Dr. Ana Rodriguez said people are willing to sit in her waiting rooms a long, long time hoping someone else skips a COVID-19 vaccine appointment.
鈥淭hey sit there and they watch you for three, four, five hours to wait and see if you tell them there鈥檚 one vaccine left for them,鈥� she said. 鈥淚t is very sad.鈥�
No-shows are exceedingly rare, according to Rodriguez, who is medical director at MD Medical Group, a private health care company.
Her experience is another example of a painful current reality: while COVID-19 vaccines are in short supply, there鈥檚 no shortage of demand. And MD Medical group operates .
Ahead of any potential major increase in production, though, Dallas County is trying to forestall an unequal distribution of doses.
Private Health Care Disparity
Southern Dallas County has fewer private health care providers to begin with, which creates a baked-in risk that communities of color could be shortchanged as the vaccine rolls out.
Rodriguez鈥檚 colleague at MD Family, C茅sar Garc铆a, is director of value-based care. He said the firm jumped in right away when the state asked health care providers if they wanted to give vaccines. They even bought two special freezers in order to distribute the Pfizer vaccine, which needs to be . (Although so far, they鈥檝e only received the Moderna version.)
The company has primary care clinics in Dallas, Fort Worth, Houston, Beaumont and El Paso. In Southern Dallas, they serve a largely Latino population, and most of their patients are on Medicaid.
Other companies in Southern Dallas, Garcia said, might not have enough staff or be able to take patients without insurance.
鈥淚t comes in hand with, in the North, [there] being more hospital systems, bigger facilities that can take care of that,鈥� he said.
Northern Dallas County has more hospitals 鈥� a disparity detailed in a . The disparity loomed large last spring when everyone wanted a COVID test, and the advice was often, 鈥渃all your doctor.鈥� Less health care infrastructure in Southern Dallas meant .
As it tried with testing, Dallas County is trying to make up for the disparity when it gives out its own modest supply of vaccines. It has set up large sites at to get shots into underserved Black and brown neighborhoods.
More basics of vaccine distribution can be found in this guide from 四虎影院.
A Rocky Start At Fair Park
On Wednesday at Fair Park, doses were limited to people over 75 years old. A quick scan of patients showed mostly white people, like Madeleine Hervey. Hervey lives near Love Field, in the northern part of the county.
Hervey had help using the designated website when she signed up for an appointment at Fair Park.
鈥淚 got a son who鈥檚 in IT,鈥� she said. 鈥淗e just went 鈥極kay, Mom, I made you an appointment.鈥�
The county planned to notify people on the waiting list when their appointment time came up, but this system had a . A led to a surge of people at Fair Park, according to County Judge Clay Jenkins. These folks weren鈥檛 all in the highest risk group, and that added to concerns vulnerable people might get short shrift.
鈥淭he Fair Park location is there for a reason, right? The intent is to make sure that people in vulnerable areas receive the vaccine,鈥� said Dallas City Council member Jaime Resendez at a meeting Thursday. Resendez represents District 5, which includes parts of southeast Dallas.
Then he asked, 鈥淲hat are we doing to ensure [that] people in Southern Dallas are being vaccinated?鈥�
In response, County Health Director Philip Huang said confusion earlier in the week meant fewer doses were used. The county then reached out to churches and groups in underserved neighborhoods.
鈥淭here was some efforts [sic] to make sure that that diversity was represented,鈥� Huang said. 鈥淏ecause when we looked at who was coming in initially 鈥� it was not as diverse as we would have liked.鈥�
Short Supply
Governor Greg Abbott has said the state of Texas is . Hospitals in North Texas will be developing an equity 鈥渢ool鈥� as they serve their own patients with whatever doses they get, according to both Jenkins and the Dallas Fort Worth Hospital Council.
As these plans come together, companies like MD Medical are saying the issue is simply supply.
鈥淭he key is more vaccines,鈥� said Rodriguez. 鈥淢ore vaccines so we can vaccinate the whole public and we can just get this over with and start living our lives.鈥�
Got a tip? Email Bret Jaspers at bjaspers@kera.org. You can follow Bret on Twitter .
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