Don2 (Don1 Revised)
Contributor
The additional risk of being BIPOC was given. Compare it to the age risk.
This appears to have been a decision that was made mid-stream where the government looked at the numbers and saw a BIPOC gap in vaccination. So not only was the decision based on the narrow risk of mere infection survival but also in addressing the gap and lag. Therefore, you are narrowly defining risk in terms of infection survival and not including the additional risks from all the lag of not getting the vaccine, nor the impact of community-specific lag on other members of the community. So, for example, you are comparing age group N for race 1 and race 2, but the lag of BIPOC means the brunt are being vaccinated much later than when the age bracket opens, so you ought to be comparing white age group N versus BIPOC age group M+N, which we do not quite know or at least has not been computed. You haven't yet even proved your case with your narrow risk but you also need to broaden risk because risk is bigger than you imagined.
The community-specific lag is irrelevant to the issue under discussion.
Saying it is irrelevant does not make it so. Observing there is lag and then trying to respond to the lag is reasonable.
Loren Pechtel said:The change put people at 2.4x the baseline risk at the same priority as those at 11x the baseline risk even before considering whether it was socioeconomic rather than racial in the first place.
You have yet to prove those numbers, but again you are defining risk narrowly without considering other factors such as interactivity of one person to the next, the community, the distrust by minorities of a govt medicine program, and the LAG.
The goal of the vaccination program is to reach R0 or higher, not merely in one region or amongst one people but pretty uniformly distributed against geography and sub-geography and demographics which tend to cluster together. If you do not do that, then the virus stays alive in hosts, spreads, and mutates, creating future opportunity to undo the vaccination effectiveness. You can't have one minority lag way behind because ethnicities tend to spend a lot of time together, clustering and spreading, just like whites by themselves tend to do the same thing. This is a fact of just having extended families and neighborhoods somewhat segregated. You let one race not reach anywhere near R0, you're fucked. Eventually. Now, in addition, having younger African Americans get the shot be around the older ones who did NOT get the shot also decreases the chances the older ones will get sick in the first place. And giving the younger ones opportunity to get the shot increases the chances they will take their older relatives at the same time period to get the shot. So clearly, there are some less computable side effects that are beneficial. But that's all not even counting the FACT of lag. Sure, in theory, it sounds reasonable that one group gets vaccinated at the same time as another, but IN PRACTICE, it just doesn't happen that way for whatever reason. You announce, "hey minorities can get vaccinated now," and the minorities will lag behind in scheduling on average. So IN PRACTICE, you are comparing the wrong age groups across race.
When all is said and done, we will look back on this and get statistics. The hard-to-compute effects of the policies will be somewhat hard to prove, but we will find Vermont did very well relative to other states with their vaccination program. We will find lower relative death rates for both Whites and BIPOC as compared to other states.