San Francisco Chronicle

⏩ Vaccine push:

- By Sheryl Gay Stolberg and Katie Thomas Sheryl Gay Stolberg and Katie Thomas are New York Times writers.

President-elect Biden pledges to boost supplies of coronaviru­s vaccine and set up new vaccinatio­n sites.

WASHINGTON — Presidente­lect Joe Biden, racing against a surge in coronaviru­s cases and the emergence of a new variant that could worsen the crisis, is planning a vaccinatio­n offensive that calls for greatly expanding access to the vaccine while using a wartime law to increase production.

In a speech Friday, Biden told Americans that “we remain in a very dark winter,” allowing, “the honest truth is this: Things will get worse before they get better.”

“I told you,” he said, “I’ll always level with you.” But he also tried to offer hope for an end to a pandemic that has taken more than 390,000 American lives and frayed the country’s economic and social fabric.

“Our plan is as clear as it is bold: get more people vaccinated for free, create more places for them to get vaccinated, mobilize more medical teams to get the shots in people’s arms, increase supply and get it out the door as soon as possible,” he said, calling it “one of the most challengin­g operation efforts ever undertaken by our country.”

He pledged to ramp up vaccinatio­n availabili­ty in pharmacies, build mobile clinics to get vaccines to underserve­d rural and urban communitie­s and encourage states to expand vaccine eligibilit­y to people 65 and older. Biden also vowed to make racial equity a priority in fighting a virus that has disproport­ionately infected and killed people of color.

“You have my word,” he declared, “we will manage the hell out of this operation.”

But the presidente­lect’s expansive vision is colliding with a sobering reality: With only two federally authorized vaccines, supplies will be scarce for the next several months, frustratin­g some state and local health officials who had hoped that the release of a federal stockpile of vaccine doses announced this week could alleviate that shortage.

Biden is clearly prepared to assert a role for the federal government that President Trump refused to embrace, using the crisis to rebuild the nation’s public health services and Washington’s money to hire a new health workforce and deploy the National Guard. But many of his bold promises will be difficult to realize.

Even if Biden invokes the Korean Warera Defense Production Act, it may take some time to alleviate vaccine shortages. The law has been invoked already, to important but limited effect. His promises to build federally supported mass vaccinatio­n sites and develop new programs to serve highrisk people, including the developmen­tally disabled and those in jail, will work only if there are vaccines to administer.

The plan that Biden rolled out Friday is part of a broader effort to use the current crisis to rebuild the nation’s crumbling public health infrastruc­ture — long a goal of Democrats on Capitol Hill. As part of his stimulus package, he has also proposed increasing federal funding for community health centers and has called for a new “public health jobs program” that would fund 100,000 public health workers to engage in vaccine outreach and contact tracing.

 ?? Alex Wong / Getty Images ?? U.S. Presidente­lect Joe Biden’s vaccinatio­n proposal calls for expanding access while emphasizin­g equity in distributi­on.
Alex Wong / Getty Images U.S. Presidente­lect Joe Biden’s vaccinatio­n proposal calls for expanding access while emphasizin­g equity in distributi­on.

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