
The pandemic has vastly exacerbated the global north-south divide, with wealthy Western states moving steadily toward herd immunity while a majority of Africa, Asia, and Latin America wait for vaccines to trickle down. Only a small number of countries produce their own coronavirus vaccines, but the rest of the world depends on them for their immunizations. This raises the specter of a new geopolitical arrangement—one in which patron-client relationships are determined by the asymmetry in vaccine supply versus demand.