The rapid development of the Covid-19 vaccine and the ramp-up of manufacturing and global distribution were unprecedented feats of medical coordination. But those on the inside say it could have gone even smoother and faster, and if we implement the lessons learned we’ll be in much better shape if another pandemic hits. Unfortunately, most global leaders seem to want to just move on and prioritize other issues, according to Adar Poonawalla, the CEO of vaccine company Serum Institute of India. His firm is one of the only family-owned medical manufacturers, and they were able to scale up production dramatically to help provide the Covid vaccine to people in developing and lower-income countries at an affordable cost. He talks with author and journalist Michael Lewis at the 2024 Aspen Ideas Festival about what it was like to have such a pivotal role in a global health crisis and what it would take to keep facilities like his ready to jump into action again.

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