Biden Plans to Overhaul Covid Vaccine Eligibility Rules, Open More Sites

President-Elect Joe Biden proposed to overhaul eligibility rules for coronavirus vaccines and open more sites to receive shots, but his plan to rev up U.S. inoculations largely retains the bones of the Trump administration’s system.

Ahead of remarks in Wilmington, Delaware, Biden’s office released changes he’d make to boost vaccination rates. His pledges are vague about timelines, reinforcing Biden’s previous warnings that there’ll be no quick fix.

“We didn’t get into all of this overnight. And we won’t get out of it overnight, either,” Biden said. “We remain in a very dark winter.”

Biden and his aides have increasingly criticized the Trump administration’s vaccine rollout, which has fallen short of inoculation targets so far. But the president-elect’s plan amounts to a revision of Trump’s effort, not a rewrite.

“The vaccine rollout in the United States has been a dismal failure so far,” he said. Five changes, he said, will help the U.S. meet his goal of 100 million doses in his first 100 days.

“You have my word: we will manage the hell out of this operation,” he said.

As president, Biden will encourage states to abandon a complex series of priority groups that’s been used to triage vaccination and instead focus on giving shots to front-line essential workers and anyone over 65, according to an announcement Friday by his transition office. He plans to set up community vaccination centers and mobile clinics and “jump-start” an effort to make shots available at pharmacies.

Implementation of priority groups was driven by science but “has been too rigid and confusing,” Biden said. “There are tens of millions of doses of vaccine sitting around unused in freezers across the country” while people who want vaccinations can’t get them, he said.

He said he would instruct the Federal Emergency Management Agency to begin setting up community vaccination sites on his first day in office, in locations like gymnasiums, sports stadiums and community centers. “Mobile clinics moving from community to community” will partner will local health-care professionals to get vaccinations to “hard-to-reach” communities, he said.

Biden’s administration will also work more closely with pharmacies to administer vaccines, though it was not clear how he would improve on partnerships they’ve already established with the government.

Biden also said he’d use the Defense Production Act to boost the manufacture of vaccines and the supplies required to administer them, such as vials and needles. The announcement included few specifics.

“I’ve already asked the team and we’ve identified the suppliers who are prepared to work with our teams,” he said.

His fourth change, he said, is a previously announced plan to release more first doses of vaccines and hold less in reserve for second doses. The Trump administration announced it would make that change itself this week. Biden said his administration would not change recommended dosing schedules that call for people to receive a booster shot three or four weeks after their first dose.

His fifth change, he said, will be more transparency for the vaccine program, including regular updates on progress toward vaccinating the population.

Biden’s team on Friday appointed former Food and Drug Administration Commissioner David Kessler as chief science officer of what it calls “Covid Response.” They’re retiring the “Operation Warp Speed” name President Donald Trump used for the vaccination effort. Kessler will replace Moncef Slaoui, who served as the initiative’s chief scientist, and Kessler will focus on administering the vaccine.

Biden is preparing to be sworn in next week under heavy security in the aftermath of a deadly Jan. 6 riot at the U.S. Capitol, and against the backdrop of a raging pandemic that is the biggest crisis of his nascent presidency. The U.S. set records this week for daily coronavirus deaths -- there were 3,899 on Thursday alone -- while new cases and current hospitalizations hover near record-levels.

Biden has promised Americans his administration will quell the pandemic, while also warning it won’t be easy or fast.

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