WASHINGTON (AP) — As Democratic presidential hopefuls prepare for their first 2020 primary debate this week, 74 medical and public health groups aligned today to push for a series of consensus commitments to combat climate change, bluntly defined by the organizations as “a health emergency.”

The new climate change agenda released by the groups comes amid early jostling among Democratic candidates.

The health organizations’ policy recommendations, while a stark departure from President Donald Trump’s approach, represent a back-to-basics approach for an internal Democratic climate debate.

“The health, safety and well-being of millions of people in the U.S. have already been harmed by human-caused climate change, and health risks in the future are dire without urgent action to fight climate change,” the medical and public health groups wrote in their climate agenda, shared with The Associated Press in advance of its release.