Vaccines

Vaccine Nationalism Threatens Politicized Decisions to Fight a Global Pandemic

If governments stand in the way of vaccine production and distribution for the world market, the costs will be high in lives and in wealth.

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Melinda Gates, co-chair of the Bill & Melinda Gates Foundation, recently cautioned that if governments stifle the flow of vaccines around the world in order to favor their own constituents, COVID-19 will continue to infect unprotected populations at enormous cost in lives and wealth. That comes as experts warn of the dangers of "vaccine nationalism" and as the nationalistic Trump administration is poised to be replaced by an even more top-down Biden administration that threatens government control of medications and other health care supplies.

Gates has a personal stake in the vaccine issue; the Bill & Melinda Gates Foundation is helping to fund the World Health Organization's (WHO) Access to COVID-19 Tools (ACT) Accelerator, which seeks to widely distribute two billion doses of COVID-19 vaccine once likely candidates become available. To that end, the Gates Foundation recently donated $70 million on top of earlier commitments to develop and distribute COVID-19 treatments.

"Those two billion doses … If for instance, they only went to high-income countries, we would have twice as much death around the world," Melinda Gates told France 24.

Why would the vaccine only be available to people in some countries and not others?

"Experience from the 2009 H1N1 pandemic and the onset of the COVID-19 pandemic suggests that in responding to such events, national governments tend to follow their own interests instead of pursuing a more globally coordinated approach," points out the RAND Corporation in an October report. "A situation where countries push to get first access to a supply of vaccines and potentially hoard key inputs for vaccine production has been commonly referred to as 'vaccine nationalism'."

An example of a nationalistic endeavor is Operation Warp Speed, the Trump administration's program "for delivering a safe and effective product to Americans as quickly and reliably as possible" through a public-private joint endeavor. Such government-led, single-nation efforts could crowd out private research while developing vaccines that would stop at national borders.

"In their quest to obtain vaccines, countries without access to the initial stock will search for any form of leverage they can find, including blocking exports of critical vaccine components, which will lead to the breakdown of supply chains for raw ingredients, syringes, and vials," Thomas J. Bollyky and Chad P. Bown cautioned in Foreign Affairs.

Notably, though, one of the more promising vaccine candidates comes from Pfizer, which made a point of not participating in Operation Warp Speed. As a result, the company remained free of the public-private partnership's strictures.

"I wanted to liberate our scientists from any bureaucracy," Pfizer CEO Albert Bourla commented months before its vaccine was announced. "When you get money from someone, that always comes with strings."

Pfizer did, however, pre-sell almost $2 billion worth of vaccine to the U.S. government. Such speculative orders by governments help to fund research, but they threaten to limit the supply of vaccine to the world market until manufacturing capacity can expand to match demand.

"Many high-income countries have hedged their bets by advance purchasing enough doses to vaccinate their population several times over," note Duke University researchers. "Canada has purchased enough to vaccinate its population five times over."

Ultimately, though, manufacturing capacity is a short-term challengeso long as governments don't continue to stand in the way of production and distribution for the world market. If they do, the costs will be high in lives and in wealth.

"Vaccine nationalism could lead to the unequal allocation of COVID-19 vaccines and cost the global economy up to $1.2 trillion a year in GDP terms" if wealthy nations vaccinate their own populations and limit vaccine availability elsewhere, RAND estimates. The think tank's projection of potential global costs is in addition to the possible toll in human lives posed by Melinda Gates.

RAND isn't necessarily calling for governments to just get out of the way, though it's also not specifying any solutions other than "enforceable frameworks in vaccine development and distribution, managed by established international fora." Those enforceable frameworks could be something as top-down and potentially distorting as Operation Warp Speed on a global scale, or they could be free-trade agreements that allow for supply to meet demand. The group's report emphasizes that "any restrictions on supplying other countries, such as export bans and seizures of supplies, can be problematic."

Projects such as ACT Accelerator might be part of the solution if participation and funding continue to be voluntary. But ACT Accelerator is led by WHOof which, RAND acknowledges, "its activities have become quite politicized recently." Spinning the project off from the discredited parent organization could help.

