The World Health Organization’s emergency committee on Covid-19 says that “analysis of the present situation and forecasting models indicate that the pandemic is far from finished.” To curtail it, a “coordinated international response” is needed, reports Co-host Claudia Romo Edelman. “Where have I heard that before?” replied co-host Edie Lush. A coordinated response is exactly what the world has not had. Edie and Claudia explore the chaotic response with Dr. David Nabarro and other health experts at his regular briefing. Rebecca Kanter, a nutrition expert based in Chile, described how travel had become a crazy patch work of rules that could only be met by taking extra doses of vaccine. “I have a PhD and I can't even figure out now what the new travel restrictions are,” she said. “I have friends who say, ‘I don't want to get 5 vaccines.’ But if the only way they can move around is to get five vaccines they're in a weird ethical dilemma.” John Atkinson, an expert on how systems work, and why sometimes they don’t, said: “systems like this are almost inevitably not designed to be that way. They're the unintended consequences of really caring often and smart people trying to do the right thing. Each time layer upon layer upon layer. And the whole thing ends up in a complete mess. We have to surface these contradictions and make them visible. So people just see how crazy it is.” David Nabarro, special envoy on Covid-19, said the tangled rules disadvantaged the poor and helped those who knew how to play the system. He also described how vaccination distribution remained wildly inequitable. Rich countries should pay for vaccine supply to go directly from manufacturers to COVAX, the global system for distributing vaccine, rather than donating surplus supplies they have been holding. These surpluses are often near their expiry date, he said, and giving them away was like donating stale bread to the hungry.