People’s Pandemic Prevention Plan:
Stop COVID-19, Build Back Better, and
Prevent the Pandemics of the Future
Endorsed by 141 Members of Congress, 450+ organizations, 1,500 front-line health workers, and 80,000* people from 121 countries
* over 125,000 combined endorsers for full PPPP and it's vaccine equity and/or zoonotic spillover components
Millions in the U.S. and millions more worldwide have contracted COVID-19. More than a million have died. This disaster has been magnified by policy failures and irresponsible decisions and statements, sidelining of respected health experts, and abandoning the WHO at the worst time. When something as basic as mask-wearing becomes a symbol of partisanship and division, our leaders have taken a wrong turn.
More pandemics are coming—soon. Some will be more infectious. Some will be more deadly.
Some will be both.
The next cataclysmic pandemic will not be another 100 years from now. As a result of globalization and climate change, new outbreaks are exponentially accelerating. With six times more animal -to-human outbreaks in 2010 than 1980, we stand poised to repeat this deadly cycle within the decade.
The time is short to apply the lessons of COVID-19 and enact the policies needed to prevent this nightmare from happening again. America needs a bold, robust Pandemic Prevention Plan.
R2H Action, joined by more than 65,000 thousand activist leaders, health workers, scientists, and families impacted by COVID, are fighting for a People’s Pandemic Prevention Plan. This call to action is backed by 450+ organizations, including NAACP, SEIU, Greenpeace USA, Families USA, #VOTEPROCHOICE, People’s Action, Friends of the Earth Action, People for the American Way, Global Exchange, Center for Popular Democracy, Positive Women’s Network USA, Torah Trumps Hate, Public Citizen, Social Security Works, Mighty Earth, Indivisible, Rainforest Alliance, Religious Action Center and many more—scroll to the bottom of this page for a list. Renowned experts like Professor Jeff Sachs, Professor Ruha Benjamin, Dr. Abdul El-Sayed, Dr. Nahid Bhadelia and Dr. Paul Farmer have joined the call, and are speaking up in Town Halls, online forums and op-eds advocating for this plan. In September and October 2020, R2H Action joined with Senator Elizabeth Warren and Representative Ro Khanna to advance the Pandemic Prevention Plan in Congress as a Congressional sign-on letter. After more than 300 grassroots meetings with Members of Congress and tens of thousands of emails and phone calls, 141 Members of Congress endorsed the plan, and powerfully paving the way to turn this plan into law in 2021.
These four priorities are not all that is needed—but we will not succeed unless we tackle these issues.
1. PUBLIC HEALTH JOBS CORP (HUNDREDS OF THOUSANDS OF PERMANENT, UNION JOBS)
Restore decades of disinvestment in public health and impoverished communities by creating a permanent 300,000-person Public Health Corps, creating union jobs in community-based social change organizations, preferentially hiring from vulnerable communities impacted by systemic racism and the policies that push pandemic diseases onto the already poor and sick.
The initial work is contact tracing, testing, and quarantine/isolation support and, eventually, vaccinations. When COVID-19 subsides, the Public Health Corps should tackle a broader range of health disparities, such as opioid addiction, homelessness, environmental racism, clean energy, and even rural broadband.
The Association of State and Territorial Health Officials have estimated that at least 300,000 jobs are needed, and this number is supported by Obama/Biden CDC Director Tom Frieden’s estimate. They should be paid a living wage (similar to Census Workers) and belong to a union.
Rather than being low-level health service providers for government agencies, the Public Health Corps should be organizers working at community-based advocacy organizations, with linkages to health institutions, but purpose-built to organize for social change and mobilize to correct systemic and structural problems that have contributed to communities of color being disproportionately poor and sick long before COVID.
