I’m not sure what your reference to a national approach and what appears to be an implication that vaccinations were not (beyond ordering them)
the vaccination rollout is driven out of the offices of the PM and the Health minister. Public servants are responsible for passing on those decisions, however inane they are, to a bevy of local people trying to operationalise them and work with doctors and vaccination hubs.
You might even look at when they brought in the ex military guy to run things - since they assumed it was a problem with giving orders rather than trying to carry out orders that have no understanding of how things work. Like on the ground work. Or like the fact that doctors are required to run businesses- just like other business people they pay for time, staff, other resources and assets. Every time they are screwed around or over it costs them even if they are trying to help.
it’s not just a cluster f it’s pathetically incompetent. And it gets sheeted right back to the PM.
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