Going on four weeks into what should have been a mass vaccination program, it’s increasingly clear that the Cuomo administration did not have – and does not have – an adequate plan for immunizing 20 million New Yorkers.

Exhibit A is the slow pace of coronavirus vaccinations so far, which points to a completion date potentially years in the future.

Exhibit B is the number of policy decisions the governor announces on a daily basis – some of which could and should have been settled long ago.

Exhibit C is the lack of clear data on the state’s progress – or a bearable target date for returning to normal life.

New York is not alone in flailing. By one measure, it’s actually making better progress than most other states, having distributed 40 percent of its allotted vaccines compared to 32 percent for the country as a whole.

But faster than average is not fast enough. To achieve herd immunity, the state must deliver two doses each to 80 percent of its population – or a total of more than 31 million shots. After 24 days, however, the state has given 479,000 shots, or about 20,000 per day.

At this rate, it will take more than four years, until March 2025, to reach the herd immunity target.

In Friday’s briefing, Governor Cuomo warned that the federal allotment of 300,000 doses per week would not be enough to vaccinate the two highest-priority groups until April.

This sidesteps the more immediate crisis, which is that the state is delivering doses less than half as fast as Washington sends them.

A number of steps the governor announced today should at least begin to speed things up.

Most significantly, Cuomo opened the door to broader eligibility for early shots, acceding to pressure from Mayor de Blasio and others.

Previously he had insisted on completing group 1a (which includes health-care workers and nursing home residents) before doing anyone else. De Blasio and others said this restrictive policy was creating unnecessary delay and leading to some doses being wasted.

Now, the governor is allowing vaccination of group 1b (which includes first responders, teachers, transit workers and the general population over 75) starting next week.

After initially relying on hospitals to lead the vaccination effort – and expressing frustration with their progress – Cuomo promised to add thousands more vaccine providers.

Perhaps most significantly, he’s enlisting county public health departments, which have pre-existing mass vaccination plans that for some reason Cuomo chose not to use at first. He said he’s also adding thousands of pharmacies, clinics and doctor’s offices.

Other constructive steps due next week include: issuing an executive order authorizing more medical professionals, such as licensed practical nurses, pharmacy assistants and podiatrists, to administer shots; organizing an online reservation system for eligible recipients, and preparing a webinar to train providers in proper procedure.

These are obviously good ideas – and arguably should have been set in motion months ago, when it became clear that vaccines were coming.

Other moves raise questions.

Cuomo is giving large labor unions the option to take charge of vaccinating their members. He says this is intended to ease the pressure on other providers, but it also opens the door to favoritism. Vaccines in short supply would be set aside for members of some of the most politically influential organizations in the state, such as unions for public school teachers, even if they have no pre-existing capacity for administering shots. 

He also announced that he would “mandate social equity distribution” by local health departments, to make sure that vaccines reach the demographic groups that have suffered disproportionate rates of infection and death.

How this would work was not explained, other than to identify “public housing,” “houses of worship” and “low-income census tracts” as criteria to be considered. This risks adding a new layer of complexity to a distribution system that is already struggling to operate efficiently. 

Given the ongoing threat to New Yorkers’ health, and the collateral damage inflicted on businesses and the broader economy, there can be no higher priority than speed.

The sooner the state achieves herd immunity, the sooner the death rate will drop, the sooner businesses can reopen and the sooner life can go back to normal.

Along with other governors, Cuomo should be sparing no effort to build a vaccination system capable of injecting not tens of thousands, but hundreds of thousands of arms per day and put the onus on the Biden administration and manufacturers to come up with the necessary supply.

The governor promised an action-oriented State of the State speech on Monday. A credible plan to achieve herd immunity this year or better yet this summer –  should be the centerpiece.

 

About the Author

Bill Hammond

As the Empire Center’s senior fellow for health policy, Bill Hammond tracks fast-moving developments in New York’s massive health care industry, with a focus on how decisions made in Albany and Washington affect the well-being of patients, providers, taxpayers and the state’s economy.

Read more by Bill Hammond

You may also like

What Paul Francis Got Wrong About the Empire Center’s Nursing Home Research

In February 2021, the Empire Center published the first independent analysis of the Cuomo's administration much-debated directive ordering Covid-positive patients into nursing homes. The report found that the directive was associated with a statistically significant increase in resident deaths in the homes that admitted the  infected patients. Read More

Internal Cuomo Administration Documents Showed Evidence of Harm from Nursing Home Order

State Health Department documents from June 2020, newly unearthed by congressional investigators, appear to show harmful effects from a controversial order requiring nursing homes to admit Covid-positive patients. Read More

On Covid in Nursing Homes, There’s No Comparison Between Cuomo and Walz

Former Governor Andrew Cuomo and his political critics have something in common: They're both trying to drag Minnesota Governor Tim Walz into Cuomo's nursing home scandal. Cuomo’s attempt to hide behind Walz, li Read More

Hochul’s Pandemic Review Contract Included a Gag Clause, Records Confirm

The authors of a report on New York's pandemic response are barred from discussing their findings with media under a provision of their contract with Governor Hochul's office, records obtained by the Empire Center confirm. Read More

A Closer Look at $4 Billion in State Capital Grants to Health Providers

[Editor's note: This post was corrected after it came to light that records supplied by the Health Department gave wrong addresses for 44 grant recipients. The statistics and tables below were updated on July 18.] Read More

Hochul’s Pandemic Study Is a $4.3 Million Flop

The newly released study of New York's coronavirus pandemic response falls far short of what Governor Hochul promised – and the state urgently needs – in the aftermath of its worst natural disaster in modern history. Read More

82 Questions Hochul’s Pandemic Report Should Answer

This is the month when New Yorkers are due to finally receive an official report on the state's response to the Covid-19 pandemic, one of the deadliest disasters in state history. T Read More

While New York’s Medicaid Budget Soared, Public Health Funding Languished

Four years after a devastating pandemic, the state has made no major investment to repair or improve its public health defenses. While funding for Medicaid over the past four years Read More