Complexity is the Enemy of Speed

The title of this post came from an opinion piece in the Wall Street Journal yesterday on vaccine distribution. Many attempts to get the vaccines to the right groups first have slowed down distribution and sometime even caused vaccines to go to waste. Rules to help spread vaccines across minority groups often backfire. Often when some rules lead to inequity, we try to fix it with more rules when we need less much less. Attempts to distribute vaccines to multiple medical and pharmacy sites have made it difficult to get appointments even if you are eligible.

Randomness is the simplest way to fairness. The movie Contagion got it right, just choose birthdays by picking balls from a bin to distribute the vaccine. Then people can just show up at a few chosen sites with proof of birthday. No need to sign up.

You could argue to add back conditions like age, medical conditions, jobs but that just leads you down the same problematic path. The fastest way to get past this pandemic is to get vaccines into arms. Trust the randomness.