The Covid-19 pandemic has disrupted people’s livelihoods and tested healthcare systems around the world, and Laos is no exception. Its economy was hit particularly hard given its reliance on tourism, trade, and services. The country’s GDP growth is unlikely to reach pre-Covid-19 levels soon: while the World Bank predicts a 4.5 percent GDP growth rate for 2022, this remains well below pre-pandemic rates, which ranged from 6 to 8 percent for most of the past decade. The pandemic has also exacerbated structural problems in the Lao healthcare sector, which warrants investment and reform. As the Lao government shifts from a “zero Covid-19” policy to “living with Covid-19,” the United States and other donors can accompany these efforts by supporting small businesses and investing in long-term resilience in the healthcare sector.