Take additional action to repair and heal the country with new protections for essential workers, COVID survivors and families, including: (1) compensation for victims and survivors of COVID-19, modeled after the 9/11 Victims Compensation Fund covering out-of-pocket medical costs, mental health counseling, funerals/burials, pain and suffering, and loss of earnings, while also providing GI-bill style educational benefits. (2) Implement a NIH research agenda for the "25-35% or more" of COVID-19 patients Dr. Anthony Fauci reports having with long term symptoms. These are millions who are or will be temporarily or permanently disabled by the coronavirus. (3) Pass the Essential Workers Bill of Rights.
2. AFFORDABLE AND ACCESSIBLE MEDICINES AND VACCINES
Drugs developed with U.S. taxpayer-funded R&D ($7.5 billion so far for COVID-19) will be locked behind costly patent monopoly barriers, priced to leave billions behind, and granting privileged access to whiter, wealthier people. This must change—for all medicines and vaccines, not just those invented during this pandemic. Domestically, exorbitant drug prices are an enormous problem that must be addressed beyond this current crisis.
We must implement the important commitment the Vice President made to Ady Barkan by rejoining the global community and including open-access licensing requirements for medicines/vaccines substantially invented with public funds. Vaccines must be treated as a global public good, and publicly funded inventions must be contributed to a global patent pool for low- and middle-income countries. Patent pools have already been endorsed by the Obama/Biden Administration, used by U.S. programs like PEPFAR, and called for by 193 of 194 countries at the most recent World Health Assembly—only the Trump Administration opposed.
In the U.S., we must build on H.R. 3’s overwhelming House passage by establishing an HHS panel to negotiate prices with prescription drug corporations, with prices to be set by an independent assessment of clinical value and novelty, real public and private R&D investments, and, like Donald Trump promised (but never delivered), the median prices across other high-income countries.
If a prescription drug corporation refuses to agree to a fair price, the U.S. President should make use of the existing powers a president already has, at the stroke of a pen, to license a generic producer. This is the only tactic to ensure prices always come down and that patients always get the medicines they need.
The United States should join the 186-nation WHO- and GAVI-led COVAX Facility to guarantee the most people get access to proven vaccines, at the lowest cost, the fastest. Donald Trump's go-it-alone strategy raises costs, causes bidding wars with allies, creates manufacturing and distribution bottlenecks, and may well put Americans last-in-line for for vaccines created in other countries.
3. FUND IMPOVERISHED COUNTRIES TO PREVENT PANDEMICS BEFORE THEY START, AND STOP BEFORE THEY SPREAD
We can’t stop a pandemic anywhere until we stop it everywhere. According to a National Academies Commission, it costs about 65 cents per-person annually to meet WHO's International Health Regulations stop most pandemics before they start. Account after account demonstrate that averages around $30 billion annually, from all donor sources, would avert some $20-$30 TRILLION in economic losses to a future pandemic—as well as save millions of lives. We are also losing ground on many global health priorities, such as ending AIDS, TB and malaria. Congress and the President must pandemic-proof the planet, including increases for existing programs as well as at least $2.5 billion in seed funds for multilateral action to prevent pandemics at the source:
Update the Global Health Security Agenda to include a five-year initiative to meet WHO’s International Health Regulations in every low-income country and high-risk middle-income country that is a zoonotic transmissions hotspot. Make direct investments to make public-sector health systems, including labs, surveillance networks, equipment, supplies, and health workforce to detect, manage, and mitigate outbreaks where they start, before they spread.
Increase funds for other global health programs already addressing COVID and other critical pandemics on the ground, and meet Joe Biden’s commitment to “ending the HIV/AIDS epidemic by 2025”, with increases for PEPFAR’s annual budget (flat-funded for years), and sustaining the U.S. contribution to the Global Fund to fight AIDS, Tuberculosis and Malaria in the 2021 COVID-19 relief law annually at $2 billion annually for the next three years, to make up for ground lost against AIDS, TB and malaria due to COVID-19.
