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Illustration: Aïda Amer/Axios

Most states are making people with underlying conditions eligible for coronavirus vaccines, but which conditions differ by state and sometimes even by county, the New York Times reports.

The big picture: With health care workers and the oldest Americans increasingly vaccinated, public health officials are grappling with who should be next in line — a decision that could have life-or-death consequences.

Details: At least 37 states and Washington, D.C. have made at least some people with health conditions eligible.

  • But states are making decisions about what conditions get priority without definitive research on which ones put a person at highest risk of severe coronavirus infection.

For example: At least 30 states have made some people with Type 2 diabetes eligible, but people with Type 1 diabetes are only eligible in 23 states.

  • And at least 30 states are allowing people who are overweight or obese to get shots, but body mass index requirements vary significantly.

What we're watching: Most experts generally agreed that nursing home residents should be vaccinated only after health care workers. But using age to determine eligibility will likely become increasingly controversial if states continue to move down into younger age brackets.

  • "Age-only distribution is unethical, likely illegal and bad health policy. It also abdicates the government's responsibility to seek equity and proactively reach out to high-risk people in search of the mirage of value neutrality," a trio of law, medical ethics and health policy professors opined yesterday in the Washington Post.

Go deeper

Updated 27 mins ago - Sports

In photos: Tokyo Olympics day 6 highlights

An underwater view of swimmers including Team USA's Caeleb Dressel (R) in the final of the Olympic Tokyo Games men's 100m freestyle on July 29. Photo: François-Xavier Marit/AFP via Getty Images

There's been plenty of Olympics drama on day six of the Tokyo Games Thursday — notably China's women's swimming team beating the U.S. and Australia in the record-setting 4x200-meter freestyle relay.

The big picture: Katie Ledecky helped the U.S. win silver, which also beat the previous world record smashed by China's team. Team USA grabbed two more swimming gold medals, when Caeleb Dressel won the men's 100m freestyle and Bobby Finke triumphed in the first men's Olympic 800m freestyle.

Updated 1 hour ago - Sports

Olympics dashboard

Team USA's Simone Biles during the women's team final on day four of the Tokyo 2020 Olympic Games at Ariake Gymnastics Centre on Tuesday in Japan. Photo: Fred Lee/Getty Images

🤸🏾‍♀️: Simone Biles reacts to "love and support" after withdrawing from all-around gymnastics and team finals, citing her mental health

🏊‍♂️: Caeleb Dressel wins gold in men's 100m freestyle —Bobby Finke wins gold in first men's Olympic 800m freestyle

📷: In photos: Tokyo Olympics day 6 highlights

🗓: The Olympic events to watch today

🎾: "This one sucks more than the others," Naomi Osaka says on upset loss

🏃‍: Female Olympians push back against double standard in uniforms

Go deeper: Full Axios coverage - Medal tracker

Updated 3 hours ago - Sports

China wins Olympic gold in women's 4x200m freestyle relay, sets world record

Junxuan Yang, Muhan Tang, Yufei Zhang and Bingjie Li of Team China react after winning the gold medal in the women's 4 x 200m freestyle relay final. Photo: Al Bello/Getty Images

China grabbed Olympic gold in the women's 4x200m freestyle relay, in a surprise record win in Tokyo Thursday.

The big picture: Katie Ledecky made up time as Team USA's final swimmer to help the U.S. take silver. Australia, which was the heavy favorite, won the bronze. All three teams finished ahead of the previous world record pace.