This Expert’s Voice feature urges the global health community to stop mourning the decline of U.S. leadership and start confronting the deeper problem: our reliance on an unequal, donor-driven system.
The authors introduce imperial fallback—the instinct to restore old hierarchies rather than build something new.
They call for a bold shift toward South–South partnerships, local ownership, and health sovereignty.
It’s not just about who funds global health—it’s about who gets to define it.
Read more below and discover why letting go of empire might just save the field.
