Distribution was always going to be inequitable. The production issues for a number of the vaccine makers has made this issue even more obvious. The US is going to announce a further purchase of 100m doses of the J&J vaccine. At this stage they have bought much more than can ever be used. I doubt that the 300m doses purchased from AZ are intended to be used here for example. Alaska is the first state to open vaccination to everyone over 16. Much of these purchases will be destined for overseas aid once domestic demand falters.
Just in time for St Patrick's day, MD has now lifted almost all restrictions on dining. Masks are still required.
I'll add one more thing to this. I heard (think it was on CNBC but may have been elsewhere) that Novavax will get approved in the US before AZ will. At this point I don't think the US will use any of the AZ even if it eventually gets approved here. At this point may as well release AZ to ship their vaccine where ever they wish to.
As for J&J I do think the US needs the extra doses of it as it appears (at least anecdotally) that some people who are vaccine hesitant appear more willing to take that one due to it being 1 dose.
I did hear about Alaska opening vaccination up to anyone 16 and over. My guess is that W. VA will be the next state to do that as they have done a very good job with their vaccine roll out. Where I live in coastal NC we are starting to get more vaccine here (almost exclusively Moderna). Here the Dept of Health is able to do vaccines almost daily, but we're also getting two or three 1 day clinics per month for first doses and the same for second doses. (Military gets vaccinated on base).
Good news for my husband, he had sent a message to his doctors at UNC Health to see if he can get vaccinated or not and he got information back from them yesterday telling him yes and to try to get an appointment as soon as possible. Now he's decided due to the health issues he's still suffering from he wants to ensure his appointment is either in the UNC health facilities or Duke health facilities (preferably at one of the two hospitals) instead of getting it at a pharmacy like I did and like my mom and sister did.