In this year’s edition of Health: A Political Choice – From Fragmentation to Integration, Thomas Cueni focuses on the lessons learned from COVID-19. When the next pandemic hits, the success of our response will depend on how well we react to the lessons learned from Covid-19.The world was ill prepared for the pandemic, costing millions of lives and trillions of dollars in economic loss.Yet, the political interest in pandemic prevention, preparedness and response is already fading.