WITH THE NATIONAL COVID DEATH TOLL SURPASSING 300,000, the first doses of Pfizer’s vaccine left a facility in Kalamazoo, Mich., on December 13, kicking off an extraordinary effort to inoculate nearly all Americans against the coronavirus. The vaccination campaign faces enormous challenges: the need to keep Pfizer’s vaccine at –94 degrees Fahrenheit, for one. But the challenges are not only logistical. Serious ethical questions remain about who will be at the front of the line.
The pandemic has magnified long-standing health inequities in the United States. Black, Indigenous, and Latino Americans have died of Covid-19 at a rate more than 2.7 times that of white Americans. Given this disproportionate toll, which was exacerbated by political leaders’ failure to ensure equitable access to testing and care, there’s an urgent need for…