
               | various contracts wouldn 't matter if the customers all
               | talk between themselves and agree on what would be
               | acceptable modifications of the delivery schedule.
               | 
               | In the event, it seems neither Boris nor Biden seem very
               | interested in considering anyone else before they've
               | scored enough points at home, and meanwhile real
               | international cooperation on vaccine deliveries is dead.
               | Oh well, hope not all trade follows that pattern _shrug_.
        
           | sprafa wrote:
           | You're being fed misinformation. EU countries signed before
           | the UK.
        
             | reddotX wrote:
             | most brexiteers only read the British tabloids. explains
             | their disconnect with reality
        
               | kjakm wrote:
               | The parent comment is a reply to me so I'll assume you're
               | also referring to me:
               | 
               | 1. I voted remain and would again.
               | 
               | 2. Everybody I've spoken to that actually lives in the EU
               | agrees the EU has screwed up - it seems to mostly be
               | remain voters who can't move on who disagree with this.
               | 
               | 3. If you have evidence contrary to my comment share it,
               | keep the personal attacks to yourself.
        
             | thu2111 wrote:
             | Can you give a citation for that. The generally agreed
             | figure is that it was done 3 months later. Bear in mind,
             | the EU has still not even approved production from the AZ
             | Halix plant. EU has generally been doing things slower than
             | the UK.
        
               | mr_aks wrote:
               | The EU hasn't approved AZ Halix because AZ hasn't applied
               | yet: https://www.ft.com/content/8e2e994e-9750-4de1-9cbc-3
               | 1becd2ae... (apologies for the paywall).
               | 
               | Relevant quote:
               | 
               | Asked about the Halix situation, the commission said on
               | Friday that the EMA was ready to fast-track authorisation
               | of new production facilities once it received an
               | application and the necessary information from
               | AstraZeneca.
        
             | jarvist wrote:
             | CEO of AstraZeneca: "But the UK contract was signed three
             | months before the European vaccine deal." "When we entered
             | the agreement with Oxford, they had already been working
             | with the UK government on this. "
             | 
             | https://www.repubblica.it/cronaca/2021/01/26/news/interview
             | _...
        
             | stale2002 wrote:
             | Its more complicated than that. These deal are not
             | executed, the moment the final signature is signed.
             | 
             | Instead, there are multiple steps along the way, that
             | matter much more than some singular data point of a very
             | long contract process that has many stages.
        
           | benlumen wrote:
           | The original comment, and this retort, sums up the argument
           | in a nutshell. I see both sides of this one, offered both of
           | these arguments to a friend last night. It's complicated,
           | like most of these things.
        
           | [deleted]
        
           | hamax wrote:
           | So both UK and US are bad guys since they're blocking all
           | exports?
        
             | kjakm wrote:
             | I'm aware of the US blocking exports of certain things but
             | as far as I know the UK isn't. If you have evidence proving
             | otherwise I'd love to see.
        
             | dbetteridge wrote:
             | Per the above, no.
             | 
             | The UK purchased right of first refusal on the first
             | 100million doses of Oxford/AZ produced in the UK factories
             | that they funded.
             | 
             | The EU also funded factories (in the EU) but did not
             | purchase right of first refusal only best efforts
             | contracts.
             | 
             | The USA has a full ban on exports till they are ready to
             | export.
        
             | heraclius wrote:
             | There is no UK prohibition on exports.
             | 
             | The UK is not blocking exports. The EU were free to
             | conclude contracts with the (not very productive) UK
             | manufacturers at the same time HM government was doing so.
        
           | dan-robertson wrote:
           | Sure it's private companies but it wasn't random chance that
           | led to AstraZeneca (a British-Swedish company) working with
           | the Oxford group in the U.K. or Pfizer (an American company)
           | with BioNTech. It's a lot easier to control production when
           | it happens within your borders (eg Trump did have some
           | executive order banning exports but this was just symbolic
           | when the defence production act was invoked.)
        
             | jimbob45 wrote:
             | BioNTech is German and Pfizer is American. Am I missing
             | something?
        
               | dan-robertson wrote:
               | Pfizer has big factories in the US for making vaccines.
               | How many does BioNTech have in Germany?
        
               | sitic wrote:
               | The current bottleneck in the Pfizer vaccine production
               | is the last manufacturing stage -- combining the mRNA
               | with lipid nanoparticles. There are currently two plants
               | for it, one in the US and one in Belgium. The US plant
               | only delivers to the USA, the Belgian to the rest of the
               | world.
               | 
               | https://en.wikipedia.org/wiki/Pfizer%E2%80%93BioNTech_COV
               | ID-...
        
               | csnweb wrote:
               | They (BioNTech) themselves have only a few in Germany (2
               | or 3), but it's produced by other companies for them now
               | as well totalling to around seven according to this
               | German source: https://www.pharma-
               | food.de/markt/standorte-corona-impfstoff-.... I say
               | around because not all do the whole production sometimes
               | only parts of it as it seems. Didn't dig very deep into
               | it.
        
             | einarvollset wrote:
             | Trump never invoked the Defense Production Act.
        
               | blhack wrote:
               | Yes he did:
               | https://www.cnn.com/2020/03/18/politics/trump-defense-
               | produc...
        
               | dan-robertson wrote:
               | But Biden did, right?
        
               | einarvollset wrote:
               | Yep
        
               | optimiz3 wrote:
               | > President Trump first invoked the DPA in late March
               | 2020 in response to the coronavirus pandemic...limiting
               | the export of medical goods, increasing domestic
               | production of masks and ventilators
               | 
               | https://www.lawfareblog.com/understanding-bidens-
               | invocation-...
               | 
               | Nothing in there on vaccine export.
        
               | einarvollset wrote:
               | It is not I don't think, but I could be wrong.
        
         | bengale wrote:
         | The EU didn't make them, companies with facilities in the EU
         | did. They were exported because the EU managed to delay its
         | procurement process and other countries made their orders
         | earlier.
        
           | libertine wrote:
           | No country is making vaccines, yet are allowing for their
           | production and exporting. Well, some countries at least, in
           | this case the EU, China, India and Russia so far. The only
           | countries that haven't allowed exports is USA and UK.
           | 
           | The EU could take both the US or the UK route to prevent
           | these exports:
           | 
           | - The EU could rightfully, and has the power to, prevent
           | exports that are essential in a period of crises - which
           | clearly applies to the current situation in Europe. This is
           | the USA route, and it's legitimate.
           | 
           | - The EU can control AZ exports to guarantee they are
           | fulfilling their contractual obligations, which AZ has been
           | literally joking in the face of the EU. This is the UK route,
           | and it's legitimate.
           | 
           | What the media is currently reporting is the second one, the
           | EU is forcing the manufacturer to comply with their contract.
           | If this overlaps with the UK contract, well then that's
           | something I believe the UK must deal with the manufacturer
           | like the EU has been doing for the past 3 months.
           | 
           | I just don't get the double standards, the UK enforcing a
           | contract is good... the EU doing the same is... bad?
        
             | BruiseLee wrote:
             | > I just don't get the double standards, the UK enforcing a
             | contract is good... the EU doing the same is... bad?
             | 
             | Well, it looks like British tabloids are influencing this
             | point of view in English speaking countries.
        
           | hogFeast wrote:
           | ...and because politicians in the EU told citizens it might
           | be dangerous. Fine, believe all the conspiracy theories about
           | the UK stealing vaccines...the EU has literally millions of
           | doses sitting around going unused because citizens won't take
           | it (it is almost verging on mania: in Germany I have heard
           | that 50% of health workers at some hospitals who had the
           | vaccination are calling in sick after getting the vaccine).
           | 
           | I am not sure why there is even a discussion on these points:
           | the EU was late, and once they were late they did almost
           | everything wrong (unsurprisingly, countries in Europe have a
           | terrible record on vaccines)...that is it.
        
