Professor Ana Santos Rutschman, in her article Increasing Equity in the Transnational Allocation of Vaccines Against Emerging Pathogens: A Multi-Modal Approach, published in the Journal of Law, Medicine & Ethics, suggests using a multi-modal system, inspired by the New York City Marathon's method of choosing participants, to distribute vaccine doses during major international disease outbreaks. The system would consider factors like public health needs, a country's income level, funding qualifications, and, if needed, a modified lottery system.
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