Fragmented, decentralized health system plagues vaccine rollout across US, Massachusetts
The snakebitten COVID-19 vaccine launch, beset by supply shortages, unused doses, and vexing technical complexity, has brutally exposed the weaknesses in the fragmented US and Massachusetts health care delivery systems.

Global data show the United States badly trailing the United Kingdom, which has a more centralized health care system, in getting people immunized. Relying on its vaunted National Health Service, which provides care for virtually the entire nation, the UK had vaccinated 13.7 percent of its population by Monday, while just 7.8 percent of Americans had received shots, according to the University of Oxford.

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