A new report in MIT Technology Review looks at why, almost a year into the pandemic, the Centers for Disease Control and Prevention seemed totally unprepared for actually getting shots into people’s arms.

According to Technology Review, the agency knew it needed a robust, one-stop shop that could be used by patients, clinics, employers, and government officials. But instead, the CDC spent $44 million on something called the Vaccine Administration Management System —-VAMS— built by consulting firm Deloitte (via no-bid contracts) which was so inadequate that it has driven some states to try to patch together their own vaccine distribution systems instead.