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Illustration: Annelise Capossela/Axios

The U.S. is likely reaching the end of the road on new vaccinations, after the U.S. Supreme Court blocked the Biden administration's vaccine mandate for large employers.

Why it matters: Cash prizes and other incentives barely moved the needle on vaccinations. So the government turned from carrots to sticks — but now it has lost its biggest stick.

  • "It is now highly unlikely that the U.S. will hit the ~85-90% of Americans vaccinated to get to the other side of the pandemic," tweeted Celine Gounder, an infectious disease expert and former Biden administration advisory board member.

By the numbers: 63% of eligible Americans are fully vaccinated and about 38% of them have gotten boosted.

State of play: Employers in most of the country are still free to impose their own mandates, if they want to, but there's not much reason to expect that to produce any major increase in vaccinations.

  • Only a few large companies, such as United Airlines, have required vaccines. Most employers haven't enacted a mandate, and labor shortages could make them even less likely to do so now.
  • Plus, 13 states prohibit employers from enacting vaccine mandates, according to data from KFF.

Between the lines: Early on in the pandemic, many companies tried to entice employees to get shots using cash incentives or paid days off, but found limited success.

  • "Mandates appear to be the only way to get to that high a vaccination level, you cannot do it with education or nudges," Jeff Levin-Scherz, a population health leader at Willis Towers Watson, told Axios.

Yes, but: The Supreme Court allowed the federal vaccine mandates for health care facilities to take effect.

What to watch: The court left the door open for narrower regulations, targeted to specific types of workplaces.

  • "Likely candidates for regulation include workplaces where social distancing is difficult, such as manufacturing lines, or where mask-wearing is impossible, such as restaurants," Aaron Goldstein, a partner in the firm of Dorsey & Whitney, said in an email.

Go deeper

Jan 15, 2022 - Health

Experts warn of more COVID-19 variants after Omicron

Three COVID-19 testing companies place testing locations outside Grand Central Terminal on Jan. 14 in New York City. Photo: Alexi Rosenfeld/Getty Images

Experts are warning that subsequent COVID-19 variants are likely to come after Omicron, AP reports.

Why it matters: The warnings come as there's no guarantee that subsequent variants "will cause milder illness or that existing vaccines will work against them," underscoring the need for widespread vaccination, AP writes.

NYC to require employers to specify salary ranges

Photo: Alexander Pohl/NurPhoto via Getty Images)

New York City became the latest jurisdiction to tackle wage inequality on Saturday, with employers required to include specific salary ranges beginning in April, CNN reports.

The big picture: States such as Colorado, Connecticut, Nevada, Rhode Island and more have all enacted legislation that requires employers to include specific salary ranges on job postings.

Momentum builds to ban lawmakers from trading stocks

Illustration: Sarah Grillo/Axios

Some progressive Democrats and MAGA Republicans are uniting on a proposal to ban sitting lawmakers from trading individual stocks, although it's unlikely that leadership will bring the bill up for a vote.

Why it matters: Members of Congress have great power to move stock prices, and great financial incentives to do so.