A year into the COVID-19 pandemic, the United States appears to have learned few lessons from its disastrous early response.   Hasty lockdowns and bungled reopenings have now given way to a sluggish and uncoordinated vaccine rollout. This month, the daily death toll crossed 4,000, and hospitals in many parts of the country are overflowing with sick patients.   How are we going to get out of this mess?   On the latest episode of The Dose, Ashish Jha, M.D., dean of the Brown University School of Public Health, explains how vaccine distribution could be sped up and carried out in a manner that addresses racial and economic disparities. Jha believes that swift action from the incoming administration could help America emerge from the pandemic by mid- to late 2021.