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At least 37 states allow people with certain health conditions to receive the Covid-19 vaccine, but the specific vary
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As states have begun vaccinating Americans with medical conditions that may raise their risk for a severe case of Covid-19, they are setting widely varying rules about which conditions to prioritize.
The morass of guidelines has set off a free-for-all among people with underlying health problems like cancer or Type 2 diabetes to persuade state health and political officials to add particular conditions to an evolving vaccine priority list.
In Royal Oak, Mich., Megan Bauer, who lives with cystic fibrosis, a genetic disease that can cause serious lung infections, said she was grateful that other people with heightened risks were getting vaccinated: health care workers, teachers, her 81-year-old grandmother. If Ms. Bauer lived in Montana, New Mexico, Virginia, Washington, D.C., or at least 14 other states, she could get the vaccine now, too. But not in Michigan.
In the initial months of the vaccine rollout, states sought to balance between prioritizing older people, who are most likely to die from the virus, and people in professions most likely to be exposed to it. Under recommendations from the Centers for Disease Control and Prevention, people with medical conditions that have been associated with an increased risk for severe virus symptoms were slated to come next.
At least 37 states, as well as Washington, D.C., are now allowing some residents with certain health problems to receive vaccines, according to a New York Times survey. But the health issues granted higher priority differ from state to state, and even county to county.
Some people with Down syndrome may get vaccines in at least 35 states, for instance, but some of those states are not offering shots to people with other developmental conditions. At least 30 states allow some people with Type 2 diabetes to get vaccines, but only 23 states include people with Type 1 diabetes. At least 19 states are making the vaccine available to some people with cystic fibrosis; at least 14 have included some people with liver disease; and at least 15 have deemed some smokers eligible. ...
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