[cbetti]

That's not at all the case in my state. The state and county operated facilities were huge, and moved a significant number of people through the vaccination process extremely efficiently.

For testing, I've been to many facilities. The county run facilities have been efficient and organized, whereas the private ones were not set up as efficiently to get tests issued and results returned.

That said, my primary care office is now set up to return results quickly, so private seems to be catching up.

Speaking from a Maryland PoV.