Supply was not "cut", but the method of distribution did change. And it changed bc widespread use of the drugs due to DELTA created the shortage.
ALL of these drugs are/have been in short supply, and it seems to me the bureaucrats are doing the best they can to distribute to those for whom they will actually work - vs some willy nilly system. We went through similar issues with the vaccine early last year - in my state, the rural areas had THOUSANDS of doses and state/nat'l guard sponsored vax events, but bc of the low pop and vax hesitancy, thousands of doses went bad. Meanwhile, folks in urban areas hunted like crazy to get a jab, many of whom - myself included - had to drive several hours to a rural area to get one. It was as if the simple math of ratios of population to doses was somehow impossible. And, like most things gov't, it ultimately did work itself out (tho the feds did their own weeks' long vax event in at least one urban area).
I guess I just don't have the same antagonism about the lack of "stuff" (covid or not) since 3/2020... I mean TOILET PAPER was impossible to find for months, so I don't really see how to expect things like medicines, which are far more difficult to produce, to be lickety split and readily available.
And I suppose I can see the issues with both the feds taking over these drugs and not. When hospitals and everyone in the world were doing their all to find PPE, the feds took a hands off / free market approach, which made some sense, but also led to horror stories about bidding wars, switched shipments, delays, etc. (I know those in my state had many shipments that were bought/paid for suddenly disappear to some other higher bidder - and that includes my state gov't). The feds switched gears and took over some of the distribution chain, and things calmed down... which has been the status quo for more than a year. The flip side is to have the feds buy all they can and then distribute, which also makes some sense, but then we end up with today's stories of states running out and not being replenished. As I understand it, the current (as of Sept) distribution model is that a state's allocation is based on use and # of new cases. So when the virus jumps the shark and mutates/spreads, there will be delays (and Omicron was a DOUBLE whammy in that the virus is so much more transmissible, evades vax/boosts, AND is impervious to at least TWO of the monoclonal treatments). This model also seems to me to have potential issues depending on any individual state's recordkeeping of # of cases, as well as records of who/how/when the doses were administered (and I for sure don't envy the health care workers who have to track all of that). To me, given the sophistication of manufacture, supply chain issues for everything, and the general disgruntlement of a world's population, all the options are less than ideal, and someone will be unhappy (or downright angry) no matter what distribution/allocation model is chosen.
None of which gets into the possible ethical issues of availability. Say we have two patients. Patient #1 is a lifelong smoker, drinker, lives on soda pop and twinkies, never exercised or took care of their health. We'll call him grasshopper. Patient #2 has spent their entire life focused on living an over-the-top healthy lifestyle: daily exercise, healthy eating, never smoked, drank, or did drugs for the whole 50 years. We'll call him Ant. At age 50, Grasshopper's lifestyle catches up to him, his liver fails and he needs a transplant or he will die. The same day, Ant, also age 50, is hit by a drunk driver and has severe liver damage from the accident. If HE doesn't get a liver transplant, he will die. There's only 1 compatible liver - who gets it? Who decides? Why?
ETA: as to some states not having any supply - if any particular state has used all their supply, then that's a sad thing, but it's not bc the federal govt has cut off supply. If a state got it's allotment and used it, that state has to wait, like EVERYONE ELSE, for its next shipment. Terribly sad... but should State 1, who is using its supply carefully be denied it's allocation bc State #2, who is giving it willy nilly, has run out? ALSO - Anyone can go online and see the # of these drugs being distributed to any US state since Sept 2021 by searching for distribution of monoclonal antibodies.
[This message edited by gmc94 at 11:52 PM, Tuesday, January 4th]