         | quietbritishjim wrote:
         | The official line from these companies always seems to be that
         | they were able to ramp up production to make the vaccines for
         | the UK because the UK committed to its order signficantly
         | earlier than the EU. (I've never seen this next bit said
         | explicitly, but the subtext, as I read it, is that the EU was
         | holding out for a better price.)
         | 
         | Of course I don't know the accuracy of such statements. But if
         | that is true, you could certainly argue it would unfair that
         | the EU should benefit from production capacity that only exists
         | because of commitments made by the UK, and the location of the
         | factories is fairly irrelevant to that.
         | 
         | You could counter argue that I am mistakenly treating the "EU"
         | and "UK" as a single individual person each who deserves to
         | suffer the consequences of their actions, when in fact the
         | people suffering are individual citizens who had almost no
         | control over the negotiation process. But, on the flip side, if
         | companies cannot rely on agreements made during difficult
         | negotiations to be honoured then it will be harder to secure
         | such agreements in future.
        
           | albertop wrote:
           | A good summary of EU problems is described [1]. Washington
           | and London understood that crucial to mass procurement was
           | throwing large amounts of R&D money at many companies in
           | hopes some would work. Brussels focused on haggling down the
           | cost per dose. Europeans pay a few dollars less per dose but
           | ended near the back of the shipment line.
           | 
           | [1] http://archive.is/M0bjW
        
             | hef19898 wrote:
             | Which is too simplistic. The UK, the US and the EU depend
             | on their local manufacturing capacity. That capacity is
             | limited, regardless initial delivery schedules were
             | sufficient for herd immunity in the EU around June/July
             | with a significant surplus in Q3/4. That surplus was slated
             | to be shared with developing countries.
             | 
             | Solid plan, solid procurement strategy. But after that
             | procurement, nothing. No coordination of national campaigns
             | with manufacturers, no planning on local and regional
             | level, no operational procurement plan. And the list goes
             | on.
        
           | mr_aks wrote:
           | The EU actually signed a contract with AstraZeneca on August
           | 27, a day earlier than the UK:
           | https://edition.cnn.com/2021/02/17/europe/uk-astrazeneca-
           | vac....
        
             | [deleted]
        
             | readittwice wrote:
             | Again, this is simply not true. Yes, the UK signed one
             | particular contract on Aug 28, so one day after the EU with
             | AZ. However, the UK had a binding contract with AZ since
             | May.
             | 
             | "However, the key lies in an earlier agreement that
             | AstraZeneca made back in May with the U.K., which was a
             | binding deal establishing "the development of a dedicated
             | supply chain for the U.K.," an AstraZeneca spokesperson
             | said."
             | 
             | Quote is from this article:
             | https://www.politico.eu/article/the-key-differences-
             | between-...
        
             | [deleted]
        
           | turbinerneiter wrote:
           | What makes this so painful for me is that person responsible,
           | the comission president von der Leyen, was not actually
           | elected by the people.
           | 
           | We need some massive reforms and rebuilding after this. There
           | already was a lot of EU scepticism, and instead of taking
           | this opportunity to shine, they completely squandered it and
           | destroyed trust.
        
             | iso1210 wrote:
             | Commission president was decided by the heads of each
             | democratically elected government - so Merkel, Sanchez,
             | Johnson, Macron etc.
             | 
             | Just like in the UK where the PM is elected by each
             | democratically elected MP
        
               | timthorn wrote:
               | > Just like in the UK where the PM is elected by each
               | democratically elected MP
               | 
               | That's not the case. The PM is appointed by the Monarch,
               | who will almost always choose the leader of the party
               | able to command a majority in the House of Commons. That
               | leader will be chosen according to the rules of their
               | party. Boris Johnson won an election where all eligible
               | members of the Conservative Party had a vote; it is the
               | case that the shortlist of two was decided by MPs.
               | 
               | The PM is also a regular MP and has to be elected by
               | their local constituency voters.
        
               | turbinerneiter wrote:
               | They promised us that the candidate of the strongest
               | party will get the job.
        
               | hef19898 wrote:
               | Isn't the EVP the strongest block in the EU parliament
               | right now?
        
               | turbinerneiter wrote:
               | Yes, but the candidate was Weber. Von der Leyen didn't
               | even run for parliament.
               | 
               | It was all a big deuce dropped on the parliament, really.
               | The parliament is the only directly elected body in the
               | EU, and the nations governments hate the idea that it
               | could gain any kind of real power.
        
               | hef19898 wrote:
               | The German chancellor is elected the same way. There is
               | nothing preventing a candidate change after the election,
               | plus there is no way to tell which coalition will
               | actually form. And still almost nobody would argue that
               | the German federal government isn't democratically
               | legitimized.
        
               | readittwice wrote:
               | The president could prevent that though and could ask for
               | a re-election in case of a candidate change after the
               | election. So not nothing ;)
               | 
               | Almost no one would argue that because AFAIK that never
               | happened. Pretty sure people would argue that way as soon
               | as this happens.
        
               | turbinerneiter wrote:
               | I mean why do all of you just keep ignoring what I'm
               | saying?
               | 
               | We were promised that the candidate of the winning party
               | would get the job!
               | 
               | All parties in the election agreed to that. We had
               | debates between the candidates rooted on that promise.
               | The whole election was based on that.
               | 
               | The EU has serious problems with democratic legitimacy,
               | it has serious problems with Trust, and yet people defend
               | those moves because they are technically legal.
               | 
               | The voters were told one thing and they got another
               | thing.
               | 
               | And then the EU does an about-face and wonders why there
               | is so many people distrusting it.
               | 
               | Do you want the EU to succeed or not? If you want it to
               | succeed, like I do, we have to call out the issues and
               | fix them, instead of defending broken things because we
               | still believe in the whole.
               | 
               | The EU will never reach its potential if we don't mature
               | it's political system and give the people some direct,
               | visible control.
        
             | andrepd wrote:
             | The thing most people don't realise is that the EU is
             | almost completely undemocratic, which is pretty crazy when
             | you think about it for a minute.
             | 
             | On the other hand it's also no surprise considering how it
             | evolved: a producer's cartel for the coal and steel, and
             | later agricultural, industries.
             | 
             | It's a miracle it even works so well as it does.
        
             | theaeolist wrote:
             | This is not by some accident of history. It is a deliberate
             | decision of euro-skeptic countries to avoid turning the EU
             | into a superstate. It is usually the same countries who
             | then go to complain about the "democratic deficit" of the
             | EU institutions. I went through the Brexit referendum
             | debates and the hypocrisy was rank.
        
               | thu2111 wrote:
               | It is possible for the EU to both have a democratic
               | deficit, and for the completely opaque and unaccountable
               | process for choosing the head of the Commission to be a
               | part of that. Bear in mind, the EU Parliament is not a
               | real parliament, so it does not improve things much when
               | the 'spitzenkandidaten' is selected. That's how Juncker
               | happened, a literal alcoholic. EU always ends up with
               | failures at the top, it seems to be an unwritten law.
        
               | [deleted]
        
               | turbinerneiter wrote:
               | Exactly. This is one the first things we have to fix. The
               | relationship between the nations government and the EU is
               | in parts absurd.
        
             | BurningFrog wrote:
             | The simple reform is to not have EU handle vaccine
             | procurement anymore.
        
               | turbinerneiter wrote:
               | Valid opinion, but I disagree.
        
               | BurningFrog wrote:
               | Fair disagreement!
        
