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来源类型Working Paper
规范类型报告
DOI10.3386/w27817
来源IDWorking Paper 27817
Do Black and Indigenous Communities Receive their Fair Share of Vaccines Under the 2018 CDC Guidelines?
Parag A. Pathak; Harald Schmidt; Adam Solomon; Edwin Song; Tayfun Sönmez; M. Utku Ünver
发表日期2020-09-14
出版年2020
语种英语
摘要A major focus of debate about rationing guidelines for COVID-19 vaccines is whether and how to prioritize access for minority populations that have been particularly affected by the pandemic, and been the subject of historical and structural disadvantage, particularly Black and Indigenous individuals. We simulate the 2018 CDC Vaccine Allocation guidelines using data from the American Community Survey under different assumptions on total vaccine supply. Black and Indigenous individuals combined receive a higher share of vaccines compared to their population share for all assumptions on total vaccine supply. However, their vaccine share under the 2018 CDC guidelines is considerably lower than their share of COVID-19 deaths and age-adjusted deaths. We then simulate one method to incorporate disadvantage in vaccine allocation via a reserve system. In a reserve system, units are placed into categories and units reserved for a category give preferential treatment to individuals from that category. Using the Area Deprivation Index (ADI) as a proxy for disadvantage, we show that a 40% high-ADI reserve increases the number of vaccines allocated to Black or Indigenous individuals, with a share that approaches their COVID-19 death share when there are about 75 million units. Our findings illustrate that whether an allocation is equitable depends crucially on the benchmark and highlight the importance of considering the expected distribution of outcomes from implementing vaccine allocation guidelines.
主题Microeconomics ; Market Structure and Distribution ; Health, Education, and Welfare ; Health ; Education ; COVID-19
URLhttps://www.nber.org/papers/w27817
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/585489
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Parag A. Pathak,Harald Schmidt,Adam Solomon,et al. Do Black and Indigenous Communities Receive their Fair Share of Vaccines Under the 2018 CDC Guidelines?. 2020.
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