,,iv  #aai? ,,congress  #a/ ,session    
,h4 ,,res4 #fbi  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,augu/ #a1 #bjbe,ms4  
,s*ak[sky 7= h]self1 ,mr4 ,ruiz1 ,ms4   
,jayapal1 ,ms4 ,mc,collum1 ,mr4         
,mc,govern1 ,mr4 ,m\lton1 ,ms4          
,pressley1 ,mrs4 ,ramirez1 ,mr4         
,kri%namoor?i1 & ,mr4 ,v>gas7 submitt$ !
 foll[+ resolution2 :i* 0 ref]r$ to !   
,committee on ,=eign ,affairs1 & 9      
addition to ! ,committee on ! ,judici>y1
 = a p]iod to be subsequ5tly det]m9$ by 
! ,speak]1 9 ea* case = consid]ation (  
su* provisions z fall )9 ! jurisdiction 
( ! committee conc]n$  ,,resolution     
,honor+ ! life ( ,dr4 ,paul ,f>m] by    
recogniz+ ! duty ( ! ,f$]al ,gov]nm5t to
 adopt a #ba/-c5tury global heal?       
solid>ity /rategy & take actions to     
address pa/ & ongo+ h>ms t und]m9e !    
heal? & well-be+ ( p ar\nd ! _w4  ,:]eas
 ,dr4 ,paul ,f>m]1 :o pione]$ novel     
community-bas$ /rategies = ! deliv]y (  
high-quality heal? c>e 9 impov]i%$      
sett+s1 inspir$ a p>adigmatic %ift 9    

global heal?1 includ+ inspir+ robu/     
,unit$ ,/ates lead]%ip to address !     
global ,,hiv_/,,aids epidemic 9 ! e>ly  
#bjjjs via ! ,unit$ ,/ates ,presid5t's  
,em]g5cy ,plan = ,,aids ,relief         
7,,pepf>7 & ! ,global ,fund to ,fight   
,,aids1 ,tub]culosis1 & ,mal>ia2 ,:]eas1
 9 spite ( ?is progress1 weak heal?     
sy/ems cont9ue to cause millions ( p1   
prim>ily ! global poor1 to die tragic & 
unnecess>y dea?s1 includ+--  7#a7       
annually1 approximately-- 7,a7 #fhj1jjj 
dea?s f ,,hiv_/,,aids2  7,b7 #a1ejj1jjj 
dea?s f tub]culosis2  7,c7 #fbg1jjj     
dea?s f mal>ia2  7,d7 #bie1jjj dea?s (  
mo!rs dur+ & foll[+ pregnancy &         
*ildbir?2  7,e7 #i1efj1jjj dea?s among  
*ildr5 "u ! age ( #ae2 &  7,f7 #efj1jjj 
dea?s ( *ildr5 & "y adults liv+ among ! 
_w's poore/ billion p f noncommunicable 
diseases & injuries2 &  7#b7 a          
,,covid-#ai case-fatality rate up to    
#cjj p]c5t great] 9 l[-income c\ntries  
?an 9 high-income c\ntries dur+ ! fir/  
two ye>s ( ! ,,s>s-,co,v-#b p&emic2     

,:]eas1 al?\gh progress aga9/ unnecess>y
 dea?s 9 impov]i%$ c\ntries is be+ made1
 x is occurr+ s sl[ly t-- 7#a7 bas$ on  
pres5t rates ( decl9e1 x w take         
approximately a c5tury = core mortality 
/ati/ics 9 l[-income c\ntries to conv]ge
 ) ^? ( high-income c\ntries1 includ+-- 
7,a7 #ib ye>s = ! tub]culosis dea? rate2
  7,b7 #aji ye>s = ! mat]nal mortality  
rate2 &  7,c7 #hh ye>s = ! "u-#ae *ild  
mortality rate2 &  7#b7 ! dea? rate 9   
l[- & middle-income c\ntries f          
noncommunicable diseases & injuries1 :i*
 make up #dj to #fj p]c5t ( ! disease   
burd5 ( ^! c\ntries1 w nev] conv]ge ) t 
( high-income c\ntries ) pres5t rates ( 
r$uction2  ,:]eas weak heal? sy/ems t   
fail to prev5t unnecess>y dea?s also    
lack ! /aff1 heal? facility             
infra/ructure1 & m$ical te*nologies     
requir$ = effective c>e deliv]y & !reby 
disease conta9m5t1 ?us plac+ all        
c\ntries at increas$ risk ( p&emic      
disease2 ,:]eas ess5tial m$ical         
te*nologies su* z diagno/ics1 treatm5ts1

