Abstract
Climate change is already leading to loss of health for some people and this is expected to intensify as climate change increases. Moreover, ill health from climate change is experienced unevenly: overall, those who have been least responsible for causing the problem are often those most vulnerable to these losses due to the intersection of climate-related health threats with structural inequality. In this context, there have been multiple arguments made for reparations intended to address disproportionate climate impacts. While the United Nations Framework Convention on Climate Change has been a focus for these efforts, due to political challenges, a more distributed, multifaceted approach to reparations may be needed. This analysis provides a summary of reparative arguments and identifies multiple potential pathways towards reparative efforts intended to address losses in health due to climate change.