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With the rollout of COVID-19 vaccines, ‘vaccine nationalism’ is only slightly more rife than the calls against it. The focus on ‘vaccine nationalism’ by critical thinkers and activists misses some key lessons of the pandemic elaborated in my October 2020 article, “Access to medical supplies and devices – the lesser known story of COVID-19 and medical monopoly.” This piece summarises my October 2020 piece and links it to new developments, most importantly, the need to organize for a ZERO-COVID approach to ending the pandemic.