The next pandemic is a matter of when, not if. Preparing for this inevitability requires that policymakers understand not just the science of limiting disease transmission or engineering a drug, but also the practical challenges of expanding a response strategy to a regional or global level. Achieving success at such scales is largely an issue of operational, strategic, and policy choices—areas of pandemic preparedness that remain underexplored.
Disrupting the traditional humanitarian business model holds risks that must be managed carefully. If this disruption proceeds in an ad hoc manner, it could harm humanitarian effectiveness. Donors should reexamine their funding practices and work closely with aid groups to ensure these changes deliver constructive outcomes for populations in need.
The lack of well-defined core priorities has enabled structural fragmentation across the more than 20 agencies that together constitute the US development architecture, making resource optimization and policy coordination nearly impossible.