SEPTEMBER 21, 2022. A new update to the March 2021 paper, “From Double Shock to Double Recovery – Implications and Options for Health Financing in the Time of COVID-19,” analyzes the evolving macro-fiscal situation in 177 countries and its likely impacts on health spending through 2027. Subtitled “Old scars, new wounds,” the update argues that, by acting together now, countries can narrow global gaps in health spending capacities, bolster future pandemic preparedness, and prime health systems in all countries for inclusive health and economic recovery.