Earlier quoted context omitted.
> It would be worth wasting a few doses here and there if it greatly decreases the level of corruption in the system. While reasonable in isolation, I would suggest that this view doesn't account for the extreme scarcity of the vaccine, and the stretched healthcare resources. I mean, while I work 300 feet from our hospital and our vaccine stockpiles, it was quicker to travel to the neighboring county with a lower cas…
Perhaps the simplest solution would be that after they select who is to be vaccinated that day, they also select 30 or so as backup, and tell them to be ready because it _might_ be their turn so they might get a phone call that evening. Those 30 could simply be the first 30 from the next day.
Unfortunately, the way the system is setup right now, at least from my own experience in NY, is not like this. The appointment itself is treated as sacrosanct, and the time on it is meaningless - it only gets you through the door on that day. You can show up at any time. I think the vaccination starts at 7 AM. Considering how far in advance the appointments are given (months at this point) and how inconveniently many centers are located, it's a tough call for most people.
It probably would be better to have a separate wait list of opportunistic recipients, who say they can show up at an hour's notice at the end of any day. To prevent abuse, the people vaccinated through this waitlist can't exceed 10-20/day. Honestly, let these people be the family members of the healthcare workers at these sites. I have absolutely no qualms with the household of hospital workers get preferential treatment with the vaccine - they're at elevated risk as it is.