             | reddotX wrote:
             | yawn.. why do you brexiteers even care about EU anymore?
             | The European Commission isn't directly elected by citizens
             | in the EU but the President of the Commission needs to be
             | approved by Members of the European Parliament (MEPs) who
             | are elected by voters from member states. MEPs also vote on
             | whether to approve Commissioners who are nominated by
             | governments of member states. In no country citizens
             | directly elect the government. EU commission EU's
             | government. The commission president is equivalent with a
             | PM
        
               | turbinerneiter wrote:
               | I'm Austrian and pro EU.
               | 
               | We were promised that the candidate of the strongest
               | party in the parliament election will get the job.
               | 
               | Every time this comes up people explain to me again what
               | I already know, and never ever they seem to remember what
               | the people were promised before the election.
        
         | [deleted]
        
         | xiphias2 wrote:
         | I'm not sure that I would call the number of Pfitzer/BioNTech
         | vaccines exported to young people in Israel fair so that they
         | can party, while my parents inside the EU are waiting locked in
         | for half a year now because they are scared of dying (and some
         | of their friends already dead from COVID :( )
        
           | ars wrote:
           | Israel paid a LOT more for the vaccine to ensure early
           | supply.
           | 
           | They are also _tiny_ - a lot smaller than you might think,
           | they are not really hogging all that much supply in terms of
           | absolute numbers.
           | 
           | And finally they agreed to be the research study for the
           | world, so what they are doing does have value, even for your
           | parents in the EU. In particular they will answer the
           | question: If you immunize everyone does COVID stop?
        
           | inglor_cz wrote:
           | The EU decided to spend 750 billion euro of money it does not
           | have (on credit - see [0]) for post-Covid recovery, but at
           | the same time decided to save as much as possible on
           | vaccines. I think that 'penny wise, pound foolish' applies.
           | It would be unfair to Israel if they paid extra surcharge for
           | their vaccines and later were told by European authorities
           | "sorry, we will confiscate them, bad luck."
           | 
           | If we instead paid some 10 extra euro per dose, it would have
           | added up to about 1 per cent of the planned recovery fund -
           | and an extra factory or two could have been built during last
           | autumn to start cranking out the vaccines by millions as soon
           | as approved.
           | 
           | [0] https://www.dw.com/en/eu-agrees-on-750-billion-euro-
           | recovery...
        
           | CyberRage wrote:
           | Wow, you almost make it seem like Israel has done something
           | wrong.
           | 
           | Nope, it was EU. the EU wanted to wait for final, concrete
           | results before mass adoption.
           | 
           | The EU was very skeptical regarding the vaccines. the EU
           | wanted to perform bulk orders as a union which complicated
           | the ordering process.
           | 
           | The issue is not necessary the number of vaccines but the
           | entire infrastructure to ship, cool and vaccinate people.
           | 
           | Israel had good existing infrastructure, willingness to pay
           | up-front and high demand for the vaccine.
           | 
           | * will note that Israel also agreed to share vaccination data
           | with Pfizer to locate any anomalies\problems
        
             | xiphias2 wrote:
             | There's no issue with the infrastructure, the Pfizer
             | vaccines are not coming, because Israel has priority. I'm
             | not saying Israel did anything wrong, they are protecting
             | their population and payed the price for it, while EU was
             | trying to get the price of the vaccine down instead of
             | thinking about the consequences of every lost day.
             | 
             | Also if infrastructure whould be a problem, US solved it by
             | just hoarding vaccines: at the end of the year they had 40M
             | Moderna vaccines on stock, they weren't able to use it, but
             | they didn't give it to other countries.
        
               | CyberRage wrote:
               | France, a while back, was receiving good numbers but were
               | failing to keep up in terms of demand\infrastructure.
               | 
               | I think now EU is far more active when it comes to the
               | efforts but initially, they were not.
               | 
               | It seems like there is more resistance in the EU to
               | vaccination and data sharing than in Israel.
        
               | GuB-42 wrote:
               | France has no problem vaccinating people, they just
               | adjust their strategy based on deliveries.
               | 
               | If you look here https://covidtracker.fr/vaccintracker/
               | you'll see that on the second graph, the blue curves
               | (vaccination) closely follow the gray curve (deliveries).
               | 
               | And while France is one of the most anti-vaccine
               | countries in the world, there is still no shortage of
               | people wanting to be vaccinated.
               | 
               | In the end, I just think it is just the result of
               | negotiations. Now, it is essentially a zero-sum game, the
               | only way to get more doses is to take it from others, and
               | the EU wasn't as aggressive. We will all get vaccines in
               | the end, it is just about how much you value your head
               | start.
        
               | xiphias2 wrote:
               | There's resistance to AstraZeneca vaccine, and in my
               | country (Hungary) to Sinopharm and SPUTNIK-V. Russian
               | troops invaded Hungary in the past, so there's not much
               | trust in a Russian vaccine, we trust the EU and US more,
               | but the government is laundering lots of money by getting
               | vaccines from the east (they payed $31 per dose for
               | Sinopharm vaccine)
        
               | CyberRage wrote:
               | You're looking at thing as they are now.
               | 
               | Now, as I've said, there's demand\need since the EU
               | scaled up the vaccination efforts however, look back 3-5
               | months.
               | 
               | EU was discussing just how to split\manage the vaccines
               | among the union members, while Israel was vaccinating at
               | a neck-breaking pace.
               | 
               | While my family in EU were not sure if they want to be
               | vaccinated, people in Israel were waiting hours in line
               | to even get a chance to get vaccinated.
               | 
               | Israel currently has over 80% of the population
               | vaccinated, I'm willing to bet that even if you provide
               | that number of vaccines to any European country, the
               | numbers will be far lower.
        
           | ben_w wrote:
           | "Fair" isn't well defined at the best of times.
           | 
           | I certainly want this all over ASAP, the vaccination isn't as
           | fast as I want; my biggest concern right now is the overlap
           | between anti-mask-and-and-lockdown protestors and anti-
           | vaccination protestors.
        
             | xiphias2 wrote:
             | I wish anti-vaccination protest would be real, that would
             | mean that I would get my own vaccine faster, but I don't
             | see that happening.
        
           | cdash wrote:
           | Just so you know, this sounds a lot like classic european
           | anti-semitism.
        
             | remirk wrote:
             | I have never really understood why you can't criticize
             | Israeli politics without it sounding like antisemitism.
        
               | Ma8ee wrote:
               | It doesn't sound like antisemitism. Some people choose to
               | pretend all criticism of the state of Israel is.
               | 
               | -Israel is an apartheid state.
               | 
               | -You fucking nazi!
        
               | ars wrote:
               | Nah, that particular comment was not antisemitism.
               | 
               | But to answer your question: There are a TON of
               | antisemitic people in the world, but they know they can't
               | talk that way, so they pretend that are "anti-Israel"
               | instead. Most people can see right through that, some
               | can't.
               | 
               | This doesn't happen to other countries, so the situation
               | with Israel is unique.
        
             | xiphias2 wrote:
             | I'm half Jewish (49% according to 23andMe), and I have a
             | picture of 10 people of my own family killed in a mass
             | grave, so I couldn't be farther from an anti-semite. Also I
             | have no problem with Israel, as I said (I have far
             | relatives there). What I don't like is the mix of price
             | based capitalistic distribution for the countries, but not
             | priced based capitalisic distribution of vaccines for the
             | people. It's fake humanitarian and fake capitalism at the
             | same time.
        
         | onetimemanytime wrote:
         | Export? USA and UK bought those vaccines a year ago from
         | Pfizer, Moderna, J&J and AstraZeneca. Warp Speed, USA gambled
         | and the world is better because of it.
         | 
         | They are contracts and dates on which x million doses are to be
         | delivered by. Why didn't EU do the same? Crying now it's too
         | late and a trade war can go both ways. Say, no vaccine would be
         | produced unless a certain item that is produced in USA goes to
         | a Belgium factory.
        
