Last Call For The Vax Of Life, Con't

Republicans, in their never-ending quest to kill poor Black people before they become Medicaid "burdens", are now refusing to pay for any more vaccine doses until the Biden Administration comes up with a plan to "take responsibility and wind down" COVID-fighting efforts heading into the 2022 midterms.

Congressional Republicans' concerns about wasting COVID vaccines are colliding with the Biden administration's commitment to making the shots as widely accessible as possible, adding another wrinkle to the stalled COVID funding negotiations.

The intrigue: Some Republicans are growing skeptical of the currently available vaccines' ability to contain the Omicron variant, and don't want to allocate money for more doses without a firmer plan in place for the fall.

The big picture: Democrats stripped more than $15 billion of funding for more COVID countermeasures from a spending bill in March due to internal divisions over how the package would be paid for.Democrats and Republicans have been at loggerheads since then, and the administration has warned that the country won't have critical tools for managing the virus this fall without new funding. But two senior GOP Senate aides say that Republicans are also raising broader questions about the administration's vaccine strategy.

State of play: COVID vaccines are packaged and distributed in multi-dose vials. Once a vial of Pfizer or Moderna's mRNA vaccine is opened, it must be used the same day, because the vaccines don't contain preservatives.In practice, that forces a choice between throwing out unused doses and limiting the number of places offering vaccines at any given time to concentrate demand.

Yes, but: Republicans say the current strategy is wasteful, and it would be better to rein in accessibility so that more doses are likely to be used.Although the administration is working with vaccine makers on updated vial sizes, including single-use vials, these aren't expected to be ready until late this year or early next year, according to a senior Biden administration official. 

"If someone arrives at a rural or urban site and they're the only one who shows up that day, they can get a vaccine," the official said. "From a public health policy, we want to ensure that everyone has easy access, no matter where they live."

By the numbers: As of now, 79% of available vaccine doses distributed in the U.S. have been administered to patients, according to Department of Health and Human Services officials.That figure is an average over the last year and a half, but there have been fluctuations. The administration didn't specify how many doses are currently going unused or how the rate has changed over time. 

"Vaccine utilization was very high in the early months of the vaccination campaign and has decreased in recent months; however, our commitment to providing vaccine, and now boosters, to anyone who wants one remains unchanged," the HHS officials wrote in an email.

The other thing: It's no secret that Pfizer and Moderna's vaccines don't work as well against the Omicron variant, although they remain highly effective preventing hospitalizations and deaths. Pfizer and Moderna are testing updated vaccines that are target Omicron as well as the original COVID-19 strain.Some Republicans want to prioritize buying therapeutics, given the vaccines' reduced effectiveness and the evolution of the virus. 

"Republicans are skeptical of using federal money to buy more vaccines that are proving not to last very long and questions remain if they will work against future variants," one senior GOP Senate aide told Axios. "We're not saying don't get vaccinated. We're saying that the current shot and boosters are reducing in effectiveness. New vax isn't ready and it's unclear where they are in the plan," the aide added. "Since there is no plan, we don't want to give them blank check."

The other side: The administration says it has a plan, and the problem is lawmakers haven't authorized the money to implement it.

 

So, by accepting the Republican framing ("The pandemic is over, it's time to start winding down COVID-fighting efforts") the White House and blue state Dems are now stuck in a Catch-22: Republicans are refusing to pay for more COVID vaccines because the vaccines are "ineffective", and the White House vaccine campaigns have been sabotaged for 16 months by Republicans every step of the way to make it so.

 

That sabotage is continuing now.