; and (v) social support, meaning the resources needed, beyond the direct delivery of health care, to ensure effective care; and (B) financing the discovery and development of new, urgently needed health technologies, such as diagnostics, treatments, and vaccines, particularly for neglected diseases of poverty, and ensuring their availability as global public goods; (2) the objectives of adopting a 21st century global health solidarity strategy to end medically unnecessary deaths and responding to the full burden of disease in poor countries will require— (A) increasing annual global health spending to $125,000,000,000, sufficient— (i) for the first time, to meet the United Nations development assistance target of spending the equivalent of 0.7 percent gross national income on development assistance, which 6 other countries have previously met; and (ii) to close over 100 percent of the essential universal health coverage financing gap for low-income countries, and 30 percent of the overall financing gap for low- and lower-middle income countries; (B) optimizing global health delivery spending by— (i) introducing a new form of coordinated, multilateral fiscal cooperation for global public investment that— (I) ensures increased and ongoing global public funding of common goods for health; and (II) exhibits shared governance with global South governments and meaningful participation of civil society, which is also essential for addressing intersectional crises of social inequalities including the climate crisis; and (ii) ensuring funding directly supports national health plans, public institutions, local priorities, and donor coordination, practices aligned with what Dr. Paul Farmer called accompaniment ; (C) focusing on health service delivery for vulnerable populations, such as— (i) people living in poverty; (ii) women; and (iii) children