A former Assistant Professor of Psychiatry at the University of Pennsylvania School of Medicine, Wayne Macfadden, MD, brought over three decades of Clinical Psychiatric and research experience to his position as a psychiatrist with the Spirit Lake Reservation in North Dakota, where he focused on providing Psychiatric treatments to residents of the reservation who are suffering from mental illnesses and substance use disorder. In addition, Wayne Macfadden, MD, is a former fellow with the American College of Physicians (ACP). The American College of Physicians (ACP) backs the Advisory Committee on Immunization Practices (ACIP) recommendation to the Centers for Disease Control and Prevention (CDC) to utilize an extra mRNA COVID-19 vaccine dosage in immunocompromised people. On Friday, August 13, ACIP unanimously recommended an extra (third) dose of Pfizer-BioNTech COVID-19 vaccine (for those 12 years and older) or Moderna COVID-19 vaccination (18 years and older) after the results of a preliminary study in immunocompromised individuals. ACP previously said that it has an ethical obligation to assist others in reducing COVID-19 mortality and morbidity and that it supports the rapid ramping up of supplies for equitable distribution of COVID-19 vaccines across and within countries in need. According to ACP, countries facing a shortage of vaccines and a high incidence of COVID-19 mortality and severe illness require immediate assistance.