We kick off the New Year with a response to a listener email! We discuss utilitarian and egalitarian approaches to vaccine distribution, and the ethics of allocating scarce medical resources at both the international and national levels. Neither a pure cost-benefit analysis nor a pure egalitarian approach is satisfactory, so the debate focuses on carving out a middle ground that is both ethically and medically sound. Bonus discussion of President Trump's perfectly legal and very cool phone call!