[roughly]

> I really dont think our government can pull it off at this point

That's not, to be clear, for reasons of technical capacity. The vaccine drive that started in ~February or so of this year was pretty good evidence that the government is still capable of doing big things.

[xyzzyz]

Hardly any of the vaccine drive has been done by governments. Overwhelming majority of the people have been vaccinated in non-government facilities by doctors and nurses not employed by government. To be sure, a huge chunk of that was paid for by the government, but if the analogy here is to work, you would need to ask the government to pay Amazon a fuck ton of money to run the postal service.

[cbetti]

That's not at all the case in my state. The state and county operated facilities were huge, and moved a significant number of people through the vaccination process extremely efficiently.

For testing, I've been to many facilities. The county run facilities have been efficient and organized, whereas the private ones were not set up as efficiently to get tests issued and results returned.

That said, my primary care office is now set up to return results quickly, so private seems to be catching up.

Speaking from a Maryland PoV.

[tsol]

They use existing infrastructure. We don't have government hospitals and doctors in every city, it's easier to reimburse doctors and clinics to give out vaccines. We have a post office system hundreds of years old, which has worked fine for 95+% of that time. The idea that we need to rely on Amazon to send all postal mail, which they aren't actually capable of doing, is so strange to me