When the healthcare.gov fiasco was going on, I was trying repeatedly to refill 
my Starbucks card using their web site. I thought it would be interesting to 
see which site would be running correctly first. I don’t know which was first 
but it was close — it wasn’t a slam dunk win for private enterprise over 
government.

I remember when building an online store with a shopping cart was a big deal in 
the ‘90s. Now building these sites is like playing with tinker toys.

I can see a lot more work needed that will never be seen from the public’s side 
of the system. The 50,000 sites will not be constant. Some new ones will come, 
and some will go. Hospitals, public health departments, independent as well as 
chain pharmacies have to feed information into the system. How do they pass 
that information?  How do they prove they are not a hacker and have the 
authority to change hours, capacity, availability of vaccine, location, etc. 
Are there mechanisms for weeding out defunct and out-of-date vaccination sites? 
The problems getting up-to-date and accurate numbers for COVID tests, deaths, 
ICU usage, etc., demonstrate this is not trivial. 

The system for entering the data has to be built, has to be secure, and 
thousands of people (eg, pharmacy staff) who want to do something else will 
have to be trained and the technical support team for the vaccinator entities 
as well as for the general public needs to be up to speed.

Also, it is easy for us to assume computer literacy which may not exist for 
some parts of the population. Back in the ‘80s, our support people had 
conversations (with mathematicians, economists, and their students!) like:

Support person: “Now copy the highlighted text to the clipboard”
Support person: <long pause> Hello?
User: “I’ve looked all over. My computer doesn’t have a clipboard!”

My guess is that about 20% of the population is still at that level, and the 
need to be supported.

And Murphy will be in the wings, watching carefully.


Sent from my iPa

> On Mar 13, 2021, at 1:06 PM, Prof David West <[email protected]> wrote:
> 
> Biden promised a Federal Website to give citizens easy an accurate access to 
> vaccination appointments. Fully operational May 1, date that all Americans 
> wishing a vaccine/vaccination will be able to obtain one.
> 
> Assume 50,000 vaccination sites, 50, 15-minute, time slots per day and, at 
> that time, a maximum of 150 million clients.
> 
> There are several people on this list who, I believe, could build this 
> Website over the course of a weekend, including UE (user experience) elements 
> like Google Maps for site locations, and install it on a cloud server for 
> volume scaling/descaling. Allow a month to collect data - the only thing 
> really problematic is a list of sites, addresses, and operational hours (to 
> constrain the daily calendar slots).
> 
> Total cost: < $25,000 ($500 hr - you folks deserve this pay rate - for 40-50 
> hours)
> 
> Now the wager: I bet that the feds will contract with a major software 
> development corporation for development. Contract will be in the range of 5 
> and 10 million dollars; there is a 50% chance the site will be late or 
> deployed with partial functionality; there is a 20% chance that it will be as 
> dramatic a failure upon debut as was the healthcare.gov site.
> 
> Risk is two beverages of your/my choice — payable when next we can share a 
> physical presence.
> 
> davew
> 
> 
> 
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