           | brmgb wrote:
           | The USA negociated more slowly than the EU. The UK signed a
           | research deal before the EU but didn't order until a week
           | later.
           | 
           | The only difference is that the EU remained truthful to the
           | free market while both the USA and the UK put country first
           | closes.
           | 
           | > Crying now it's too late and a trade war can go both ways.
           | 
           | There are no trade wars. Both the USA and the UK have shown
           | themselves to be extremely unreliable partners which will not
           | respect the rules they profess to believe in as soon as it
           | doesn't favor them. That was already obvious with Trump and
           | is only more obvious now.
           | 
           | I fully expect the USA to lose its place as the main global
           | power in the next decade if not sooner. The UK will probably
           | pay the price a lot sooner as the EU is not going to forget
           | and they have no other reliable ally.
        
             | onetimemanytime wrote:
             | OK, show me a press release mentioning orders, contracts.
             | 
             |  _" The EU reached a deal with Pfizer in November for 300
             | million doses and in January negotiated a preliminary deal
             | for another 300 million."_ https://www.dw.com/en/eu-
             | orders-300-million-more-biontech-pf...
             | 
             | USA agreed to buy 100-500 Million in JULY 2020
             | https://edition.cnn.com/2020/07/22/health/pfizer-
             | covid-19-va...
             | 
             | The fact is that EU is too slow, too risk adverse and 28
             | countries must agree. In USA the President winks, and it's
             | done. (In this case it was beneficial.)
        
               | ben_w wrote:
               | > The fact is that EU is too slow, too risk adverse and
               | 28 countries must agree.
               | 
               | Not strictly true, as for these purposes the UK was still
               | bound by EU rules until Jan 1st this year and did its own
               | thing for the vaccinations without breaking those rules.
               | 
               | The EU nations generally like to work together and
               | negotiate as one, as doing so saves money; money was the
               | wrong thing to optimise for in this case.
        
               | dumpsterdiver wrote:
               | > The EU nations generally like to work together and
               | negotiate as one, as doing so saves money; money was the
               | wrong thing to optimise for in this case.
               | 
               | Right. Probably should have optimized for human life.
               | Hindsight is 20/20.
        
             | strictnein wrote:
             | > The USA negociated more slowly than the EU.
             | 
             | The US signed their AZ deal months before the EU and UK.
             | They threw billions of dollars at every company they could
             | find, readily paying high rates while other countries tried
             | to negotiate lower ones. So I'm really not sure where this
             | idea of yours comes from.
             | 
             | $1.2 Billion to AZ in May:
             | https://www.hhs.gov/about/news/2020/05/21/trump-
             | administrati...
             | 
             | EU's deal was signed in August:
             | https://www.fiercepharma.com/manufacturing/az-
             | nets-396m-down...
             | 
             | $1.95 Billion to Pfizer in July:
             | https://www.nytimes.com/2020/11/10/health/was-the-pfizer-
             | vac...
             | 
             | EU's deal with Pfizer was in November:
             | https://www.pfizer.com/news/press-release/press-release-
             | deta...
        
               | systemvoltage wrote:
               | Didn't Italy just recently tried to block exports to
               | Australia?
        
               | Aengeuad wrote:
               | Minor nitpick but the UK signed a deal with AZ a couple
               | of days before the US, it was the EU that was 3 months
               | late to the party.
               | 
               | Clicking through your second link you get to the article
               | about the US deal on the 21st of May:
               | https://www.fiercepharma.com/pharma/astrazeneca-
               | scores-1b-fr...
               | 
               | and again for the UK deal on the 17th of May:
               | https://www.fiercepharma.com/pharma/after-signing-up-to-
               | deli...
        
             | dumpsterdiver wrote:
             | > There are no trade wars.
             | 
             | There are trade wars, and there will continue to be.
             | 
             | > Both the USA and the UK have shown themselves to be
             | extremely unreliable partners which will not respect the
             | rules they profess to believe in as soon as it doesn't
             | favor them.
             | 
             | That's rich coming from the folks responsible for GDPR. You
             | pollute our web, and then cry about things that don't favor
             | you? Boo-hoo.
        
               | [deleted]
        
               | _Microft wrote:
               | The web was already polluted. GDPR only removed the
               | facade and now you see the ugliness that was behind it.
        
           | chasd00 wrote:
           | I honestly think no one wanted to sign with the Trump admin.
           | Remember, when the vaccines were being developed and worked
           | on everyone was complaining about Trump rushing the vaccines
           | and how they weren't going to be safe nor effective. If the
           | EU signed on early they would be giving approval to Trump
           | before the results were in.
        
           | gaha wrote:
           | The EU did the same and they were also the ones funding the
           | BioNTech/Pfizer vaccine. But I agree with your other comment
           | about the US. The EU should have done the same. Restrict all
           | exports to other countries until x million is delivered
           | domestically.
        
           | bryanlarsen wrote:
           | > Why didn't EU do the same?
           | 
           | Germany gave BioNTech 445M. The US didn't give
           | Pfizer/BioNTech anything.
        
             | Robotbeat wrote:
             | The US did, actually, by placing a firm order for vaccines.
        
               | tempestn wrote:
               | So did many other countries. The US is getting those
               | doses faster by preventing the Pfizer factories in the US
               | from exporting any doses, so they have no choice but to
               | sell all of that supply to the US. That's why Canada is
               | getting all of the Pfizer/BioNTech doses it purchased
               | from the Belgium factory rather than one right across the
               | border in the US.
        
               | f6v wrote:
               | > The US is getting those doses faster by preventing the
               | Pfizer factories in the US from exporting any doses
               | 
               | With democrat president? Who would have thought.
        
               | bryanlarsen wrote:
               | The order was far from firm, Pfizer would have gotten $0
               | from the order if the vaccine didn't pass trials.
        
               | merpnderp wrote:
               | Far from firm? If I sign a contract to buy apples from
               | you 6 months from now, but you show up with apple seeds,
               | was my order not firm if I don't pay you?
               | 
               | The fact is when Pfizer showed up with a vaccine, they
               | knew they could sell $2 billion to the US and would have
               | legal recourse if the US government didn't pay. That's as
               | firm as it gets.
        
               | bryanlarsen wrote:
               | The participants in operation warp speed get paid whether
               | or not their vaccine makes it through trials.
               | 
               | To use your analogy, farmers can sign contracts for "all
               | the apples that's produced this year" if they want to
               | offload the risk of crop failure rather than a contract
               | for a specific number of apples.
        
           | the_why_of_y wrote:
           | The EU did sign contracts. Unfortunately AstraZeneca is not
           | going to be able to fulfill the contract, only delivering 30m
           | out of 80m doses in Q1, with an even bigger shortfall
           | expected for Q2.
           | 
           | https://twitter.com/DaveKeating/status/1372897665864830978
        
             | legulere wrote:
             | AstraZeneca also exported EU stockpiles to the UK leading
             | to this shortfall.
        
               | youngtaff wrote:
               | Apparently not many doses have been exported from Halix
               | in NL, and they have a stockpile of doses
        
               | markus92 wrote:
               | A ton got exported in early January, although precise
               | numbers don't seem to be public.
        
               | vinay427 wrote:
               | The EU also hadn't approved the vaccine when those
               | stockpiles were exported, and it was to compensate for UK
               | domestic production shortfalls which the EU suffered from
               | a few months later due in large part to the Commission
               | delaying the contract. The UK got precedence because they
               | were first in line and the EU couldn't yet use the
               | vaccines.
        
               | legulere wrote:
               | Those were stockpiled for the EU. Meanwhile also the US
               | has a stockpile of AstraZeneca vaccines, but none were
               | exported.
        
             | _Microft wrote:
             | Thanks for linking to this thread, it was insightful.
        
             | bengale wrote:
             | But since they were so late in getting that contract signed
             | AZ were only able to promise a best effort at delivery.
        
               | bidatzi wrote:
               | UK contract is also on a "best effort" basis.
        
