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California’s vaccine rollout is missing millions who work in risky conditions, and it’s unclear when those with less visible jobs can get inoculated. San Joaquin County Director of Health Care Services Greg Diederich echoed that frustration, calling the transition “opaque.” Though Blue Shield was supposed to begin its overseer role with his county last week, it did not, offering little explanation for the delay, he said. In Fresno on Friday, Gov. Gavin Newsom said the transition for “first wave” counties including San Joaquin would happen Monday. When the transition does take place, Diederich does not know whether his agency will continue to have the ability to run farmworker clinics or “if ultimately [Blue Shield] determines who does what and gets what, and public health kind of takes a back seat,” he said. The uncertainty has prompted county officials in San Joaquin and Ventura to openly ponder whether they can opt out of Blue Shield’s oversight.

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