We welcome discussion on the global climate and health action plan, but the plan fails to confront reality. We are on track for a catastrophic world of at least 3°C warming. At 3°C, health systems will collapse under environmental and social strain; billions of lives and livelihoods will be at risk. The plan’s reliance on techno-fixes and incremental adaptation ignores the root causes of climate breakdown: fossil fuel dependence, extractive economies, the agro-industrial complex, and militarism. Crucial pathways to resilience, such as debt cancellation, climate reparations, Public Pharma and corporate taxation are entirely absent.
Climate-resilient health systems must be decentralized, community-based, and rooted in local knowledge. We need Community-based solutions to have health in a 3°C world.