Bill Gates’ latest public memo marks a significant shift in how the world’s most influential philanthropist frames the challenge of climate change. He sees a future in which responding to climate threats and promoting well-being become two sides of the same mission, declaring, “development is adaptation.” Gates argues that the principal metric for climate action should not be global temperature or near-term emission reductions alone, but measured improvement in the lives of the world’s most vulnerable populations. He argues that the focus of climate action should be on the “greatest possible impact for the most vulnerable people.” The suffering of poor communities must take priority, since, in his view, “climate change, disease, and poverty are all major problems. We should deal with them in proportion to the suffering they cause.” Climate change is about the health of the most vulnerable This position resonates with a core message that has emerged …
How the Lancet Countdown illuminates a new path to climate-resilient health systems
The 2025 Lancet Countdown report has begun to acknowledge a critical, often-overlooked source of intelligence to build climate-resilient health systems: the health worker. By including testimonials from health workers alongside formal quantitative evidence, the Lancet cracks open a door, hinting at a world beyond globally standardized datasets. This is a necessary first step. However, the report’s framework for action remains a traditional, top-down model. It primarily frames the health workforce as passive recipients of knowledge—a group that must be “educated and trained” because they are “unprepared”, rather than build on existing evidence that points to health workers as leaders for climate-health resilience. The 2025 report confirms that climate change’s assault on human health has reached alarming new levels. Yet, within this sobering assessment lies a quiet but potentially pivotal shift. For the first time, the Countdown’s country profiles integrate direct testimonials from frontline health workers, explicitly acknowledging their “lived experiences as valuable …
Climate change and health: what the Lancet Countdown says about the value and significance of local knowledge and action
Here is everything that the new Lancet Countdown says about the value and significance of indigenous and other forms of local knowledge, as well as their value for community-led action to respond to the impacts of climate change on health. Why does this matter? Read our article: How the Lancet Countdown illuminates a new path to climate-resilient health systems On the value of community-led action and the significance of local knowledge Defining community-led action by its local context and empowerment “Community-led actions are those spearheaded by self-organised individuals within a community, working together for a common goal. Rooted in local societal, cultural, and economic contexts, they can promote equity, empower local actors, and strengthen climate resilience.” Community-led action as a driver of meaningful progress “Individual, community-led, and civil society actions can drive meaningful progress with substantial health benefits.” Grassroots activities growing into formal organizations “These grassroots activities can grow into …