               | readittwice wrote:
               | True, the EU even waived its right to sue because
               | delivery delays.
               | 
               | "And as POLITICO reported last week, the non-redacted
               | version of the contract shows that the EU also waived its
               | right to sue AstraZeneca in the event of delivery
               | delays."
               | 
               | Quote from this article:
               | https://www.politico.eu/article/the-key-differences-
               | between-...
        
               | gebruikersnaam wrote:
               | They signed 1 dey before the UK, which also got a 'best
               | effort' contract.
        
               | mwaitjmp wrote:
               | Have you got a source for this? Would really appreciate
               | it.
        
               | bengale wrote:
               | https://www.researchprofessionalnews.com/rr-news-europe-
               | inno...
               | 
               | Here's the CEO of AZ explaining why the three month extra
               | time was important.
        
               | gebruikersnaam wrote:
               | https://www.thelondoneconomic.com/news/astrazeneca-
               | signed-va...
        
               | mwaitjmp wrote:
               | The other comment in this chain has the following
               | statement in the link posted:
               | 
               | > The UK signed off its deal with AstraZeneca in June
               | 2020, three months before the EU did
               | 
               | So I'm not sure what to believe.
        
               | gebruikersnaam wrote:
               | One is from independent researchers, the other one is
               | from AZ press persons.Take your pick.
        
               | [deleted]
        
               | readittwice wrote:
               | Again: No, the UK had a binding contract with AZ since
               | May already.
               | 
               | "However, the key lies in an earlier agreement that
               | AstraZeneca made back in May with the U.K., which was a
               | binding deal establishing "the development of a dedicated
               | supply chain for the U.K.," an AstraZeneca spokesperson
               | said."
               | 
               | Quote is from this article:
               | https://www.politico.eu/article/the-key-differences-
               | between-...
        
               | gebruikersnaam wrote:
               | Again: Soriot is lying. This link says the UK signed in
               | june : https://www.researchprofessionalnews.com/rr-news-
               | europe-inno...
               | 
               | Except it didn't, the UK signed in august.
               | 
               | The link also says they wouldn't export EU manufactured
               | vaccines, except Italy blocked an export to Australia a
               | couple of weeks ago.
        
               | readittwice wrote:
               | No, I've already posted the article that states that the
               | UK signed the contract with AZ in May. There are also
               | other news articles from May 2020
               | (https://www.cnbc.com/2020/05/18/coronavirus-astrazeneca-
               | aims...) that prove that the UK already ordered back
               | then.
               | 
               | That's why it was considered "news" when it was reported
               | that one particular contract was signed by the UK one day
               | after the EU. But that's not the full story, since the UK
               | had binding contracts with AZ well before that.
               | 
               | "The link also says they wouldn't export EU manufactured
               | vaccines, except Italy blocked an export to Australia a
               | couple of weeks ago." I haven't seen that claim in the
               | article you linked.
        
               | gebruikersnaam wrote:
               | "He also denied suggestions that AstraZeneca might be
               | selling vaccine doses manufactured in the EU to other
               | parts of the world in order to make a bigger profit."
        
               | [deleted]
        
               | readittwice wrote:
               | IMHO that sentence doesn't prove your point that "The
               | link also says they wouldn't export EU manufactured
               | vaccines".
               | 
               | AZ is selling at cost, so they are not making a profit
               | from the vaccine atm. So that statement should be
               | trivially true.
        
               | gebruikersnaam wrote:
               | If they are actually selling at cost [citation needed],
               | why would they ship to Australia with undoubtedly higher
               | transport costs?
        
               | readittwice wrote:
               | It is well known that AZ sells the vaccine at cost. E.g.
               | "... is being offered by the drugmaker at cost during the
               | pandemic and at no profit in perpetuity for low-income
               | countries." [1] That's because the vaccine was developed
               | by the Oxford university and Oxford made this a
               | condition. If AZ makes a profit from the vaccine during
               | the pandemic they would break the contract with Oxford.
               | 
               | It seems the cost price differs from country to country
               | because of different production costs and other factors
               | (maybe shipping).
               | 
               | [1] https://www.politico.eu/article/astrazeneca-vaccine-
               | cost-hig...
        
               | gebruikersnaam wrote:
               | Your link doesn't say anything about signing contracts.
               | 
               | And press releases saying they are ready to go don't
               | count as signing contracts.
               | 
               | All your links are rooted in AZ press releases, which
               | means nothing.
        
               | readittwice wrote:
               | That article was clearly published in May 2020, I don't
               | assume AZ sneaked that article in. Are you really saying
               | that AZ was faking the press release in May 2020, so that
               | in 2021 they could claim that the UK signed the contract
               | three months before the EU?
        
               | gebruikersnaam wrote:
               | Your article from may doesn't say anything about signing
               | contracts, only that they are ready to go.
               | 
               | I've seen the articles mention may, june and august as
               | signing dates of the contract, so clearly there is some
               | 'miscommunication'. And both the may and june date
               | originates from AZ, while the actual date turns out to be
               | august.
        
               | readittwice wrote:
               | There are plenty of articles from May 2020 that all
               | discuss in various words that a deal was struck. If you
               | believe that AZ didn't sign a contract with the UK before
               | Aug 28 then the burden is on you to prove that.
        
               | bengale wrote:
               | Three months before.
        
             | hawk_ wrote:
             | what's the point of a contract that's not enforceable? if
             | EU has to resort to export bans after the fact, sounds like
             | someone somewhere didn't do basic due diligence. companies
             | aren't going to deliver just out of the goodness of their
             | hearts.
        
               | brmgb wrote:
               | > what's the point of a contract that's not enforceable?
               | 
               | That's why the USA didn't bother ordering rapidely. They
               | knew they could use the defense act and executive orders
               | to block exports and they did as soon as they could. Even
               | Canada is buying vaccines in Belgium.
               | 
               | The UK was wise. They prevented Oxford associating with
               | Merks and forced them to partner with AstraZeneca. That's
               | the key take away from the pfizer debacle and the
               | Nordstream interferences. Europe needs to strike American
               | companies hard and push them out of the European market
               | as fast as possible. The USA is not our ally.
        
               | logotype wrote:
               | That's absurd. On the contrary, we should work closer
               | with our ally USA, increase trade and more cooperation.
               | We should completely decouple from China and stop trade
               | from there, and restart domestic manufacturing.
        
               | turbinerneiter wrote:
               | To do that, we would need to trust the USA to have our
               | shared best interest in mind. I don't have that. The EU
               | is notoriously bad in protecting their self-interest, the
               | US is notoriously good at that.
               | 
               | I want to the EU to be a close ally to the US, but it is
               | not the EU who is the problem here.
        
               | astrange wrote:
               | Doesn't Germany have a lot of manufacturing? I thought it
               | was what they were known for.
               | 
               | China's final assembly companies are not the only kind of
               | manufacturing and not the most worthwhile part of it,
               | although Shenzhen is certainly good at electronics.
        
