The COVID-19 pandemic, which has brought the world economy to an unprecedented synchronized recession, makes for a profound collective global experience. It should urge us to reshape our collective actions. Human survival depends on shaping globalization for common well-being. Even as national governments retain authority for public health within their boundaries, the interconnectedness of global markets for capital and labor, including those for health systems, requires global cooperation. Since the late 19th century, modern welfare states have developed increasingly mature institutions to finance health services using public funds, often in response to perceived shared threats. Yet lessons learned at the national level have been largely ignored in efforts to finance global health. The paper examines the current architecture of global health financing using the framework commonly applied to assess the performance of modern states, based on three key health-financing functions: revenue raising, pooling, and strategic purchasing. Our analysis reveals global health functions to be underfunded, fragmented and caught in a rigid disease-centered frame of reference. Global health financing needs a full reset. We call for a transformation of global health funding in three major ways to reinforce the global community’s resilience to health shocks:

1. Ensuring a sustained source of revenue for global common goods for health through a mix of national, global, and regional taxation.
2. Pooling resources under coordinated institutional mechanisms accountable to global citizens.
3. Strategic purchasing focused on global common good and function-based rather than disease-centric investments.

COVID-19 大流行使世界经济陷入前所未有的同步衰退，形成了深刻的全球集体经验。它应该敦促我们重塑我们的集体行动。人类的生存取决于为共同福祉塑造全球化。即使各国政府在其境内保留公共卫生权力，全球资本和劳动力市场（包括卫生系统市场）的相互联系也需要全球合作。自 19 世纪后期以来，现代福利国家已经发展出越来越成熟的机构来使用公共资金为卫生服务提供资金，这通常是为了应对感知到的共同威胁。然而，在为全球卫生筹资的努力中，在国家层面吸取的经验教训在很大程度上被忽视了。本文基于三个关键的卫生筹资功能，使用常用于评估现代国家绩效的框架，研究了当前的全球卫生筹资架构：收入增加、汇集和战略采购。我们的分析表明，全球卫生职能资金不足、支离破碎，并陷入以疾病为中心的严格参考框架中。全球卫生筹资需要全面重置。我们呼吁以三种主要方式转变全球卫生资金，以加强国际社会对健康冲击的抵御能力：碎片化并陷入僵化的以疾病为中心的参考框架中。全球卫生筹资需要全面重置。我们呼吁以三种主要方式转变全球卫生资金，以加强国际社会对健康冲击的抵御能力：碎片化并陷入僵化的以疾病为中心的参考框架中。全球卫生筹资需要全面重置。我们呼吁以三种主要方式转变全球卫生资金，以加强国际社会对健康冲击的抵御能力：

1. 通过国家、全球和区域税收的组合，确保全球卫生公共产品的持续收入来源。
2. 在对全球公民负责的协调机构机制下汇集资源。
3. 战略采购侧重于全球共同利益和基于功能的投资，而不是以疾病为中心的投资。