Unfortunately, the United States looks to be going in the other direction, toward even greater government interference under the new Biden administration. The president-elect proposes "a Supply Commander to take command of the national supply chain for essential equipment, medications, and protective gear."

Saying "we can no longer leave this to the private sector," Biden adds that "the Supply Commander should direct the distribution of critical equipment as cases peak at different times in different states or territories. That goes for ventilators, masks, gowns, face shields, lab equipment, tests and testing components, medicines, and all other critical materials."

That's a recipe for yet more politicized decision-making about who gets what. It will be bad enough if that means government officials substituting their preferences for those of producers, buyers, and sellers. Inevitably, though, it will involve schemes to buy off voters, reward friends, and punish enemies. In the midst of a global pandemic, it's difficult to see a lot of room in that scheme for private firms to respond to demand in other countries for vaccine components, vaccines, or anything else without permission from government officials.

Health crises pose challenges to everybody by making normal interactions potentially dangerous. But government officials forcibly intervening in private arrangements to politicize decisions can only make bad situations much worse.

NEXT: More Cops Say They Won't Enforce Coronavirus Curfews

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  1. Most libertarian article ever.

    Why do people use money to obtain stuff?

    1. According to some of the commenters around here, if we just make the price of the vaccine high enough, everyone that wants one will be able to get it right away!

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    4. “Word Salad Threatens Readers’ Interest In Global Shitshow”

      Film at 11.

  2. What a bizarre article. Not much more than a moment of thought would reveal that all these bad “it *could* happen” scenarios are unlikely to occur.

    Also, “rich” people or countries bidding up the price of first-use of these vaccines is nothing more than the free market working it’s magic. It made funds available for the companies to continue development and testing and will likely result in poorer countries receiving more vaccines earlier than would otherwise have happened.

    And finally, this article indulges in the kind of baseless alarmism that Reason so rightly criticizes in Covid-19 and others domains like global warming.

    1. You don’t think Pfizer is going to warehouse 2 billion doses of unused vaccine in DC?

      1. No, I think uncle Sam would warehouse 2 billion vaccines in DC. Pfizer will simply sell them.

    2. “is nothing more than the free market working it’s magic.”

      Just an example of reason revealing their hand. They aren’t free market libertarians, they are socialists who call themselves libertarian.

      1. I know, right? “Big government nationalistic control is bad, so let’s hand it over to internationalist world government organizations instead.” SMH

    3. Unfortunately, Reason doesn’t use it. No one in their right mind, using their ability to reason, would help make Mr. Modern day Nazi, humanity hating, population-controller Bill Gates, richer nor sacrifice their health or life by willingly getting a rushed through who knows what is in it vaccine.

  3. “To that end, the Gates Foundation recently donated $70 million on top of earlier commitments to develop and distribute COVID-19 treatments”

    Why would i trust someone ,who thinks that overpopulation is going to destroy the world, with saving lives?
    This year has turned me into a conspiracy theorist. I don’t feel great about that. But shit, this is like trusting Margaret Sanger to save a bus full of black infants

    1. Probably not the best analogy. This is the same Melinda Gates who said that after healthcare workers, “black people and indigenous people” should get the vaccine before anyone else. For her ilk, racial preferences for vaccine access is okay as long as white people are at the back of the line.

      1. Yes, the Nazi Gates aren’t hiding what their goals are. These two demons are worse than Hitler, Stalin or any other murderers because they have fooled people into believing they are humanitarians when they want to kill as many people as possible while making themselves even richer.

  4. “Those two billion doses … If for instance, they only went to high-income countries, we would have twice as much death around the world,” Melinda Gates told France 24.

    I’m trying to follow the logic here – how does giving vaccines to rich Western countries increase the death toll from coronavirus? Under that logic, isn’t she saying that it would be better if a vaccine were never invented? I mean, if you don’t invent a vaccine, rich Western countries can’t get their hands on it and that means fewer deaths from coronavirus, right? Somebody help me out here – how does giving some people the vaccine make the pandemic deadlier for everybody else?

