Thread by @TomBollyky

Revolutions often go full circle, recreating circumstances that led to initial upheaval

For 2d time in 20 yrs world faces a treatment access crisis

1st crisis transformed #globalhealth but laid seeds for latest crisis over vaccines

My latest w/@ChadBown
foreignaffairs.com/articles/world…

20 yrs ago, crisis over AIDS drugs brought deep & lasting changes, pumping $$ into R&D of new meds & creating new institutions to deliver them

But it also shifted focus of #globalhealth 2/

foreignaffairs.com/articles/world…

Global health became less a/b cooperation among nations on common threats and more a/b aid-driven initiatives and public-private partnerships to solve the problems of *other* people—mostly in low-income countries 3/

Aid-driven institutions & partnerships have done enormous good delivering food, cash & AIDS drugs to world’s poor

But they have struggled against many of collective action problems that constitute world’s biggest health threats:

pandemic preparedness, climate change, NCDs 4/

Vaccine nationalism is another collective action problem that aid dollars and public-private partnerships cannot on their own resolve

If competition continues to trump cooperation on vaccines, a 20-year “age of miracles” in #globalhealth will have come full circle 5/

In this article, @ChadBown & I explore how incoming Biden administration can work with likeminded governments to resolve a key bottleneck in equitable global distribution of COVID-19 vaccines: scaling out vaccine manufacturing 6/

foreignaffairs.com/articles/world…

Only international cooperation on the basis of shared interests can mobilize the global manufacturing, trade, and delivery response that will end this public health crisis and help build a more resilient system for the future 7/7

foreignaffairs.com/articles/world…