 & vacc9es = diseases t affect ! global 
poor are frequ5tly unavailable or       
inaccessible to heal? sy/ems 9 develop+ 
c\ntries because--  7#a7 inve/+ 9 rese>*
 & developm5t = te*nologies = diseases t
 disproportionately affect ! global poor
 is (t5 unpr(itable = ph>maceutical     
corporations2  7#b7 high intellectual   
prop]ty lic5s+ fees f orig9ator         
companies to g5]ic manufactur]s price ! 
global poor out ( access to m$ical      
te*nologies2 &  7#c7 orig9ator te*nology
 companies refuse to %>e or lic5se      
intellectual prop]ty to g5]ic           
manufactur]s1 :i* results 9 limit$      
supply & high prices1 z 9 ! case (      
,,covid-#ai vacc9es2 ,:]eas ! ,lancet   
,commission on ,inve/+ 9 ,heal? e/imates
 ! additional annual sp5d+ requir$ to   
prev5t ! va/ majority ( ! millions (    
unnecess>y dea?s & conf] ess5tial       
univ]sal heal? cov]age 9 l[- &          
l[]-middle-income c\ntries is           
#ge1jjj1jjj1jjj & #bic1jjj1jjj1jjj 79   
#bjaf ,unit$ ,/ates doll>s71            

respectively1 repres5t+ j--  7#a7 #a4f  
p]c5t ( ! ,unit$ ,/ates gross dome/ic   
product 7,,gdp7 9 #bjba2  7#b7 #j4e     
p]c5t ( ,g#bj ,,gdp 9 #bjba2 &  7#c7    
#b4h p]c5t ( ! weal? possess$ by ! _w's 
billionaires 9 #bjba2 ,:]eas regul>     
annual ,unit$ ,/ates appropriations =   
global heal? h increas$ by m]ely #aj4f  
p]c5t to #aa1cjj1jjj1jjj s9ce #bjaj1 & h
 be5 outpac$ by bo? inflation & ! ,unit$
 ,/ates economic gr[?2 ,:]eas relative  
to ! size ( ! ,unit$ ,/ates economy1 !  
,unit$ ,/ates (ficial ov]seas developm5t
 sp5d+ is l[ at #j4ag p]c5t ( gross     
national income 7,,gni7 9 #bjbj1 plac+ !
 ,unit$ ,/ates #bd? out ( ! #bi c\ntry  
memb]s ( ! ,organization = ,economic    
,co-op]ation & ,developm5t's ,developm5t
 ,assi/ance ,committee1 & meet+ j       
"o-f\r? ( ! ,unit$ ,nations (ficial     
developm5t assi/ance t>get ( #j4g p]c5t 
,,gni2 ,:]eas dramatically increas+     
=eign aid may h vot] support1 giv5 t    
op9ion polls consi/5tly f9d t ,am]icans 
believe ,unit$ ,/ates =eign aid %\ld    

make up approximately #aj p]c5t ( !     
,f$]al budget2 ,:]eas hi/orically1      
,unit$ ,/ates & o!r global              
,nor?-support$ global heal? programs h  
inadv]t5tly entr5*$ /&>ds ( c>e 9       
l[-income c\ntries t w\ld be            
unacceptable 9 ri* c\ntries by fund+    
only heal? s]vices n>r[ly def9$ z       
su/a9able1 co/-effective1 or appropriate
 9 poor sett+s2 ,:]eas ! effectiv5ess & 
effici5cy ( curr5t ,unit$ ,/ates ov]seas
 developm5t assi/ance = heal? is (t5    
und]m9$ by--  7#a7 misalignm5t )        
c\ntries' national heal? plans2  7#b7   
bypass+ deliv]y sy/ems ) p>allel inputs1
 lead+ to fragm5tation ( c>e deliv]y1   
poor donor coord9ation across p>tn]s1 & 
weak heal? sy/ems2  7#c7 favor+ te*nical
 assi/ance f consultants f high-income  
c\ntries1 especially ! ,unit$ ,/ates1   
ov] fund+ heal? s]vice deliv]y 9        
b5efici>y c\ntries2 &  7#d7 promot+     
privatization ( heal? s]vices1 !reby    
und]m9+ public sy/em /r5g!n+1 heal? c>e 
access1 heal? equity1 & f9ancial risk   

