While the United States has distributed more than 30 million vaccine
doses, a little over 11 million had been administered as of
Thursday, a lag that prompted U.S. health secretary Alex Azar to
call on states to begin vaccinating the vulnerable older population
and those with certain chronic health conditions to get more
vaccines into arms.
U.S. retailers face a choice of strictly enforcing state eligibility
rules with on-site identity checks, or rely on an honor system that
could allow people to ignore those guidelines but also get more
people inoculated.
"State and local guidelines vary across the 40 public health
jurisdictions we serve, but in most cases, identification will not
be required to receive the vaccine," a Kroger spokeswoman said. The
biggest U.S. grocery chain has so far administered about 7,800
COVID-19 vaccines to healthcare workers and nursing home staff and
residents.
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Twenty-two states have moved toward using age as the main criteria
for prioritizing inoculations, with four more set to follow next
week. Others are adhering to strict guidelines meant to assure that
scarce coronavirus vaccine supplies went first to healthcare
workers, nursing home residents and first responders.
Teachers and other "essential workers" are supposed to be among
those next in line as distribution widens, but who qualifies as an
essential worker varies by state.
"We are not planning to ask for ID to receive a COVID-19
vaccination," a CVS Health spokesman said. "These vaccinations will
be appointment-only in our stores and patients will have already
gone through an eligibility screening when they register for an
appointment on our website, through our app or via a 1-800 number."
However, the accuracy of information provided in eligibility
screenings conducted by some companies is not automatically checked
at the vaccination sites.
Walgreens Boots Alliance said it would follow state and local
guidance on how to verify eligibility.
Hy-Vee, which operates grocery stores and pharmacies in Illinois,
Kansas, Missouri and Wisconsin and other Midwestern states, said it
has included its own warning on its website that ID may - or may not
- be asked for prior to the shot being given. "So far, we have had
no problems," a spokeswoman said.
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 Stop & Shop Supermarket,
located in the northeastern United States, said
it would check IDs or pay stubs if instructed to
do so by individual states. Publix Super
Markets, which operates in Florida and other
southeastern states, said people would need to
provide "proof of insurance and/or their
driver's license or social security card."
"GET THEM INTO THE ARMS"
In Washington D.C., which relies on pharmacy
chains Safeway and Giant Food to administer
vaccines, it is unclear who verifies people's
healthcare worker status. A
district website allowing healthcare workers to register for a
vaccine tells them they will be verified via their work ID badge or
an employer letter during the pharmacy appointment.
But Giant Food in a statement said it was just checking the photo ID
and insurance card of anyone who secured an appointment through the
district's website.
A spokeswoman for the DC health department said the vaccination team
would raise the issue with Giant Food. Safeway parent Albertsons
Companies Inc did not respond to requests for comment.
Dr. William Schaffner, an infectious disease expert at Vanderbilt
University's medical school, attributed the lack of planning and
diverging local guidance to chronic underfunding of the U.S.
healthcare system, with the ongoing pandemic straining resources
further.
Schaffner said the solution was to increase vaccine availability and
hire more vaccinators.
 "The more vaccines you have, the less you have to worry about
prioritization," Schaffner said. "We know it's not going to be
perfect, but who cares, we need to get them into the arms."
(Reporting By Richa Naidu in Chicago, Tina Bellon in New York and
Aishwarya Venugopal in Bangalore; Editing by Joe White, Ed Tobin and
Bill Berkrot)
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