       | jiripospisil wrote:
       | You can see some statistics for the Czech Republic (population is
       | about 10.7 million) at [0].
       | 
       | Vykazana ockovani celkem = Administered total
       | 
       | Vykazana ockovani za vcera = Administered in the previous day
       | 
       | Osoby s ukoncenym ockovanim (dve davky) celkem = People with
       | complete vaccination (two shots) total
       | 
       | Osoby s ukoncenym ockovanim celkem za vcera = People with
       | complete vaccination in the previous day
       | 
       | [0] https://onemocneni-aktualne.mzcr.cz/vakcinace-cr
        
         | MayeulC wrote:
         | To keep with the thread. France (67M):
         | https://dashboard.covid19.data.gouv.fr/suivi-vaccination?loc...
         | 
         | premieres doses = first doses (6.1M)
         | 
         | rendez-vous prevus cette semaine = appointments this week
         | (0.5M)
         | 
         | There is a second tab dedicated to logistics:
         | https://dashboard.covid19.data.gouv.fr/logistique-vaccins?lo...
         | 
         | That makes it about 10M delivered to date. Vaccination is
         | primarily supply-restricted, only the elderly (75+, or 50+ with
         | preconditions), and medical/strategic personnel (inc
         | firefighters) can get vaccinated for now.
         | 
         | At current pace (last two weeks), it would take ~10 months to
         | get 80% vaccinated with one dose... :/
        
         | isbvhodnvemrwvn wrote:
         | Poland has this:
         | 
         | https://www.gov.pl/web/szczepimysie/raport-szczepien-przeciw...
         | 
         | Liczba szczepien 1 dawka = first doses administered
         | 
         | Liczba szczepien 2 dawka = second doses administered
         | 
         | Liczba dawek dostarczonych do Polski = doses delivered from
         | suppliers
         | 
         | Liczba dawek dostarczonych do punktow = doses delivered to
         | vaccination points
         | 
         | Zamowienia w trakcie realizacji = doses assigned to a
         | vaccination point, but not yet administered
         | 
         | Stan magazynu = warehouse stock, unclear if this is for second
         | doses (methodology changed last week)
         | 
         | Keep in mind that we typically get vaccines on Monday and
         | vaccinate throughout the week - yesterday there were ~5k
         | available doses in the whole of Poland
        
       | svara wrote:
       | This is the wrong thing to complain about. At this point vaccine
       | distribution is a zero-sum game. You might just as well frame it
       | as "EU refrains from pushing itself to the front of the line".
       | 
       | This thing isn't over before vaccine availability isn't
       | production-limited anymore.
       | 
       | The real mistake that the EU made was to not realize early on
       | that vaccine production was going to be a huge issue in 2021, and
       | make fixing that a priority.
        
         | scrollaway wrote:
         | Very untrue. COVID being much, much higher-risk in top age
         | brackets means vaccinating the top age brackets everywhere
         | _first_ is a lot more beneficial than vaccinating country-by-
         | country. Same reason why your country (whichever it is) likely
         | made priority groups for vaccine distribution rather than make
         | it a free-for-all.
         | 
         | And the first 15-20% or so of vaccines administered are
         | CRITICAL. In true pareto principle, 80% of hospitalizations
         | come from 20% of the population.
         | 
         | I'm in Belgium. We are facing a third wave. We're going back
         | into lockdown pretty soon (it's almost certain). With just 400k
         | more vaccines administered, we would not be in this mess.
         | 
         | 400k. The US vaccinates 3 million every day.
        
           | rictic wrote:
           | > The US vaccinates 3 million every day.
           | 
           | The US has like 30x as many people as Belgium. A better
           | comparison would be Ohio, which has about the population of
           | Belgium and is administering ~90k doses per day, which is
           | sorta like vaccinating ~60k people a day (based off a guess
           | that ~15k doses are the one dose J&J vaccine).
           | 
           | I agree that prioritizing the most vulnerable, regardless of
           | nationality is the morally better choice.
        
           | svara wrote:
           | The EU has received enough vaccine for everyone over
           | 70-something. But it doesn't change anything about whether
           | there's a third wave or not.
           | 
           | If you chose not to do a lockdown in the third wave because
           | "older people are already vaccinated" that would just mean
           | that your hospitals would fill up with younger people
           | instead, since total number infected would be much higher
           | than ever before.
        
         | markus92 wrote:
         | From a public health perspective, it's not zero sum. One
         | country fully vaccinated and another equally sized country not
         | vaccinated, leads to higher strain on the healthcare system
         | than both countries 50% vaccinated. Pareto principle applies to
         | hospitalizations.
        
       | klelatti wrote:
       | Leaving aside the politics is anyone surprised that roll-out has
       | been slower when organised (to a material extent) by a
       | multinational organisation whose normal modus operandi is to
       | build consensus amongst its members even if this takes time (I've
       | experienced it at first hand).
       | 
       | Contrast this with the UK which has a very centralised governance
       | model and a centralised single payer health system.
       | 
       | Not being critical of or praising either model or behaviour in
       | either case. Just not surprising that this happens when the
       | challenge is to deliver on a clear objective as rapidly as
       | possible.
       | 
       | (And still disappointing that EU citizens have to deal with the
       | results of this).
        
       | polytely wrote:
       | I really wish this graph included individual EU countries because
       | the vaccination strategy is specific per country
        
         | blibble wrote:
         | the only countries doing well are those that have stepped
         | outside of the EU commission's bungled programme
        
         | pacificmint wrote:
         | A lot of the European countries are all at a similiar point,
         | most likely cause the vaccines were procured together. Spain,
         | Italy, France and Germany are virtually identical, on a per
         | capita basis.
         | 
         | Hungary is a little ahead, as they are also using the Russian
         | vaccine. But still behind the US.
        
           | FpUser wrote:
           | Italian company Adienne Pharma & Biotech has signed the deal
           | to produce Russian vaccine domestically. They are waiting
           | however for the approval of said vaccine by the EU.
        
         | buster wrote:
         | I think the EU is ordering and distributing the vaccines for
         | the member states in order to do it even and fair (not sure how
         | this works out in reality, though).
        
           | SiempreViernes wrote:
           | They coordinate purchases and deliveries at a national level
           | only. It's a very long way down from a truck leaving the
           | factory destined towards a country and someone getting
           | stabbed in the arm by a professional, and _all_ of that work
           | is on the national agencies.
        
         | generaljelly wrote:
         | I agree. I would love to know the specifics of any country in
         | detail. Or a least a deeper understanding of medicine
         | distribution in the EU. Any chance someome can explain and talk
         | about it?
        
       | odiroot wrote:
       | Well, Hungary is in EU and they seem to be doing much better than
       | the rest.
        
         | raverbashing wrote:
         | They are going with Chinese and Russian vaccines (and for a
         | 10Mi country a small number will bump the per capita numbers
         | nicely)
         | 
         | Not a bad strategy but it doesn't scale (especially for the
         | Sputnik V current production capability)
        
         | yosito wrote:
         | Hungary decided to bypass EU regulators and approve several
         | vaccines that aren't approved in the EU, as well as procure
         | them with their own deals.
        
           | the_mitsuhiko wrote:
           | You don't need to bypass regulators, all countries can
           | approve it themselves. That's also how the UK approved their
           | vaccines before the Brexit deal took effect.
        
           | the-dude wrote:
           | There is no need to bypass the EU regulators as each EU
           | country has its own regulatory body which has national
           | authority.
           | 
           | The EU is a trade-bloc, full stop. The EMA is there to make
           | it easier for pharma.
        
       | standardUser wrote:
       | Most of Europe was much slower to approve vaccines than the US
       | and UK. Because of that, I've assumed since the first approvals
       | in December that Europe would lag. Once the US, UK and others
       | said "hey, we're ready to buy all the vaccines, send us what
       | you'e got", what did we expect would happen? I don't know why
       | Europe lagged on the approvals, but it seems obvious that would
       | also lead to a lag in rollout.
        
         | derriz wrote:
         | The FDA has yet to approve AstraZeneca's vaccine while the EU
         | approved it back in January. The US has a stockpile of
         | 40million doses which are not being used until approval arrives
         | while European vaccination rates are limited by vaccine supply.
         | 
         | Approval speed has nothing to do with it.
        
           | readittwice wrote:
           | I agree with that. However, Martin Selmayr (Secretary-General
           | of the European Commission) recently explained on TV that the
           | slower approval was the reason that the EU is lagging behind
           | the US in vaccations. Well, obviously that slower approval
           | was for "more safety" according to him.
           | 
           | That explanation doesn't make a whole lot of sense since the
           | delay was only a few weeks for Biontech/Pfizer or Moderna. As
           | you mentioned, AZ is not even approved in the US. Europe
           | would need to vaccinate around 50M people in a few weeks.
           | 
           | EU politicans know that the EU has failed at procurement.
           | They now try to cover that up by blaming AZ and explaining
           | delays with additional safety measures.
        
