Commit fully to sustained multilateral cooperation

In January last year, my fellow Elders Mary Robinson and Ban Ki-moon participated in the unveiling of the Doomsday Clock, the annual indicator of global catastrophic risk published by the Bulletin of the Atomic Scientists. In 2020, the clock’s hands moved closer to “midnight” than they have ever been — just 100 seconds away — and they will remain there in 2021.

It is hardly reassuring that we came no closer to midnight this year. The COVID-19 pandemic has served as a stark and deadly demonstration of the precariousness of our way of life. We have made remarkable progress on vaccines, and a new US administration brings hope of renewed multilateral cooperation. But there is no doubt that the future will be rife with existential threats: new pandemics, the climate crisis, nuclear conflict, and other risks that we cannot ignore.

Post-pandemic political leadership will be a crucial test of the world’s ability to rise to these challenges. Too many of our leaders have been found wanting. The virus has claimed some 2 million lives and wrought economic devastation worldwide.

While mass vaccine rollouts offer some people a glimmer of hope, most of the world’s population will remain unprotected for quite some time.

To be sure, US President Joe Biden’s decision to reengage with the World Health Organization is a welcome signal of America’s renewed commitment to multilateralism, as is his signing on to the COVAX scheme for equitable vaccine distribution. But WHO Director-General Tedros Adhanom Ghebreyesus has warned that unless we do more to ensure that COVID-19 vaccines are produced and distributed according to the principles of universal health coverage (UHC), the result will be a “catastrophic moral failure.”

As a new report by The Elders shows, fully overcoming COVID-19 and equipping ourselves for future health emergencies requires remodeling global public-health policy around three key pillars: preparation for future pandemics; ensuring UHC at national and global levels; and promoting healthier societies through holistic policies and social development.

No part of this agenda is revolutionary or too complicated to deliver quickly and at scale. The challenge, as ever, is to back words with action, and to ensure that our efforts are properly funded and designed not to overlook the needs of the poor and marginalized.

Multilateralism and solidarity

Nowhere is this more essential than vaccination policy. The rapid development of not just one but several vaccines in less than a year is an incredible achievement and a triumph of human ingenuity, innovation and cooperation. But it would be unpardonable if these precious vaccines were not equitably distributed around the world.

In a pandemic, we cannot hope to recover fully or repair our social fabric unless we affirm and apply the principles of multilateralism and solidarity.

One of the most important lessons from the COVID-19 crisis is that short-termism and nationalism have weakened global health policy. It is now clear that national moves toward UHC must go hand in hand with multilateral efforts to strengthen public health systems globally.

To equip these systems for future pandemics, all stakeholders should define pandemic preparedness and response as a “global public good” that necessitates a multilateral approach, with states and global institutions pooling resources, capacity and expertise.

Equally important is support (and respect) for the ongoing work of the WHO and other bodies specifically charged with pandemic preparedness.

In economic terms, investing in preparedness to strengthen health security offers excellent value for money.

We must act on the lessons of the COVID-19 crisis to create a new “Bretton Woods moment” of innovation and creativity in the service of global governance. That is the only way to protect our shared planet and its population over the long term.

There is no question that we have the capability to solve the collective challenges we face. But we now need Biden and other global leaders to grasp this opportunity and commit fully to sustained multilateral cooperation. Now, as always, moving the hands of the Doomsday Clock away from midnight is a matter of political will.

Gro Harlem Brundtland, former prime minister of Norway and former director-general of the World Health Organization, is a member of The Elders. Copyright: Project Syndicate, 2021. www.project-syndicate.org