The rich!

Who gains under price rationing?

The rich.  And everyone else as well.

The economy is not a zero sum game.  Under a price rationing system, the vaccines will get out to the public more quickly and fewer people will die.  It’s true that many of the first doses would go to wealthier individuals, but that’s also true of non-price rationing.  In practice, states spent so much time fighting over how to distribute the vaccines in a “fair” way that they slowed the rollout of vaccines, leading to many needless deaths.

PS.  Of all the head-scratching decisions made by the US government during the past year, it’s hard to top the one described in this new Alex Tabarrok post.  Imagine being a government official making a decision that costs thousands of lives, and has precisely zero benefit to anyone.