We must retool “foreign aid” from charity to a necessary investment in solidarity, security and human rights, and work with international partners to democratize global health architecture to lift up the voices and demands of the most vulnerable and those who have been silenced. It’s time for a Global Fund to End Pandemics that funds bottom-up, country owned, community led pandemic prevention plans. R2H Action supports President Biden's call for a multilateral catalytic financing mechanism, and join scores of coalition partners to urge Congress to leverage other donors by putting at least $2.5 billion on the table for global action in 2021.
4. RESPONSIBLE DEVELOPMENT & TRADE TO STOP CLIMATE-CHANGE-DRIVEN DISEASES
HIV, SARS, H1N1, Ebola, Zika, MERS, and COVID-19 are all zoonotic diseases. New diseases are jumping from animals-to-humans at a steeply accelerating rate, primarily due to deforestation: corporate extractive industries that destroy indigenous lands and communities in order to sell products to wealthier people elsewhere. Zoonotic disease hotspots have already been mapped out, and climate change-inducing corporate encroachment into wildlife habitats is putting the world at risk. Modest investments in community health and jobs training have been proven to stop logging, improve health, alleviate poverty, save wildlife. This investment pays itself back 13 fold, counting only conserved carbon.
We know where the problems are, and what's causing them. All that is missing is action:
Prevent outbreaks at the source by fund community-based economic alternatives to climate change and deforestation in the top 500 zoonotic transmission hotspots, providing health care, jobs training and support for economic development activities less dangerous than palm oil plantations, strip mining, burning the Amazon, illegal logging, and wildlife trade. Support indigenous communities to protect ancestral land from commercial exploitation.
Meanwhile, phase-in prohibitions against U.S. product sales by corporations with irresponsible deforestation or illegal wildlife trade anywhere in their supply chains. Use the purchasing power of the United States to progressively close off markets to companies that put the world at risk, with deforestation and wildlife trade products prohibited within 10 years.
ORGANIZATIONS ENDORSING THE PEOPLE'S PANDEMIC PREVENTION PLAN :
As of 11 October 2020: NAACP • SEIU • Greenpeace USA • United We Dream • Families USA • Religious Action Center • ACT UP • NETWORK Lobby for Catholic Social Justice • Indivisible USA • R2H Action [Right to Health] • Friends of the Earth Action • Center for Popular Democracy • Women’s March Action • Marked by COVID • Public Citizen • Union for Reform Judaism (RAC, Religious Action Center) • Rainforest Alliance • Community Catalyst • CAEAR Coalition • Oxfam • Our Revolution • Natural Resources Defense Council • The AIDS Institute • Human Impact Partners • Mighty Earth • NASTAD (National Association of State and Territorial AIDS Directors) • National Employment Law Project • #VOTEPROCHOICE • Positive Women’s Network USA • Association of Nurses in AIDS Care • AVAC - Global Advocacy for HIV Prevention • Partners In Health • People for the American Way • People's Action • Students for a National Health Program • Global Exchange • Torah Trumps Hate • Dogwood Alliance • Physicians for a National Health Program • Treatment Action Group • Social Security Works • Universal Health Care Action Network • Common Defense • National Women’s Health Network • Coalition on Human Needs • Southern AIDS Coalition • AIDS Alliance for Women, Infants, Children, Youth & Families • Religious Coalition for Reproductive Choice • National Coalition of STD Directors • African Services Committee • National Partnership for Women & Families • Grey Panthers • Drug Prices are Too High • Clinicians for Progressive Care • End