COVAX is a vehicle by which a very powerful and wealthy group seeks to impose a new paradigm on global public health, with centralized, pharma-based interventions replacing community-driven healthcare and national health sovereignty. We cannot afford to leave it as a side issue to the local battles that we face, or our successes will be pyrrhic. The corporatist, centralized health paradigm that COVAX epitomizes is a fog of delusion that seeks to ensnare us all.