In the race to vaccinate its oldest and most vulnerable residents, New York has fallen behind.

Although the state’s overall COVID-19 vaccination rate is somewhat higher than the national average, there is a significant gap between age groups.

New York ranks just 44th for the percentage of people over 65 who have received at least one shot, according to CDC data.

By that same measure, It ranks 24th for immunizing the total population over 18, and 9th for the population between 18 and 65.

The disparity suggests that New York’s vaccination policies and procedures are giving younger people an advantage relative to other states.

Nationwide, older people were generally given priority for vaccination because they face a far higher risk of death from COVID-19. As a result, the share of older Americans who have received a first shot, at 73 percent, is much higher than the rate for the 18-to-65 population, at 28 percent.

However, some states prioritized the elderly more than others. In New York, the rate for over-65 residents is lower than the U.S. average at 67 percent, while the rate for younger residents is higher than average at 32 percent.

The ratio of younger to older New Yorkers who have received a first shot is 1.75-to-1, the seventh highest in the country.

This may relate to the number of younger New Yorkers who were competing for limited slots at any given time, and the process for finding and scheduling an appointment, which gives an edge to the computer-savvy.

When the vaccine first arrived in mid-December, the Cuomo administration mainly prioritized people in high-risk occupations, such as hospital workers and coroners, who are generally younger than 65. The only older New Yorkers who were eligible were residents of long-term care facilities, whose shots were administered by chain pharmacies under a federal contract.

Governor Cuomo extended eligibility to everyone 75 and older on Jan. 11, and to everyone 65 and older on Jan. 12. At the same time, he added a long list of  “front-line” occupations, such as first responders, teachers, in-person college instructors, childcare workers, public-facing grocery store workers and transit workers.

The state’s eligible list was broadened to include people of any age with a range of co-morbidities on Feb. 14, everyone 50 and over on March 23, and everyone 30 and over on March 30. As of this coming Tuesday, April 6, appointments will be available to every New Yorker over 16—which is the entire population for which the vaccines have been approved.

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

Is Hochul Really Going to Shut Down the Essential Plan?

Governor Hochul is hingeing a big chunk of her budget – and the state's health-care system – on a politically fraught gambit: asking the Trump administration to help cover immigrants. Read More

State Delays Disclosing Emails About $1B Home Health Contract

For a third time the state Health Department has postponed releasing records related to a disputed $1 billion Medicaid contract, saying it needs another six weeks or more to locate and redact the materials in question. Read More

Budget Update Paints Less Alarming Picture of Federal Health Cuts

A new fiscal report from the state Budget Division suggests federal funding cuts will hit New York's health-care budget less severely than officials have previously warned. A relea Read More

DOH Ducks a Simple Question on Covid in Nursing Homes

Five years after the coronavirus pandemic, the state Department of Health is pleading ignorance about one of its most hotly debated policy choices of the crisis – a directive that sent thousands of infected patients into Read More

In the Fight Over ACA Tax Credits, the Stakes Are Lowest for New York

As Washington skirmishes over the future of enhanced tax credits under the Affordable Care Act, New York has relatively little to gain or lose. The number of New Yorkers using any A Read More

New York’s Immigrant Health Coverage Becomes a National Flash Point

A little-noticed New York program that provides Medicaid coverage to elderly undocumented immigrants was thrust onto the national stage this week as the White House sparred with congressional Democrats over the federal gove Read More

Why New York’s Health Premiums Keep Going Up

New Yorkers continue to face some of the costliest health premiums in the U.S., and the insurance industry's recently finalized rate applications shed light on why that is. In summa Read More

How Immigrants Became a Cash Cow for New York’s Essential Plan

The Hochul administration's move to shrink the Essential Plan in response to federal budget cuts has exposed a surprising reality: For the past decade, immigrants have been a cash c Read More