These are deeply upsetting times. The COVID-19 global pandemic had the potential to bring people together, to strengthen global institutions such as the World Health Organization (WHO), and to galvanize new faith in public action. Our vast social wealth could have been pledged to improve public health systems, including both the surveillance of outbreaks of illness and the development of medical systems to treat people during these outbreaks. Not so.

Studies by the WHO have shown us that health care spending by governments in poorer nations has been relatively flat during the pandemic, while out-of-pocket private expenditure on health care continues to rise. Since the pandemic was declared in March 2020, many governments have responded with exceptional budget allocations; however, across the board from richer to the poorer nations, the health sector received only ‘a fairly small portion’ while the bulk of the spending was used to bail out multinational corporations and banks and provide social relief for the population.

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