    1. It’s not that it makes the pandemic deadlier, it’s that it’s better we all be equally dead than some be more alive than others… morbidity justice(c)

      1. And, the people who paid for the vaccine development should not get it first, because, you know.

    2. She is saying the vaccine should first go to the countries with the highest death rates. Not to the countries that invented the vaccine.

      1. I thought the US was the worst, because Trump.

  5. https://www.cnn.com/2020/04/03/business/3m-defense-production-act-response/index.html

    3M: We’ll make more N95 masks for the US but we need to keep exporting them

    Der TrumpfenFuhrer and Minions tried to lean on 3M to NOT export to Canada and Latin America. Fortunately, 3M argued back… This hurts “volume of scale” manufacturing capacity, for one thing, in addition to snarling up international supply chains, from retaliation.

    On a practical, human and international-relations standpoint… How would you as a Canadian feel, upon hearing that the USA Government Almighty treasures USA lives, but wants to STAND IN THE WAY when selling (actually, allowing OTHERS, non-Guv. actors in the USA, to sell) potentially life-saving gear to Canadians? This is NOT good international relations, or common sense! What comes around, goes around!

    Are we all as humans in this thing together, or do we want to fight each other as well, while fighting disease?

    1. Meanwhile Newsom claimed the 3m plant in California that made mask was non essential and shut it down so that he could order a $billion dollars worth of mask from China which he pre paid half and never got anything nor got our money back

    2. “Der TrumpfenFuhrer…”
      Flagged for raging TDS.

  6. are you seriously kidding me with this bullshit? Our tax dollars funded this we should get it first. What is this argument?

    1. Out-takes from the article above…

      Notably, though, one of the more promising vaccine candidates comes from Pfizer, which made a point of not participating in Operation Warp Speed. As a result, the company remained free of the public-private partnership’s strictures.

      “I wanted to liberate our scientists from any bureaucracy,” Pfizer CEO Albert Bourla commented months before its vaccine was announced. “When you get money from someone, that always comes with strings.”

      SQRLSY comments: This is why smart business people tell Government Almighty to FUCK OFF! NOT all of this shit is paid for by tax payers! Greedy, selfish taxpayers ideally should NOT act as if American lives are worth everything, and ferriners are worthless pieces of shit! This does NOT lead to peace! It ultimately tips the scales towards war! But, since taxpayers are often too greedy and short-sighted, to even know that there is a non-greedy thing, a non-zero-sum-game thing, that is called “enlightened self-interest”, then wise, benevolent business managers tell Government Almighty to FUCK OFF! And the world is better off when they do that!

      1. Pfizer got no money up front like others but does have a 500 million dose contract with the U.S. so yes they are bound and that contract comes from the warp speed program. I think Pfizer is playing games

      2. the american tax payer bought two billion dollars worth of vaccine from pfizer straight up and before it existed, that entitles us to first come first serve.

    2. First our tax dollars did not finance the Pfizer vaccine and Germany was a partner. Second we have to look at the big picture. Better to make sure that front line health care individuals everywhere are vaccinated before we start on those with the lowest probability for complications in our country.

      1. “Pfizer did, however, pre-sell almost $2 billion worth of vaccine to the U.S. government.”

        Where did the U.S. govenment get the money to pre-order vaccines?

        1. Where did the U.S. govenment get the money to pre-order vaccines?

          Ding. Winner.

          1. To be fair, it might be more accurate to say they got the money by firing up the digital money presses… but it’ll eventually be coming out of our pockets one way or another.

          2. For anyone in favor of USA Government Almighty being in charge of “fairly distributing” vaccines, to “pay back the taxpayers”, I would remind you that we’re all equal, except those of us who are more equal than the others! Remember, about 6% of the USSR population were members of the Communist Party, and only THEY got to shop in special stores, where foreign (good-quality) goods were sold!

            https://www.bellenews.com/2012/03/26/world/us-news/dick-cheney-accused-of-favoritism-over-heart-transplant/
            Dick Cheney accused of favoritism over heart transplant

            Former US Vice-President Dick Cheney is accused of favoritism over his heart surgery, as he was too old to receive a heart transplant on Friday.
            Critics are complaining that 71-year-old Dick Cheney was given special consideration because of his position.

