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We need to reimagine global governance. In public health, we now accept that human and planetary wellbeing are inseparable. The climate crisis, biodiversity loss, pollution, pandemics, and inequity are not isolated challenges—they are symptoms of one interlinked system under strain. The institutions that once protected global health and stability now struggle to keep pace with this complexity. The urgent demands to bring together the planetary and the global health agenda are an expression of this need for change. Yet we must go further as we better understand and define “the planetary” and create new frameworks of governance, knowledge, and actions