6 in 10 humans still have no access to care, or do not adhere to it, despite rising investments. Alcohol-based hand rub and WikiMed illustrate how creating freely reproducible equipment and software with communities can: save millions of lives, increase integrity, cut costs by 90%. Cooperation-driven care is the only way to realize the 2030 agenda in time: health for everyone. We present nine alternatives to the dominant proprietary excluding innovation model, to drive development towards a responsible, solidar society. We also discuss ageing, public policies, quality systems, and cryptocurrencies.