We are Building a Digital Ontario - unless itās the roll out of life-saving vaccines in a global pandemic. That we are leaving up to volunteers.
š„ But maybe itās time to put the volunteer (read: corporate shadow tech) champagne back on ice. Maybe they canāt solve all our problems in 3 hours. Maybe they create new ones. š¾
Ja Rule @jarule
I too was hustled, scammed, bamboozled, hood winked, lead astray!!!
šø I think everyone on Twitter would be even *more* annoyed if they knew that a few days after the City of Toronto awarded a $1.4M contract to a marketing company to execute the āWard Immunization Campaign.ā Because guess what? Itās worth investing in the vaccine roll out.
Vaccine Hunters Canada @VaxHuntersCan
Pinch us, eh?! We can't believe in two months we've grown from a few keeners on Discord to a nationwide movement. Canada, help us share OUR story tomorrow! šØš¦#VHCSuccess https://t.co/duJiIaN6ef
The volunteer-run Vaccine Hunters Canada perfectly captures the tension between grassroots organizations filling a gap and the government investing in public health products. Their halo hones in on the frustration that many in Ontario have been expressing - that so many are reliant on a Twitter account to get intel on vaccination opportunities. An online mutual aid group that is also deserving of the Order of Canada (*all 42k+ members on the Discord Channel!). šØš¦
The tool is a lot like those accounts that help you sniff out a PS5 drop: they donāt highlight that Sony is doing a terrible job distributing product, they highlight the scarcity of the product and then crowdsource the treasure hunt. It becomes a matter of what groups have the attention and resources to go out and get it.
āļø Why didnāt the [provincial] government build something?
I think the answer is really complicated. It has to do with procurement, politics, and money. We should not assume that our civil service doesnāt have the capacity to build something meaningful - it does. We should ask why our political class did not prioritize facilitating a responsible roll out. Perhaps the customer acquisition opportunity and private interests won. Shopperās Drug Mart just isnāt accountable to the public the way that the government is. *My kingdom for an FOI of that decision memo.
Kristen Watt - Pharmacist Mama - she/her #BLM @PharmacistMama
@sknitting26 @ShopprsDrugMart Iāve confirmed with an Associate friend. It does not work. Across the board. So we have pharmacies with 1300 doses and no way to contact people
āļø Is the province even equipped to build something meaningful?
You tell me: weāve got 34 PHUs in Ontario that have been empowered to pursue their own booking approaches (call centres and websites) further fragmenting the space.
Then within, hospital networks operate like corporate/public health fiefdoms.
We still donāt have an integrated electronic medical record in Ontario after 25 years of trying. Those same challenges (mostly related to interoperability standards) underpin an integrated approach to vaccine booking.
*Iām not trying to suggest that because Ontario is uniquely complex, building a cool centralized tool is less possible - this is not an excuse, just context.
Now, how did Nova Scotia compel pharmacies to use their centralized booking system and Ontario didnāt? Unclear but I would love to read about that in Macleanās or something. Like, did CANImmunize just do an awesome job negotiating? Is it true that they gave pharmacies iPads with their software pre-loaded? š¤·āāļø
āļø Are the Vaccine Hunters ābetter than nothingā?
For many, our bar (and mood?) is so low right now that weāre ready to rationalize that at this point, we just need to get vaccines in arms. While thatās true, itās ALSO okay to be agitated by all the leap-frogging going on. Essential workers remain unvaccinated while the WFH crew has the freedom and mobility to scour the province for a shot.
Thereās a ton of inequity with the pop-ups too - with long lineups in hotspot communities. While VaxHunters can certainly claim some credit for driving demand to these pop ups, itās also worth giving credit to community centres for doing the on-the-ground work to being vaccines to communities where essential workers live. Air war, meet ground game.
*I canāt wait to see that data contrasting the postal codes people live in versus where they were vaccinated. Itās going to be devastating.
āļø Who is this hurting?
Perhaps some independent pharmacies that have people screaming at them on the phone re: vaccine availability. People that donāt speak English as their first language, or with low digital literacy, or without a Twitter account, or without a personal vehicle to travel to an appointment, or without the luxury of paid time off or flexible work, etc.
š° Another question is: who owns the vaccine allocation data?
It seems as though the vast majority of people are manually checking the websites for appointments. People building tools to check and automatically notify people for appointments is a very small subset of the volunteers.
Of interest: Shopper's Drug Mart and Wal Mart offers appointments and it appears that it is possible to build tools to automatically check on them. It does not seem that these large companies have open APIs that could allow civic tech innovators to leverage open data in building more or similar tools. This means that the firms COULD sue or do something scary like get a cease or desist if they claim that their API is proprietary - even though itās a legitimate part of the public health system.
APIs could allow a small subset of especially tech-savvy volunteers to leverage this to build tools. This is common in open data but it's not clear if one can just use this data. VaxHunters has taken an official stance that they don't want to scrape these sites for reasons. Based on my read of the below Discord post, it seems like the Vaccine Hunters are worried about legal action. š
I admire that the Vaccine Hunters are so committed to not having any vaccines go to waste. As we look ahead to more supply, there will be less scarcity.
There are a ton of issues related to relying on a volunteer group for vaccine information that are worthy of our sustained interrogation. Government-run civic tech assumes responsibility for language translation, maintenance, scalability, geographic coverage, and consistency - and more.
We should definitely be mad that the Twitter account is the ābest we have.ā This dystopian game of Pokemon Go ~approach, this hideous Easter Egg hunt for your health is a bad knock off of Amazing Race. While the urge for product designers and builders to offer solutions is admirable and comforting, it glosses over what our expectations of the state should be when it comes to providing systems like this - if not building it in-house, then putting out a competitive tender. While the province of Ontario did not, the City of Toronto did invest in marketing support (an outreach campaign).
Jackson Proskow @JProskowGlobal
The US just launched a tool where you can text your zip code to a centralized number (āgetvaxā) and youāll get an instant reply with nearby vaccination sites. https://t.co/iLUuuAv8NgThe other evening during my nightly doom-scroll, I came across the above texting tool. I wonder if maybe building isnāt the āhardā part - maintenance and scalability of infrastructure, and translation into a range of languages - who is going to do that? How much is it worth?
Presenting a product as āeasyā avoids tough policy questions about who *should* build this.
š§µ The thread below from Dan Hon discusses the issues with volunteer vaccination websites really well.
As we continue the āhunt,ā for answers and accountability, letās not lose sight of the province - especially in light of big new digital plans.
Vass Bednar is the Executive Director of McMaster Universityās new Master of Public Policy in Digital Society Program.
Excellent analysis. Reminds me of the adage that politics abhors a vacuum. In this case the overwhelming desire of some people to get the shot means the system will be gamed, or if there is no system, there is just the game?
Such a great newsletter. Thanks for this.