From a newly released KFF/The Undefeated national survey on race and health, Drew Altman discusses how systemic racism has led to striking levels of reluctance to get a COVID-19 vaccine among Black Americans, including those at highest risk, and the challenge it presents for ending the pandemic. “A vaccine distribution effort that is not coupled with a credible outreach effort in communities of color is likely to fall far short of reaching many of the people who are most at risk,” he writes.