protection2  ,:]eas #ih p]c5t ( ! annual
 #a1ejj1jjj1jjj1jjj 9 heal? sp5d+ 9     
aid-eligible l[- & middle-income        
c\ntries is mobiliz$ dome/ically by ^!  
c\ntries !mselves1 & only #b p]c5t ( ?is
 sp5d+ comes f ov]seas developm5t       
assi/ance = heal?2 ,:]eas _m ( ! poore/ 
develop+ c\ntries pres5tly lack ! tax   
capacity to mobilize ! necess>y res\rces
 to close ! univ]sal heal? cov]age      
f9anc+ gap1 mean+ unnecess>y dea?s w    
cont9ue 9 ^! sett+s = ! =eseeable future
 )\t ext]nal donor f9anc+ or dramatic   
increases 9 dome/ic tax capacity2 ,:]eas
 ! inability ( _m ( ! poore/ develop+   
c\ntries to fully close ! f9anc+ gap =  
univ]sal heal? cov]age & ! provision (  
num]\s o!r public goods & s]vices is 9  
"p due to ! intimate economic l9ks      
betwe5 ^! c\ntries & high-income        
c\ntries1 includ+ ! ,unit$ ,/ates1 :i* h
 be5 m>k$ ?r\gh\t hi/ory by acts (      
viol5ce & co]cion1 includ+1 b n limit$  
to-- 7#a7 ! fundam5tal inju/ice1        
cruelty1 brutality1 & inhumanity (      

colonization & slav]y2  7#b7 ! ov]?r[ ( 
gov]nm5ts & back+ ( dictator%ips 9 !    
po/colonial era2  7#c7 ! imposition (   
/ructural adju/m5t programs by          
int]national f9ancial in/itutions       
controll$ by high-income c\ntries1 :i*  
=c$ au/]ity1 privatization1 &           
lib]alization on develop+ c\ntries1     
result+ 9 an e/imat$ loss (             
#dhj1jjj1jjj1jjj p] ye> 9 pot5tial ,,gdp
 dur+ ! #aihjs & #aiijs1 ne>ly #e times 
m ?an aid provid$ dur+ ! same p]iod2    
7#d7 ! loss ( economic sov]eignty impos$
 by fundam5tally undemocratic global    
gov]nance in/itutions1 su* z !          
,int]national ,monet>y ,fund1 ! ,_w     
,bank1 & ! ,_w ,trade ,organization1 at 
:i* decisions t %ape ! unequal t]ms ( ! 
global economic sy/em & det]m9e         
c\ntries' abilities to f9ance heal?     
sy/ems are made2  7#e7 capital flight f 
develop+ c\ntries consi/+ ( mo/ly       
illegal f9ancial fl[s1 e/imat$ by       
,global ,f9ancial ,integrity to total   
approximately #a1gjj1jjj1jjj1jjj ea*    

ye>1 includ+--  7,a7 #gjj1jjj1jjj1jjj f 
delib]ate trade mis9voic+2 &  7,b7      
#bfa1jjj1jjj1jjj f hot money n>r[       
outfl[s2 &  7#f7 ext]nal debt repaym5ts1
 (t5 undemocratically & unju/ly impos$1 
commonly sold by corrupt l5d]s1 regul>ly
 accumulat$ by dictators )\t a          
democratic m&ate1 & exac]bat$ by comp\nd
 int]e/ z a result ( ,unit$ ,/ates      
int]e/ rate increases2 ,:]eas ! h>ms h  
entr5*$ a global economic ar*itecture ( 
upw>d weal? r$i/ribution t has result$  
9--  7#a7 depress$ work]s' wages &      
artificially l[ prices ( natural        
res\rces 9 develop+ c\ntries to s]ve    
consumption 9 ri* c\ntries1 am\nt+ to an
 appropriation ( t5s ( billions ( tons (
 raw mat]ials & hundr$s ( billions (    
h\rs ( human labor1 e/imat$ to value ov]
 #aj1jjj1jjj1jjj1jjj 9 losses ?r\gh     
unequal ex*ange annually2  7#b7         
#c1ejj1jjj1jjj p liv+ "u ! pov]ty l9e ( 
#e4ej1 :i* accord+ to ! ,_w ,bank is a  
pov]ty headc\nt t has b>ely *ang$ 9 !   
la/ #cj ye>s1 ev5 z global ,,gdp has m  

