Abstract
Under the Biden–Harris administration, there is renewed attention on inequalities in the USA that have exacerbated vulnerability to the COVID-19 pandemic and manifested as racial and class disparities in morbidity, mortality, and vaccination.1,2 With public health now at the centre of national priorities, there is an opportunity to reverse the decades-long dismantling of US welfare systems that has weakened public health and exacerbated racial inequities.3,4 As the US plans for pandemic recovery, we encourage the medical community to advocate for large-scale infrastructure investments to build systems of economic and social protection that are pivotal for pandemic preparedness and public safety.
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