In this discussion, David Bell (PANDA) and Toby Green (Collateral Global) will discuss the devastating impacts of the Covid response in poor countries around the world: what has happened, why it has happened, and what can be done to make sure it does not happen again? They will bring their combined expertise in public health and world history and colonial history to the question of continuities of power and inequality, and how this reversion to the medical colonialism of the first half of the 20th century has taken place.