There were huge inequities in rates of Covid-19 infection, hospitalization and deaths for low income and racialized groups. Data from the vaccination roll-out show similar disparities in immunization rates, but, these figures do not tell the full story. They do not tell the story of the many promising approaches developed at the community, primary care and hospital interfaces that have pushed Canada to the forefront of international discussions about sustainable health system recovery. This presentation will use examples from the pandemic to discuss how we can produce more effective and efficient health systems.