Released annually, this policy brief from the Lancet provides an overview of the state of climate change and health in the United States. It includes recommendations to create a healthier, more sustainable climate, including transitioning to healthier, more sustainable agricultural practices; removing fossil fuel subsidies; shifting to zero carbon electricity; increasing access to healthy transport options; strengthening the public health system; and investing in a healthy recovery from the COVID-19 pandemic. Each strategy is accompanied by up-to-date research and data.