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Pulmonary rehabilitation (PR) has consistently been shown to improve breathlessness, quality of life and functional capacity in individuals living with chronic obstructive pulmonary disease (COPD).1 The most pressing remaining questions do not relate to the effectiveness of PR; rather, they relate to whether it is accessible to all those who need it. Indeed, issues regarding inequities in access to care in COPD pose a complex challenge that needs to be addressed if we are to tackle socially patterned disparities in respiratory health.