Person receives treatment during heatwave.

A man affected by a heatwave is treated at a hospital in Karachi, southern Pakistan, on June 26, 2024.

(Photo by Str/Xinhua via Getty Images)

Climate Action in Healthcare—No Capes Required

It's time for physicians to step up and join the climate fight. This is not just an environmental issue; it’s a public health issue.

April 28 is National Superhero Day. It’s a shame that Superman is fictional, because our planet needs saving from its most deadly threat: climate change. Our real heroes will come from science, not planet Krypton.

The threat of climate change is not theoretical, and neither are the health impacts. The Earth was 2.3°F warmer in 2024 than during the 20th-century average, and the 10 warmest recorded years have all taken place between 2015 and 2024. According to the World Health Organization, 3.6 billion people already live in areas highly vulnerable to climate change. Climate-driven deaths are rising, from heat illness and malnutrition to vector-borne disease and disasters such as flooding. Thirty-seven percent of heat-related deaths are linked to human-induced warming, a number expected to climb.

Yet at the very moment when the world needs bold climate action, the Trump administration has taken major steps backward. The United States, historically the world's largest emitter, pulled out of the Paris Agreement and failed to show at last year's United Nations Climate Change Conference, sending clear messages to international partners. Federal disinvestment has been staggering: The latest proposed federal budget will cut the Environmental Protection Agency’s budget by 52% and the National Oceanic and Atmospheric Administration's by 32%. Funding for climate change research has been gutted across major universities. We are not on track to reach net-zero emissions by 2050, a deadline scientists view as essential for planetary stability. This backslide disproportionately harms low-income communities, contributing to rising climate-related mortality.

Even as the US retreats from its international and domestic commitments to reduce emissions, America still has a league of planet defenders made up of scientists, engineers, and activists. They may not have capes, but their work saves lives.

No one is coming to save us, and while the impacts of climate change may feel distant to some healthcare providers, the rest of us cannot afford to sit this one out.

It's time for physicians to step up and join the fight. This is not just an environmental issue; it’s a public health issue. All the statistics about heatwaves, floods, and disasters aren’t just abstract; they’re at the bedside. We’re seeing the direct impacts of climate change in emergency medicine as it affects both the types of diseases we’re treating and how we deliver care.

As a physician myself, I know asking overworked healthcare providers to do more is, well, a big ask. But research shows that physicians are viewed as credible messengers on climate-related issues. Our voices and expertise matter, not just in clinics and operating rooms, but in our communities. We know that change does not just come in the form of lobbying and big communication campaigns. Often, it can come from everyday conversations. It can look like asking patients how they keep their medications cool during a heatwave or reviewing their asthma action plan in preparation for wildfire season. By leading with curiosity, we can help patients make the connection between their environment and its effect on their health.

It can take the form of a discussion with your colleagues about eco-friendly prescribing, like opting for tablets over liquid formulations or dry powders instead of propellant inhalers. Within our hospitals and clinics, we can make simple changes like adding recycling bins and minimizing the use of single-use disposables. Plastic waste is a huge problem in the medical field, but it’s a scalable problem within our control.

No one is coming to save us, and while the impacts of climate change may feel distant to some healthcare providers, the rest of us cannot afford to sit this one out. Joining the Justice League of climate change advocacy does not mean taking on everything; it means starting with doing something. The planet doesn’t need a superhero; it needs all of us to take a step toward changing our practice.

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