“I call it vaccine deliberation,” said Giselle Corbie-Smith, a professor at the University of North Carolina and the director of the UNC Center for Health Equity Research. “For Black and Brown people, this is a time of watchful waiting. It’s a skepticism of a system that has consistently demonstrated that their health is not a priority.”

“It’s not vaccine hesitancy among American Indians, but rather hesitancy and distrust regarding the entire government,” said Margaret Moss, an associate professor at the University of British Columbia School of Nursing and an enrolled member of the Three Affiliated Tribes of North Dakota. “After decades of distrust, on top of centuries of genocide, now they appear and say, ‘Here, you have to take this!’”

Let’s not forget vaccine indifference. Two-thirds of Republicans under 30 without a college degree say that they are “not concerned at all” about COVID-19 in their area, according to polling from Civiqs. The same percentage of this group says that they won’t take the vaccine, making them the most vaccine-resistant cohort among all of those surveyed.

Dissent. Deliberation. Distrust. Indifference. Vaccine hesitancy is not one thing. It’s a portfolio. And we’re going to need a portfolio of strategies to solve it.