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Global health challenges threaten the United States’ health and economic security, a reality made painfully clear over the past 14 months. Many low- and middle-income countries lack adequate domestic resources to invest in public health and, at the same time, face mounting debt burdens that impede their ability to raise new funding for essential investments. The Covid-19 pandemic is a call to action to rethink how the United States prioritizes pandemic preparedness and investments in public health. U.S. leadership will be essential to mobilizing investment from the official sector and private investors. Introduction Even after the Covid-19 pandemic is contained, the United States will remain vulnerable to global health security threats unless and until it prioritizes domestic and international investments in public health. Many low- and middle-income countries (LMICs) lack adequate domestic resources to invest in public health and, at the same time, face mounting debt levels

United statesFrance generalWorld bankDistrict of columbiaStephanie segalInternational monetary fundFitch ratingsCommission on strengthening america health securityChina development bankMelinda gates foundationParis clubInternational development associationGrowth trustGroup of sevenWorld health organizationDevelopment working group