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The COVID-19 pandemic exposed the pre-existing weaknesses of the U.S. public health system including areas such as communication, organization, and entrenched health disparities that continue to drive massive health inequities in various communities. To strengthen routine public health practice and better prepare for future emergencies, it is important to clarify and strengthen operational roles of the federal government, address funding challenges, optimize data capabilities, and restore public trust. Partnering with states and localities will be pivotal in addressing these issues as well. The goals of this briefing were to: 1) discuss what a successful and effective public health system looks like; 2) illustrate how the U.S. can better meet every day public health challenges; and 3) explore how an efficient and effective public health system can more effectively anticipate and respond to public health emergencies.