            Though they do not think that Dick Cheney was moved up the transplant list, he was given the organ that could have gone to thousands of younger recipients who would have more years to live with it.

            End import

            SQRLSY Here: The politicians will ALL be more equal than the rest of us! Then the rich folks, who can donate bribes (ooops I mean, campaign contributions), and WAAAAY on down the list, us ordinary peons! Who are willing to pay our own money for it, but will NOT be allowed to do so!

        2. “Where did the U.S. govenment get the money to pre-order vaccines?”

          M4e is easily confused about issues like this and many others.

  7. I want to fight each other as well. Fuckers sent us Canadian bacon and Jim Carrey.

    1. Ace Ventura was a good movie.

      1. And the woman that played Ray Finkle turned 61 today.

    2. Don’t forget Bryan Adams.

      1. The Canadian government has apologized many times for Bryan Adams.

  8. Is this the kind of mushy thinking I can expect in the future?

  9. So Medicare for all fans: what price cap should the command-and-control put on the COVID-19 vaccine, and how much profit should they get from it?

    1. Think of all the decisions the death panels will have to make.

  10. The solution is simple: Wave the patents. Patents are a state provided monopoly, and not at all libertarian. Not real property. The exist to impose scarcity on something that is limitless.

    So wave off the patents, so every country can manufacture their own. Hell, other countries are going to do it anyway, because they’re not obligated to obey our patents. The Berne Convention is just a piece of paper, as the conservatives say.

    And I think the patents will be waved anyway by most pharmaceuticals developing it. They can still recoup their costs, and it provides a helluva lot of good will. And prevents the government coming in and strongarming it out of them.

    And no one company as the production facilities to ramp it up for full national distribution, let alone global. So they’re going to have to share with other companies to get the vaccines out.

    1. The solution is simple: suspend the rule of law, and go for full-on tyranny.

    2. Sounds like a great plan to spur innovation.
      Not.

    3. The purpose of patents is to create incentives. Scarcity is one way to do that. Which way do you think is better?

    4. Let’s just waive all laws, so we can hang assholes like you and move on.

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  12. Yes, the Biden Administration will have a more top down approach but government support is going to be necessary. The logistic of getting the virus under control is massive and it unlikely it could be handled by the private sector alone. We also see the failure of Trump Administration’s incompetence. So I am willing to let the Biden Administration try to address the problem and then critique them as necessary.

    1. “I have seen the failure of government incompetence, so I am willing to give more money and power to government.”

      1. That administrations like Trump’s are incompetent does not mean all government is incompetent. I am sure there are competent individuals even within the Trump Administration. I also see the failure of businesses and banks and yet I still invest my money.

        1. “That administrations like Trump’s are incompetent does not mean all government is incompetent…”

          Rest assured that Trump’s admin was far superior to any in your lifetime; it takes TDS to claim otherwise.

        2. I’m guessing that you don’t put all your invested assets in one bank or business. You spread it around so the failures don’t ruin you. When government runs something it typically is a monopoly, and if it fails we’re screwed.

          1. With any kind of luck, the lefty shit sold everything-EVERYTHING-on Krugman’s prediction:

            “Paul Krugman: The Economic Fallout”
            […]
            “It really does now look like President Donald J. Trump, and markets are plunging. When might we expect them to recover?
            Frankly, I find it hard to care much, even though this is my specialty. The disaster for America and the world has so many aspects that the economic ramifications are way down my list of things to fear.
            Still, I guess people want an answer: If the question is when markets will recover, a first-pass answer is never…”
            https://www.nytimes.com/interactive/projects/cp/opinion/election-night-2016/paul-krugman-the-economic-fallout

            If not, lefty shit is admitting to hypocrisy and/or TDS, and to be honest I HOPE lefty shit sold everything and now has to buy high.
            Our portfolio (THX, Trump) has done well; not yet sure how it will do with drooling Joe in charge.