?an tripl$ 9 size dur+ ?is "t2  7#c7 m  
f9ancial res\rces fl[+ out ( develop+   
c\ntries ?an into !m ea* ye>1 e/imat$ by
 ,global ,f9ancial ,integrity to total  
net negative #b1jjj1jjj1jjj1jjj annually
 9 #bjab1 mean+ poor] c\ntries are      
develop+ ri*] c\ntries r ?an ! o!r way  
ar\nd2 &  7#d7 develop+ c\ntries be>+   
#ih p]c5t ( dea?s & #hj to #ij p]c5t (  
economic losses attributable to climate 
*ange1 despite ri* c\ntries be>+ #ib    
p]c5t ( ! responsibility = climate *ange
 due to c>bon emissions 9 excess ( safe 
planet>y b\nd>ies1 mean+ ^? :o suff] !  
mo/ f climate *ange are lea/ responsible
 = ! crisis2  ,:]eas ! ,unit$ ,/ates    
lead]%ip to close ! f9anc+ gaps =       
ess5tial univ]sal heal? cov]age 9 l[- & 
l[]-middle-income c\ntries c\ld         
precipitate increas$ global heal? f9anc+
 f o!r donor p>tn]s z evid5c$ by ,unit$ 
,/ates lead]%ip to address !            
,,hiv_/,,aids epidemic 9 ! e>ly #bjjjs1 
spurr+ a #ajj-p]c5t increase 9 global   
ov]seas developm5t assi/ance among all  

donor p>tn]s f #bjjj to #bjjf2 ,:]eas   
(ficial ,unit$ ,/ates developm5t        
assi/ance to l[- & l[]-middle-income    
c\ntries are n a supplem5t = ,unit$     
,/ates action to /op ongo+ /ructural    
viol5ce & economic inju/ices prev5t+    
c\ntries f f9anc+ & deliv]+ univ]sal    
heal? c>e & o!r social s]vices = _!     
populations2 & ,:]eas x is ! view ( !   
,h\se ( ,repres5tatives t creat+ a      
dec5t1 humane _w )\t tragic1 unnecess>y 
dea?s requires bo? a mode/ b mean+ful   
increase 9 global heal? aid fund+ & a   
mean+ful ef=t to /op ! economic abuse ( 
l[- & middle-income c\ntries3 ,n[1      
!re=e1 be x ,t x is ! s5se ( ! ,h\se (  
,repres5tatives t--  7#a7 ! ,f$]al      
,gov]nm5t %\ld adopt a new1 #ba/-c5tury 
global heal? solid>ity /rategy to end   
m$ically av]table dea?s & respond to !  
full burd5 ( disease 9 poor c\ntries    
by-- 7,a7 support+ develop+ c\ntries to 
meet ! mat]ial ne$s ( _! heal? sy/ems by
 localiz+ inve/m5ts 9 support ( national
 public sector & local priorities1      

ref]r$ to z accompanim5t by ,dr4 ,paul  
,f>m] & deliv]$ ?r\gh :at he call$ !    
,five ,s's1 :i* include--  7i7 /aff1 !  
human res\rces necess>y = high-quality  
s]vice deliv]y1 includ+ cl9ical /aff1   
transportation teams1 & community heal? 
work]s1 especially by-- 7,i7 support+   
long-t]m tra9+ & education sy/ems1      
includ+ m$ical s*ools & tea*+ hospitals 
to tra9 ! heal? work=ce & improve !     
quality ( c>e across diseases2 &  7,,ii7
 support+ pr(essionaliz$ community heal?
 work]s programs :]eby community heal?  
work]s are recruit$1 adequately         
comp5sat$1 compreh5sively tra9$1        
support$ = long-t]m ret5tion1 position$ 
z bridges to c>e1 & task$ ) und]tak+    
community "w ) appropriate pati5t ratios
 & a manageable scope ( "w2  7ii7 space1
 ! infra/ructure ne$$ = s]vice deliv]y  
at prim>y1 second>y1 & t]ti>y levels to 
deliv] safe & high-quality c>e to meet  
all heal? c>e ne$s2  7iii7 /uff1 ! tools
 & res\rces necess>y = high-quality c>e 
provision1 includ+ m$ical supplies1     

te*nologies1 & equipm5t2  7iv7 sy/ems1 !
 lead]%ip & gov]nance1 heal? in=mation  
sy/ems1 supply *a9 sy/ems1 logi/ics1    
laboratory capacity1 & ref]ral pa?ways  
requir$ to meet ! heal? ne$s ( !        
population2 &  7v7 social support1 !    
necess>y res\rces ne$$1 beyond ! direct 
deliv]y ( heal? c>e1 to ensure effective
 c>e2 &  7,b7 f9anc+ ! discov]y &       
developm5t ( urg5tly ne$$ new heal?     
te*nologies su* z diagno/ics1 treatm5ts1
 & vacc9es1 p>ticul>ly = neglect$       
diseases ( pov]ty1 & ensur+ _!          
availability z global public goods2     
7#b7 ! objectives describ$ 9 p>agraph   
7#a7 w require-- 7,a7 increas$ ,unit$   
,/ates inve/m5t 9 developm5t assi/ance  
ov] ! com+ ye>s1 suffici5t to--  7i7 = !
 fir/ "t1 meet ! ,unit$ ,nations        
developm5t assi/ance t>get ( sp5d+ !    
equival5t ( #j4g p]c5t gross national   
income on developm5t assi/ance1 :i* #f  
o!r c\ntries h previ\sly met2 &  7ii7   
close ov] #ajj p]c5t ( ! previ\sly      
describ$ ess5tial univ]sal heal? cov]age