AIDS Now • Community Health Acceleration Partnership • CODEPINK • ADAP Advocacy Association • Center for Biological Diversity • Housing Works Inc. • Iowa CCI (Citizens for Community Improvement) • Physicians Action Network • Progressive Doctors • Community Access National Network (CANN) • Progressive Reform Network • Latino Commission on AIDS • Organizing for Action USA • The Juggernaut Project • Thermo Fisher Scientific • Witness at the Border • Mainers for Accountable Leadership • National Equal Rights Amendment Alliance • Justice is Global • Antibalas! • Southpaw Michigan • San Francisco AIDS Foundation • Casa de Esperanza: National Latin@ Network for Healthy Families and Communities • American Muslim Health Professionals • The Center for HIV Law and Policy • AIDS Foundation Chicago • Fenway Health Right Care Alliance - MA • Tennessee Anti-Racist Network • Berks Stands Up • 3rd World Matrix • A Space for Healing • A. Philip Randolph Square Neighborhood Alliance • ACT UP Philadelphia • Action Together Bay Area • Action Together Florida • Courage California • Action Together Suncoast • Action Together Walpole • Affordable Homeownership Foundation Inc • Akron Local DSA Akron • Alameda County Health Consortium • Alexander Tenants Association Inc. • Always Looking Up • Amazon Productions • American Security Educators, Inc. • American Voices Abroad Berlin • Amnesty International. Group 213 • Arc Health PBC • Arkansas WAND • Asian Americans for Community Involvement • Banned Books, LLC • Without Walls / Baun Associates • Benedictine Sisters of Baltimore • Benedictine Sisters, Clyde, MO • Berryville Organics • Big Picture Productions • BioMediCon, Inc. • Bolder Benefits, Inc. • Bristlecone Alliance • Broadway Community • Build A Movement 2020 • Butler County Democratic Executive Committee • Calling for Change • Cancer Prevention Daily • Carolina Jews for Justice • Casa de Salud • CDI / Choices for Children • Center for Indian Law • Center For Inquiry • Central Valley Journey 4 Justice • Centre for Environment Human Rights & Development Forum- CEHRDF • Physicians for Social Responsibility - Chicago • Christian Council of Delmarva • Christus Trinity Clinic • Circle of Hope • 7 Toes Productions • Cleveland Power of Wind Action Team • Climate Health Now, California • CO Foundation for Universal Health Care - Candidate Liaison Project for IMFA • Coai, Inc. • Collier Congressional Watchdogs • Colorado Foundation for Universal Health Care • Communities of Shalom, Inc. • Communities Without Borders • Community Food and Justice Coalition • Community Health Partnership • Community of St. Francis, San Francisco • Compassionate Toledo • Congregation of St. Joseph • Ka Ipu Ha'a Mentoring Program • Daughters of Charity • Dearborn Art Group • Deep Water Care • Desert Progressives • Dialogue Institute • District 6 Community Planners • Diversity Directions • DSA Health Workers Collective • Earth Evolution • Ecological Rights Foundation • Economic Inequity Health Task Force of Washington Physicians for Social Responsibility • ECOregon: The Environmental Concert of Oregon • Educultural Foundation • El Sol Neighborhood Educational Center • EMPOWER India • Empowered Connections • Indivisible Englewood • Eno River Unitarian Universalist Earth Justice Team • Environment and Climate Change Canada • Eons Learning • Extinction Rebellion - UW Chapter (XRUW) • Family Council • Farwell Foundation • First Congregational Church - Littleton United Church of Christ NH • Food for the Cure • Fortunate Farm LLC • Foundation for Integrative AIDS Research (FIAR) • Free the Caged Children • Fresh Anointing Ministries • Friends of Earth-San Antonio Chapter • Fund Our Future International • FVM Global Magazine • GaiaYana • Garvin County Environmental Group • Gender Action • Georgetown Medical AIDS Advocacy Network (GMAAN) • Global Green Publication and Productions • Global