More than four years after the start of the Covid-19 pandemic, which made health authorities and the public understand the important role that pulmonology plays in the national health system, we are facing a crucial moment both for the discipline and for healthcare in general. In fact, the impact of air pollution and climate change on the respiratory health not only of patients with chronic diseases but of all citizens is now well established and the time to implement policies aimed at improving air quality cannot be postponed any longer. This area, which is only partly new, is being forcefully joined by artificial intelligence that pervades many areas, including evidently medicine.