Let me be clear about the evidence on 3rd shots. It is unequivocal for Pfizer's vaccine, given w/ 3 week spacing. In people over age 60, there is significant reduction of effectiveness (VE) vs hospitalizations and symptomatic infections at 5+ months after primary vaccination. /1
And that Israel's data shows that VE vs severe illness is restored by a 3rd shot for those age ≥ 60.
The duration of the restored VE can be debated, but likely several months, at minimum. /2
It's not the "general population" but there are over 70 million Americans age ≥ 60. They should not be sitting vulnerable while infighting takes place /3
The need for 3rd shots for age <60 or for Moderna's vaccine are unresolved at this time.
Frontline health care workers, who are short-staffed, and at increased risk for infection/transmission, should all be considered for 3rd shots /4
This is not about global equity, which the Lancet essay was clearly advancing. It's not either or. There are 76 million vaccine doses distributed in the US, not given, that are not going to be sent OUS. https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-total-admin-rate-total
and well over 15 million have already been wasted
New and notable
The UK's JCVI has reviewed all the data on this matter and is going forward with 3rd shots for all age 50+ starting in the next few days