  13. Good to see you credit both Gates. You readers should also know this about them:

    “Microsoft cofounder Bill Gates slammed the US government’s response to the COVID-19 pandemic on Wednesday. The US had attacked its scientific experts, fallen behind other countries on testing, and failed to get its citizens to wear masks, he said. Many countries have “done very, very well” on getting people to change their behavior — but not the US, he said. Testing results take longer to come back in the US than in other countries, Gates said, which he described as “mind-blowing.” Mask compliance in the United States is quite poor. And yet the cost of the mask and the productivity lost from [not wearing] the mask, it’s quite an intervention,” he said.
    He added that “most governments take advantage of their scientists and listen to them. They don’t undermine them and attack them.”

    https://www.businessinsider.com/bill-gates-us-covid-19-masks-testing-experts-2020-10

    Masks. Pretty simple.

    By the way, Tucille, I notice you’re quite silent these days about all the great things Sweden was doing proving the efficacy of herd immunity. Hmmm…because they now turned to restrictions like closing bars at 10? Limiting gatherings to 8 people? That their death rate is 10 times higher than Norway, 5 times higher than Denmark, their neighbors? That COVID is raging there?

    Funny how the cat has your tongue now when it was all you used to write about when it came to the pandemic.

    1. all those mask wearing countries are now having mass surges

      1. explaining facts to a branch covidian is like using charts and graphs to explain to a nazi party member in 1936 germany the value and utility of jews economically to the country.

    2. go report anne frank you facist.

    3. Funny how you seem either clueless or idiotic.

      1. Both.
        Ask him how saying the magic mantra will end the CS wildfires. He seems to find something else to do.
        Right, jackass?

    4. “Many countries have “done very, very well” on getting people to change their behavior“

      Being docile, compliant robots is what America was built on. GTFO.

    5. Let’s kick that lying piece of shit jackass in the balls, where he deserves it:

      “…Masks. Pretty simple… ”
      Yes, very simple; fuck off, slaver. Your health is your concern, not mine.

      “…By the way, Tucille, I notice you’re quite silent these days about all the great things Sweden was doing proving the efficacy of herd immunity. Hmmm…because they now turned to restrictions like closing bars at 10? Limiting gatherings to 8 people?…”
      BTW, jackass, I note your continued cherry-picking: You found 2, count ’em *2!!!!!* Swedish restrictions on activities! Check NY or CA or France for comparison.

      “…That their death rate is 10 times higher than Norway, 5 times higher than Denmark, their neighbors? That COVID is raging there?..”
      I just did a search “scandanavian countries covid death rates” and got nothing like your bullshit. Cites or STFU.

      “…Funny how the cat has your tongue now when it was all you used to write about when it came to the pandemic…”
      Not funny how you continue to post lies, ‘selected’ data, and other bullshit, jackass.

      1. Why the fuck are you cowardly, dishonest leftist commenting on a libertarian website? How bout you all fuck off, and let the rest of us live our lives without trying to make us as miserable as you pathetic fucks are?

  14. what kind of garbage is this? a government should take no interest in putting it’s own people first? i get that they will screw it up in one way or another, but is it really so bad to say “we paid for it, we want it first?”

  15. Anyone else find it amazing that Pfizer already has 20 million doses of vaccine available. that stuff isn’t made over night so pretty sure they with held info to prevent a trump re elections strange since the Trump administration guaranteed contract to purchase 500 million doses. thats money in the bank or do they want to negotiate a higher price from Biden who will give it to them. Also why did the US contract for 500 million doses when there is only 330 million citizens

    1. its a two stage shot from what I understand

    2. Not strange at all. All these companies that were working on vaccines were specially manufacturing them in the hope that they would prove effective. All of them. And yes, they were willing to take the bath of wasted money if they proved ineffective.

      1. they aren’t taking a bath they will be paid for it all

        1. Right. But that wasn’t your issue. You questioned that it was funny they were ready to ship only after the election. They were ready to ship weeks before the election but efficacy results weren’t in.

          And yes, they would have lost money if the results weren’t good.

          1. “…And yes, they would have lost money if the results weren’t good…”
            No, jackass, guaranteed taxpayer money means both otherwise and that you are full of shit.

    3. do you think they were going to wait until the trial was finished before they made any?

      also, key note on the vaccine…. it is a 2 dose vaccine. you need 660million to vaccinate everyone.