 f9anc+ gap = l[-income c\ntries1 & #cj 
p]c5t ( ! ov]all f9anc+ gap = l[- &     
l[]-middle-income c\ntries1 by d$icat+  
#abe1jjj1jjj1jjj p] ye> = global heal?  
inve/m5t2  7,b7 optimiz+ global heal?   
deliv]y sp5d+ by-- 7i7 introduc+ a new  
=m ( coord9at$ multilat]al fiscal       
coop]ation = global public inve/m5t t   
ensures increas$ & ongo+ global public  
fund+ ( common goods = heal?1 exhibit+  
%>$ gov]nance ) global ,s\? gov]nm5ts & 
mean+ful p>ticipation ( civil society1  
:i* is also ess5tial = address+         
int]sectional crises ( social           
inequalities includ+ ! climate crisis2  
7ii7 ensur+ fund+ directly supports     
national heal? plans1 public            
in/itutions1 local priorities1 & donor  
coord9ation1 practices align$ ) :at ,dr4
 ,paul ,f>m] call$ accompanim5t2 &      
7iii7 focus+ on heal? s]vice deliv]y =  
vuln]able populations1 su* z p liv+ 9   
pov]ty1 wom51 & *ildr52 &  7,c7 optimiz+
 rese>* & developm5t sp5d+ = neglect$   
diseases ( pov]ty by ensur+ ! k &       

te*nology produc$ by ^! ef=ts rema9s    
accessible to all z global public goods2
  7#c7 ! ,f$]al ,gov]nm5t %\ld pass &   
en=ce laws & use its diplomatic influ5ce
 to /op ongo+ economic h>ms to ! global 
,s\? t deplete impov]i%$ c\ntries ( !   
res\rces requir$ to provide heal? &     
social s]vices = _! populations by--    
7,a7 cancel+ debt = all l[- &           
middle-income c\ntries 9 ne$ ( debt     
cancellation1 & support+ debt           
cancellation initiatives across all     
cr$itors3 bilat]al1 multilat]al1 &      
private2  7,b7 democratiz+ in/itutions (
 global gov]nance1 su* z ! ,int]national
 ,monet>y ,fund1 ! ,_w ,bank1 & ! ,_w   
,trade ,organization1 to ensure fair &  
equal repres5tation among memb] c\ntries
 s t l[- & middle-income c\ntries c h   
great] decisionmak+ p[] 9 ! creation (  
policies t affect !m2  7,c7 support+ a  
,unit$ ,nations ,conv5tion on ,tax & o!r
 measures to dramatically r$uce tax     
avoidance1 tax evasion1 & o!r =ms (     
h>mful licit & illicit f9ancial fl[s f  

develop+ c\ntries ?r\gh fundam5tal re=m 
( int]national tax coop]ation2  7,d7    
support+ global labor rights & liv+     
wages1 su* z a global m9imum wage set at
 local liv+-income ?re%olds2 &  7,e7    
adopt+ new indicators ( progress t      
measure social & ecological heal? &     
ab&on gross dome/ic product z a measure 
( progress2 &  7#d7 x is ! duty ( !     
,f$]al ,gov]nm5t to issue rep>ations1   
conta9+ multiple elem5ts includ+        
apology1 aw>d1 & gu>antees (            
nonrepetition ( h>ms1 =--  7,a7 !       
in/itution ( slav]y1 its subsequ5t      
racial & economic discrim9ation aga9/   
,african ,am]icans1 & ! impact ( ^! =ces
 on liv+ ,african ,am]icans1 foll[+ !   
e/abli%m5t ( a commission z p] !        
,commission & ,develop to ,/udy         
,rep>ation ,proposals = ,african        
,am]icans ,act 7,h4,r4 #dj ( ! #aag?    
,congress72  7,b7 ! h>ms ( colonialism &
 subsequ5t =ms ( imp]ialism1 :i* h      
und]m9$ sov]eignty1 democracy1          
self-det]m9ation1 social & economic     

rights1 & human & ecological well-be+ 9 
bo? ! colonial & po/colonial eras2 &    
7,c7 its disproportionate responsibility
 = climate breakd[n1 ! burd5 ( :i*      
unju/ly & ov]:elm+ly falls on ! global  
,s\?4