Intended for healthcare professionals

Letters Covid-19: global vaccine coverage

Covid-19: an economic perspective on vaccinating the world

BMJ 2021; 373 doi: (Published 15 June 2021) Cite this as: BMJ 2021;373:n1498
  1. Cam Donaldson, Yunus chair and distinguished professor of health economics,
  2. Olga Biosca, reader in economics
  1. Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK
  1. cam.donaldson{at}

The most recent vulnerability of societal structures exposed by covid-19 is the inability of pharmaceutical regulation systems to ensure global vaccine coverage. We are currently seeking to resolve problems related to demand (exacerbated by vaccine nationalism) with alternative solutions such as fair and equitable priority setting,1 none of which helps achieve universal coverage. The solution is to combine priority setting with the other side of the economic equation—supply.23

Vaccines for all, as proposed by prominent campaigns, …

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