There is a real risk that unequal vaccine roll out and unequal economic recovery will cement the growing inequalities that COVID-19 economic crisis has exacerbated. The differential ability to return to work, to economic activity, to return to school, and the increased poverty and sale of household assets for survival could combine to result in protracted inequalities. Paradigms that define economic prosperity are changing to increasingly include dimensions like health and biodiversity, opening the way for big shifts in the field of health financing. It is time to “get it right for health”.