United Voices Network • GlobeMed at Northwestern, Evanston, IL, US • Gloucester Coalition for the Prevention of Domestic Abuse • Good Neighbor Food Pantry of Woodstock NY • Grandmother's Healing Wisdom • Green Earth Goods • Green Party of the Mid-Columbia, WA • H-Peace • Hadassah, Orlando Chapter • Harvard Asian Pacific American Medical Student Association • Hawaii Institute for Human Rights • Health Care For All MA • Health Care New Zealand • Healthcare for All California/PNHP • Heart's Path Healing • Hershey's Mill Nature Group • Hip Kids Pediatrics • Hoboken RESIST • House of Grace • HTLV/XMRV National Registry • Human Ecology Center • id22: Institute for Creative Sustainability • Idaho Veterans Indivisible • iHealth • Immigrant Service Providers Group, Somerville CDC • IMPACT (Illinois Medical Professionals Action Collaborative Team) • Indian Health Clinics • Indigenous Circle of Flagstaff • Indivisible - Sacramento • Indivisible 49 • Indivisible Acadiana • Indivisible Action Group Upper West Side • Indivisible Anchorage • Indivisible Columbus District 3 • Indivisible District 31 • Indivisible Irvington • Indivisible Lowville • Indivisible San Francisco • Indivisible Sedona • Indivisible South Suburban Communities, Illinois • Indivisible Wooster • Indivisible-Canton MA • Indivisible, Lewisburg, WV • Injoy Pastoral Care • Institute for Creative Living • International Association of Providers of AIDS Care (IAPAC), Fast-Track Cities Institute • International Student Carbon Footprint Challenge • Irish Doctors for Environment • Joining Forces for Education • JP Progressives • Just Faith • Justice For All (JFA) • Ka Ipu Ha'a (The Humble Vessel) • Kamukunji Paralegal Trust (KAPLET) • Kentuckians for Single Payer Healthcare • Kids First • Kids Talk Climate • Kids That Care Pediatric & Cancer Fund • King-Snohomish Progressive Organization • LA Forward • La Huerta, LLC USA • Las Ventanas • Latinos Salud • League of Women Voters of Greater Cleveland • League of Women Voters of New Rochelle • Leonard Peltier Defense Committee • Let’s Kick ASS NY (AIDS Survivor Syndrome) • Liberal Women of Chesterfield County Healthcare Advocacy Committee • Living Beatitudes Community • Longview United Methodist Church • Lumiere Foundation • Lycoming County Progressives • Madoo Ministry • Mariposa Habitat Nursery • Mass ACT • Mass Peace Action • MDavis Consulting LLC • Medafore.com • Medical IMPACT • Medical Whistleblower Advocacy Network • Michigan Coalition for Human Rights • Michigan Teamsters Black Caucus • MillerMedia7 • Minnesota River Valley Audubon Chapter (MRVAC) • Minority Health International Research Training Program at Rhodes College • MIT Global Health Alliance, Planetary Health Alliance • Monastery of St. Gertrude • Morris Action Coalition • Mothers Out Front-Tompkins • Moving Forward Towards Independence • National Equality Action Team (NEAT) • Nebraskans for Peace • Nelson Mandela TB HIV Community Information and Resource Center • Neponset Health Center • NETWORK Lobby for Catholic Social Justice • Nevada County Sunrise • New York Doctors • Nia Impact Capital • NJ Peace Action • Nonviolent Austin • North American Climate Conservation and Environment (NACCE) • Northeast Ohio’s Peoples Leadership Group • Nu Rho Foundation Inc. • NYC Coalition to Dismantle Racism in the Health System • NYS Democratic Committee - Town of Fabius • NYS for Elizabeth Warren • Ocean Conservation Society • One Human Family QCA • Organizing for Action Blue West Valley • Organizing for Action, Tacoma • Our Revolution Long Beach • OWL SF • Pacifica Environmental Family • Panhandle Democrats • Parallax Perspectives • Partners in Health Engage - Harvard Chapter • Partners in Health Engage - Pitt Chapter • Partners in Health Engage Miami • Partners in Health-Engage - UNC Chapter • Pax Christi, Long Island • Peeling Back The Onions Layers Community Education Project • PEER: Progressive East End Reformers • People's Lobby • Persist Chicago • Physicians for a National Health Plan of Western PA • Physicians for a National Health Program - Ventura Chapter • Bar Hostess Empowerment and Support Programme • Physicians for a National Health Program of Western PA • Physicians for a National Health Program-NY Metro Chapter • Physicians for Progress - Ventura County • Physicians for Social Responsibility - AZ Chapter • Planning Alternatives for Change, NYC • Plowshare Peace and Justice Center • Power Together Women’s March • Preserve Giles County • Prevention Access Campaign • Progressive Democrats of America - Orange CA Chapter • Progressive Democrats of America-Tucson AZ Chapter • Progressive Women of Pelham • Project Blueprint • Q Clinic, NYC • Ranck Consulting • RATT Pack (Resistance Action Tuesdays and Thursdays) • Reclaim Augusta • Reedsburg Area Concerned Citizens • Rethink Captivity • Revolution Strategy • Right Care Alliance - FL • Rivers Project • ROC Action • Sands Jr Community Development Corp • Sequoia Forest Keeper • Sero Project • Sisters of Mercy, Omaha • Sisters of Notre Dame de Namur • Sisters of Social Service • Sisters of St. Dominic of Blauvelt New York • Sisters of St. Dominic or Racine Dominicans • Sisters of St. Francis of Philadelphia • Sisters of St. Joseph, Boston • SKS - Strategic Knowledge Sciences • Sound Solutions • South Florida Audubon Society • Body Politic COVID-19 Virtual Support Group • South Puget Sound Action Network • South Siders for Peace • South End Neighbors for Peace and Justice • Southern DE Alliance for Racial Justice • St. John CME Church • Stand Earth • Strong Heart School • Students for a National Health Program—Weill Cornell Medicine Chapter • Students for a National Health Program, UC Berkeley Chapter • Sustainable Arizona • Sustainable Mill Valley • Swing Left Peninsula • Terra Advocati • The Arc SF • The Cranky Queer Guide to Chronic illness • The Ecotopian Society • The Father Walter Outreach Inc. • The Institute for Creative Living • The Queenie Foundation, Inc. • The Talented Ten, Inc • The Tree of Life Clinic LLC • The Tucker Schoeman Venture • The Whaleman Foundation • The Writers Workshop of Asheville, NC • Tidewaters Gateway Partnership • Twin Cities Nonviolent • Upper Valley Community Nursing Project • Upper West Side MoveOn • Uptown Progressive Action (NYPAN chapter) • Ibn Sina Academy of Medieval Medicine and Sciences • Veterans For Peace, Chapter 161 • Vivent Health • Ward 8 Woods Conservancy • Water Protectors of Milwaukee • Westchester Disability Advocacy Partnership (WDAP) • Westland Ecumenical Community Food Pantry • White Rabbit Grove RDNA • Win-Win Resolutions • WolfPAC Tennessee • Women Together Global Inc • Women's Health Institute • Worcester NOW • Wyoming Interfaith Network • Xun Biosphere Project • Youth and Women for Opportunities in Uganda • Americas TB Coalition • Care. Test. Protect. • Centre for Health and Development Initiative Africa • National Advocacy Center of the Sisters of the Good Shepherd • Action Together Stark • DEMSW • Alliance for Development and Population Services • Indivisible St Johns Florida • Global Justice Institute • Good Health Community Programmes • Colorado Organization for Latina Opportunity and Reproductive Rights (COLOR) • The Womxn Project • SisterSong: National Women of Color Reproductive Justice Collective • National Working Positive Coalition • Broward for Progress • Human Rights Awareness and Promotion Forum • Human Rights Research Documentation Center (HURIC) • LightHouse of Grace • Gaia: The Earth Force United Coalition • Poligon Education Fund • UCL Institute for Innovation and Public Purpose • Congregation of Our Lady of Charity of the Good Shepherd, U.S. Provinces • Unitarian Universalist Justice Florida • Cascade AIDS Project • GLMA: Health Professionals Advancing LGBTQ Equality