Why is Massachusetts failing at COVID-19 vaccination?

Israel (population 9M) has already vaccinated 200,000 people against COVID-19 with the Pfizer/BioNTech vaccine and expects to be injecting over 100,000 per day shortly.Massachusetts (population 7M)  has injected only 35,000 so far. Here, as in many other states, half the doses are being saved as boosters and not injected out of fear that a future supply glitch could delay dosing from a supposedly magical 21 or 28 day target time.In Israel, senior residences had multiple stations manned by the local equivalent of the Red Cross, and military personnel with medical training are being used as well. Israel is prepared to ramp up to a 24/7 vaccination schedule if needed. They are treating it as an emergency, which it clearly is.In Israel, the teams are equipped with epinephrine to handle the occasional severe reaction, which seems to be an issue with both the Pfizer and Moderna vaccines.Meanwhile, what is the actual logistical plan in Massachusetts? It seems pretty vague. I've heard from friends at Boston teaching hospitals (and read in the press) that distribution is a mess. There is general talk of drugstores like CVS and Walgreens providing shots. Are they going to be ready with epi-pens or just call 911?And what about the idea of giving one shot instead of two if supply is tight? We might get to herd immunity faster if we applied creative approaches such as this one.----By healthcare business consultant David E. Williams, president of Health Business Group