The coronavirus pandemic has had profound social and economic consequences but it also has moved the national health care debate beyond the narrow focus on universal coverage, to a larger question of how to address the disparities which underlie disease. We’ve seen the disproportionate impact the pandemic has had on underserved populations. Former Governors John Kitzhaber, MD and Jack Markell, as well as special guest Gerard Anderson, Ph.D., discuss how to reform health care delivery and payment to improve outcomes.