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Recognizing that health inequities have structural causes warranting policy-level solutions, we believe that the Covid-19 health equity disaster carries some lessons from which we can derive actionable policy targets for both advancing health equity and improving the pandemic response.

Beyond revealing the need to integrate public health efforts with broader public policy, Covid-19 has demonstrated once again the outsized roles of structural racism and social determinants of health.

To achieve health equity, we need to reach beyond the health care system — and think big.

Decades of systemic underinvestment have contributed to health disparities, and it is unrealistic to think that health equity will be achieved without a major investment of resources.

But if we want to take health equity seriously, now is the time to think big.

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