             | pvitz wrote:
             | Selmayr hasn't been the Secretary-General of COM for two
             | years.
        
               | readittwice wrote:
               | Oh right, that's true. Sorry. He is now still a European
               | civil servant though. In my defense, I quickly googled
               | his name and that's what popped out first. On TV was
               | announced as "spokesperson of the European Commission",
               | so I thought that was his official job title.
        
           | tabtab wrote:
           | The US should allow AstraZeneca to be used on volunteers in
           | other nations, as long as it's not under coercion. The
           | possible blot-clot issue is small, if any. Thus, volunteers
           | is a decent compromise, rather than let it sit in storage.
        
             | bobbylarrybobby wrote:
             | The US is currently shipping AZ to Canada and Mexico
        
         | raducu wrote:
         | Please, stop with this bullshit.
         | 
         | The USA and UK are not exporting any vaccines, the EU is
         | exporting vaccines, the EU is the good guy here, the EU has
         | every right to ban vaccines exports like the USA, but it
         | doesn't do that.
         | 
         | That's the bottom line, not some obscure contract bullshit.
         | Contracts don't matter if a soverign entity like the USA ban
         | vaccine exportations.
         | 
         | Do you think we're all dumb and can fool us not to recognize a
         | sparrow when we see one?
         | 
         | History will judge fat americans rushing to the lifeboats
         | before foreign "women and children", it's disgusting and should
         | be ashamed of yourself.
        
           | kitd wrote:
           | Just FYI, the UK exports components of the Pfizer vaccine to
           | the EU.
           | 
           | It's way more nuanced than you paint it.
        
             | libertine wrote:
             | I don't get this argument.
             | 
             | There's countries all over the globe exporting components
             | for vaccines. Canada, all over Europe, it's a global chain.
        
         | dundarious wrote:
         | I find the information in
         | https://news.ycombinator.com/item?id=26544947 credible, and
         | they indicate that approval is not the major issue. Instead,
         | the EU's contracts with the pharma companies cannot be met,
         | because the US and UK legislated/contracted to bind local
         | production to local use, with the UK even specifically
         | requiring/strongly encouraging Oxford to use a UK pharma
         | company (instead of a US one) in order to ensure they could
         | bind local production to local use.
        
         | mytailorisrich wrote:
         | The UK (and the US) used emergency provisions to grant
         | temporary approvals early. The EU pretty much followed the
         | normal procedure but is an accelerated schedule.
         | 
         | The EU branded the UK's emergency approval "reckless".
        
         | mahkeiro wrote:
         | Really AZ vaccine is not even approved in the USA...
        
       | junippor wrote:
       | CTRL-F bureaucracy
       | 
       | Cue HN complaining how much "bureaucracy" and how much "red tape"
       | the EU has, and smth smth socialism.
        
         | CodeGlitch wrote:
         | But that is the problem here isn't it? Why else would the EU be
         | 3 months behind the UK.
        
           | the_why_of_y wrote:
           | The EU appears to be of the opinion that it needs to net
           | export 8 million vaccine doses a month to the UK (plus 17
           | million to other countries, although the article doesn't
           | detail if any doses are imported from those countries).
           | 
           | https://www.irishtimes.com/news/world/europe/eu-exported-
           | mor...
        
           | SiempreViernes wrote:
           | There are two issues: UK and US nationalism preventing
           | companies to shift finished products _to_ the EU in case of
           | production troubles, while the EU has been slow to impose
           | restrictions in the other ways. This meant that when the AZ
           | plant in Belgium got production problems the EU had to take
           | the shortfall alone instead of it being distributed on all
           | customers: the upshot of this is that UK has simply gotten
           | more vaccines than the EU.
           | 
           | The second problem is largely national: some countries have
           | been slow to use the severely reduced deliveries they have
           | gotten (possibly because their schedules were screwed up by
           | the shortfall). The national governments have been _really_
           | happy to pretend the national programs are perfect and there
           | aren 't large stockpiles of unused vaccines in their
           | countries, and to blame all the tardiness on the shortfall
           | "from the EU".
        
             | mattmanser wrote:
             | Nationalism? The Astrazeneca vaccines was paid for by the
             | UK 3 months before the EU.
             | 
             | Not 3 weeks, 3 months.
             | 
             | The same production problems with the EU batch happened to
             | the UK one, as far as I know, but they had time to fix it
             | because of those extra 3 months.
             | 
             | Now the EU want to jump the queue and give it out "evenly",
             | because it suits them. And if the shoe was on the other
             | foot, they'd be saying 'je suis desole, we have no vaccine
             | for you British because of Brexit'. And you know it.
             | 
             | Plus they've been talking down the British strategy so much
             | now their own citizens are wasting what Astrazeneca
             | supplies they do have, so it'd be a complete waste.
        
           | dundarious wrote:
           | No that's probably not the problem, if this (plausible)
           | thread is accurate:
           | https://twitter.com/DaveKeating/status/1372897635577761803
           | 
           | Edit: I'm not sure I buy the proposed argument that in a way,
           | "the EU believed in the free market and fair play too much,
           | and the US and UK betrayed those noble ideals", but I do
           | believe the EU failed to recognize and/or counter the state
           | of play, that the US and UK had legislated production
           | partners and output to stay within national borders.
        
             | tinus_hn wrote:
             | I think the EU even today is still boasting about how they
             | saved a few euros on the vaccines. Such an great deal, when
             | someone else pays for the consequences.
        
       | BurningFrog wrote:
       | I'll just note that without any factories of their own, Israel
       | managed to get more vaccines than any other country.
       | 
       | As I understand it, because they were ready to pay whatever it
       | costs. Which, if you look at the numbers, is not much at all.
        
         | onlyrealcuzzo wrote:
         | The UAE is also up to 80%.
         | 
         | Having a population of 8M helps a lot.
         | 
         | If Israel (or the UAE) had a population of 350M - they would
         | not be even close to 100% vaccinated.
        
           | atilaneves wrote:
           | Switzerland has a population of 8.6M, isn't part of the EU,
           | and yet...
           | 
           | The problem there has been getting enough doses delivered.
        
         | Voloskaya wrote:
         | > As I understand it, because they were ready to pay whatever
         | it costs.
         | 
         | That particular cost wasn't financial though. It was a promise
         | to fast track rollout where other countries wanted to go
         | through lengthy approval and review processes, vaccinate their
         | population as fast as possible and share data about efficacy
         | with the manufacturers. The Israeali government was ready to
         | take risks that many other countries weren't.
        
           | BurningFrog wrote:
           | Interesting! I didn't know that!
           | 
           | I found an article confirming this. Though it also says
           | 
           | > _" Israel paid about $30 per dose, almost double what other
           | nations did"_
           | 
           | I'm always shocked by how little money that is. $3000 per
           | dose would be cheap!!!
           | 
           | https://www.brookings.edu/blog/up-front/2021/01/05/the-
           | secre...
        
       | phtrivier wrote:
       | Headline could have read : "player that manufacture, use and
       | export resource lags behind players that manufacture, use, and
       | don't export resource".
       | 
       | A terrible twitter threat summarized this as "UE played expecting
       | fair play. This now looks naive."
       | 
       | https://mobile.twitter.com/DaveKeating/status/13728976355777...
       | 
       | I love bitching at my government like every one else, but it
       | can't see what logistics you can improve to vaccinate more people
       | when you don't exactly have vaccines.
       | 
       | Oh, and great play by FB to make sure no one below 30 in europe
       | wants a vaccine, you played well for team USA on this one !
       | 
       | I suppose this will serve as a "never again" shock for bringing
       | back some factories in the EU. Or it will simply serve as a
       | stepping stone for nationalist who will just make things a tad
       | worse, before it (maybe) (one hopes) (who knows ?) gets better.
        
