Skepticism abounds for good reasons. What passes for political leadership lurch between pretending that Covid-19 isn’t an issue until hospitals are full of patients or demanding that everyone be vaccinated without changing any of their living conditions. In any case the virus is now endemic, meaning that it isn’t going away. A nation that puts everyone on a knife edge of precarity cannot begin to address what this reality means for millions of people. Systemic change was needed before the pandemic and it is sorely needed now. . . .