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The supply of any successful vaccine for coronavirus disease 2019 (COVID-19) will initially be limited. Who should have access first? The US National Academy of Medicine (NAM) has proposed a framework for COVID-19 vaccine allocation.1 Others have discussed distributing vaccine among countries.2 This Viewpoint delineates how ethical values should guide prioritization of a COVID-19 vaccine among populations within the US. The discussion may be relevant to other countries as well.
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Corresponding Author: Ezekiel J. Emanuel, MD, PhD, Perelman School of Medicine, University of Pennsylvania, Medical Ethics and Health Policy, 423 Guardian Dr, Blockley Hall, Ste 1412, Philadelphia, PA 19104 (MEHPchair@upenn.edu).
Published Online: September 10, 2020. doi:10.1001/jama.2020.18513
Conflict of Interest Disclosures: Dr Persad and Dr Peek report receiving grants from the Greenwall Foundation. Dr Persad reports pay from the ASCO Post and previous consulting work for WHO regarding pandemic influenza guidance. Dr Peek reports receiving grants from the Merck Foundation. Dr Emanuel reported receiving personal fees, nonfinancial support, or both from companies, organizations, and professional health care meetings, and being an investment partner in Oak HC/FT.
Funding/Support: This article was partially financially supported by the Colton Foundation.
Role of the Funder/Sponsor: The Colton Foundation had no role in the preparation, review, or approval of the manuscript and decision to submit the manuscript for publication.
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