The spread of COVID-19 has unleashed a health and economic crisis of unprecedented scope. This disaster has laid bare the fragility of our health care system and the inequities that pervade it. Unless we change course, the pandemic and the recession predicted to follow will continue to exacerbate those inequities. Policymakers must focus both on meeting immediate health needs and making comprehensive structural reforms that address deep-rooted inequities in our health care system and protect access to basic care, including reproductive care.