      1. you don’t make 20 million before you know its affective

        1. In fact they all did.

        2. “The U.S. government has cut deals with Johnson & Johnson JNJ.N and Moderna Inc MRNA.O and said it is in talks with at least two other companies to prepare them to produce massive quantities of coronavirus vaccines even before safe and effective ones become available.”

          https://www.reuters.com/article/us-health-coronavirus-johnson-johnson/jj-moderna-sign-deals-with-u-s-to-produce-huge-quantity-of-possible-coronavirus-vaccines-idUSKBN21H1OY

        3. Note the date…back in March.

        4. “you don’t make 20 million before you know its affective”

          You do it you’re guaranteed taxpayer money for it.

  16. Correcting the first sentence: Since governments will stand in the way of vaccine production and distribution for the world market, the costs will be high in lives and in wealth.

  17. Notably, though, one of the more promising vaccine candidates comes from Pfizer, which made a point of not participating in Operation Warp Speed.

    Reason is still pushing this lie? Even NYT has corrected it.

  18. “Canada has purchased enough to vaccinate its population five times over.”

    Start scheduling your appointments now, so you can get vaccinated by 2025.

  19. Are Bill and Melinda Gates appointed or elected officials? What are their qualifications?

  20. Hey Tucille, you should be all over South Dakota, rather than Sweden these days (I do note you strangely seem to be ignoring Sweden recently), because SD is doing nothing to fight the pandemic. Their idiot governor Noem loves your policy of pursuing herd immunity by sitting back.

    Their positivity rate? Above 50%. Think about that. For every two people tested one is positive. It’s the stuff of a third world country, truly embarrassing. But right up your crazy alley.

    1. “Their positivity rate? Above 50%. Think about that. For every two people tested one is positive. It’s the stuff of a third world country, truly embarrassing. But right up your crazy alley.”

      Hey, jackass, you keep peddling your bullshit! Think about it: Who cares how many test positive if they are asymptomatic? Why jackass does! Without big, scary, irrelevant, numbers, it’s obvious that jackass is a lying piece of lefty shit.
      With those numbers, you have to figure out what they mean to understand that jackass is a lying piece of lefty shit.
      And above 50% of what? A family in one town?
      Why is it cites are a mystery to you? Could it be that they’d prove you’re a lying piece of lefty shit?

      1. Jackass Face, why are you such a pathetic serf? Do you need some authority to tell you how to live? Again, why do you pathetic leftists infect this site? I am here because I enjoy learning and being challenged by the real libertarians here. I freely proclaim that I am a conservative who appreciates libertarian philosophy. You leftists disgust me because you are so dishonest.

  21. Why in HELL does the illegitimate and tyrannical Fascist Death Administration (FDA) get to determine whether or not anyone can sell or buy the new vaccines? The evil and criminal FDA has NO right to exist.

  22. In a free market, the vaccine would go overwhelmingly to a few rich countries, the same countries whose tax payers paid for most of the development. The West is bending over backwards to make this and other medical innovations available to poorer nations despite their inability to pay and what do we get for it? Bogus nasty articles from people like Melinda Gates and the Reason staff.

  23. Does anyone look at the numbers of deaths from COVID-19 in the poor countries?

  24. “if governments stifle the flow of vaccines around the world in order to favor their own constituents”.. FIRST OFF.. the primary function of a government is to protect the interest of its own constituents over anyone else. SECOND.. these first world countries are the ones who PAID for the development of these vaccines with resources obtained from those same constituents. You have to be brain dead to not acknowledge they should get the first access to a vaccine. ONCE we get our citizens treated.. you get the leftovers.. dont like it. Go cry to Bill and Melinda Gates

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  26. Here’s an idea. How about we purchase sufficient quantities for our population and those who believe it to be inequitable can donate “their” dose to the country of their choice. I have a feeling there would not be many donations. Funny how people always want to donate at someone else’s expense, not theirs. You advocate for allowing our people (you know the people who paid to develop it) die, but I be yourself or your family. You step up and donate your dose, your children’s dose, etc.

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