         | strictnein wrote:
         | Always like when Twitter threads that are supposed to be
         | sources of "truth" says stuff like this:
         | 
         | > "Meanwhile in March 2020, President Trump tried
         | unsuccessfully to steal BioNTech from Germany"
         | 
         | They tried to buy the company. Not sure when "Buy" became
         | "Steal"
         | 
         | > "Trump seemed to be in no hurry to sign Pfizer purchase
         | contracts. "
         | 
         | He then links to an article about how they weren't rushing to
         | buy additional vaccines on top of the 100 million already
         | purchased. So, again, highly misleading. Not buying additional
         | vaccines just became "in no hurry to sign Pfizer purchase
         | contracts"
        
       | raverbashing wrote:
       | "Severely lags behind" well, only if we're considering the top
       | performers
       | 
       | Countries that are ahead of the EU (on avg.) per person doses are
       | mostly small (Israel, UAE, Chile). Comparable are the UK, US and
       | China
       | 
       | In terms of actual doses the EU is behind the US and maybe China
       | (debatable numbers).
       | 
       | The rest are behind
       | 
       | https://ourworldindata.org/explorers/coronavirus-data-explor...
        
         | 2trill2spill wrote:
         | According to the Bloomberg tracker[1] the United states has
         | given 24.9% of the population at least one shot and 13.5% two
         | shots. The EU has given 8.7% one dose and 3.8% two doses. The
         | United States is administrating 2.5 million doses a day and the
         | EU is administrating 1.1 million doses a day, although the EU
         | has a larger population. Also the rate of vaccines administered
         | in the EU is down from 1.5 million a day from the prior week,
         | while the US rate is going up. So severely behind seems about
         | right.
         | 
         | [1]: https://www.bloomberg.com/graphics/covid-vaccine-tracker-
         | glo...
        
           | raverbashing wrote:
           | "Severely behind" the country doing the most vaccinations per
           | day, but not on a general comparison. (Though yes last week
           | the amount given was lower)
           | 
           | I completely agree the EU could be doing a better job, but in
           | terms of general comparison, it's not doing bad
           | 
           | (It's doing better than Canada/Australia/Japan) for example.
        
             | thehappypm wrote:
             | No, it's doing bad.
             | 
             | Canada should, by all means, be doing much worse than the
             | EU, being a politically low-power country. Being roughly
             | the same as the EU is bad.
             | 
             | Australia basically has eradicated covid.
             | 
             | Japan has the pandemic largely under control as well.
             | 
             | The EU, for all its socialism and condescension of the US,
             | should by all means be clobbering the US. But it's getting
             | clobbered.
        
               | FpUser wrote:
               | >"The EU, for all its socialism and condescension of the
               | US, should by all means be clobbering the US. But it's
               | getting clobbered."
               | 
               | The US has never lacked the decisiveness and the ability
               | to mobilize.
        
               | astrange wrote:
               | The US lacks decisiveness ("you can always trust the
               | Americans to do the right thing after all other options
               | are exhausted" etc) but has the ability to mobilize
               | (state capacity). We're just only good at one thing - war
               | metaphors.
               | 
               | So we can't keep a lockdown going because that's not a
               | war. But we can do vaccines great, that's just
               | metaphorically shooting people.
        
               | dragonwriter wrote:
               | > The US has never lacked the decisiveness and the
               | ability to mobilize.
               | 
               | It's dithering in both World Wars (among many, many other
               | examples) would lead many people to question the
               | decisiveness side of that.
        
               | FpUser wrote:
               | Not sure about WWI events but from what I understand WWII
               | did not pose immediate danger to the US and there was no
               | pressing need for them to decide. From what I understand
               | they were even happy to trade with the Germany. Once
               | Pearl Harbor happened it changed the picture.
        
       | Mvandenbergh wrote:
       | Behind whom?
       | 
       | I mean, I get it, my own country is doing badly even compared to
       | other EU countries but we need to keep in mind that the EU is at
       | 10% or so vaccinated which is a lot more than almost any other
       | major country or political bloc.
       | 
       | If you show only the UK and US as comparators, it looks really
       | bad but that's a hard comparison set to go up against.
       | 
       | It's actually really ironic that the the UK and US took an
       | approach that most people would consider a very European one by
       | directly involving themselves and investing up-front in vaccine
       | production while the European Commission took the neoliberal
       | route of placing commercial orders in most cases and doing some
       | but much less direct investment.
       | 
       | What has ended up happening is basically the confluence of
       | suboptimal but not necessarily bad decision making and some
       | really bad luck.
       | 
       | The EU, UK, and US all bought large portfolios of vaccines,
       | enough a few times over if they all worked. They also all
       | invested up-front in R&D, the EU proportionally less per head of
       | population but of course many EU countries are not so rich and do
       | not have so much domestic biotech/pharma so this has to be seen
       | in that context as well. The EU is not all France/Benelux/Germany
       | which do have such industries.
       | 
       | All three gambled that their portfolios would pay off.
       | 
       | US went heavy on J&J, Pfizer/Biontech, Moderna (not as sure about
       | the US portfolio but loads of others) UK went for AZ, Valneva,
       | GSK/Sanofi, Novavax, Pfizer/Biontech, (and later bought some
       | Moderna but not much and only after it was approved). There is
       | some kind of future agreement with CureVac which was only
       | recently concluded. EU went for Pfizer-Biontech, AZ, J&J
       | GSK/Sanofi, CureVac, Moderna. I think there have been discussions
       | with Novavax and Valneva but no concrete orders.
       | 
       | (UK and EU have the vaccines roughly in order of order size)
       | 
       | So what happened?
       | 
       | Essentially the Pfizer vaccine worked brilliantly and they seem
       | to have gotten their scale-up working quite well. Good for EU and
       | UK both.
       | 
       | AZ works well (probably slightly less well, and with quite a lot
       | of evidence that the decision not to use the stabilised fusion
       | protein is what is making a difference to performance against
       | certain variants) but AZ is having an absolute nightmare getting
       | their yields up. This has affected all their global production -
       | they had intended to delivery 30m doses to the UK by September...
       | 2020 and 100m by the end of the year and clearly have not been
       | able to. Making biological products is really hard, clearly. This
       | has slowed down both the UK and EU roll-outs but because the UK
       | scale-up started earlier (note my comments above about investment
       | agreements, they started production scaling at their Oxford site
       | as early as April 2020) they are further in the production ramp
       | and of course most of the UK delay was before the vaccine was
       | approved. So despite their UK order technically being later than
       | their EU order, it has been felt much harder in the EU because
       | the "lateness" of the UK order mostly happened before the vaccine
       | (or any other vaccine) was approved.
       | 
       | The GSK/Sanofi vaccine has been postponed and may never see the
       | light of day.
       | 
       | Novavax has had good results and is currently preparing for the
       | approval process.
       | 
       | Both the UK and EU had hoped to use either AZ or GSK/Sanofi as
       | their "workhorse" vaccine but the UK had slightly less emphasis
       | on it and bought / invested in more doses of vaccine per head.
       | The EU has not done a great job here but it's also not abject
       | failure, they've just had some bad luck in that simultaneously
       | their two biggest orders were cancelled and slowed down.
       | 
       | It could easily have been the case that a different set of
       | vaccines didn't work and/or were hard to make and then it might
       | be the US or the UK with the problem.
       | 
       | I think before we draw big picture conclusions (apart from Ursula
       | vdL being useless, but I think any German who remembered how good
       | she was at defence procurement could have told you that) we need
       | to remember that to some extent there are historical
       | contingencies at play here and we can end up over-fitting by
       | assuming that literally every difference we see is due to
       | structural problems/advantages faced by one side or another.
        
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