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The United States is now experiencing public health catastrophe on a scale we have not seen for more than a century. COVID-19 puts into stark relief our mutual obligations that reflect our interdependence as participants in a common society. Drawing on the work of Amartya Sen concerning famine and related challenges, I discuss the accompanying implications for social justice. Social justice in catastrophe requires strong social insurance structures and legal protections for the most vulnerable people, who would otherwise lack economic res