[Comment] Seeking an inclusive and just way to simplify the global health architecture

The 25-year-old joint commitment among established providers of official development assistance (ODA) to invest in efforts that respond to AIDS/HIV, tuberculosis, and malaria, eradicate polio, and achieve near universal global vaccine coverage for a host of diseases and conditions has collapsed in 2025. Although several European governments have reduced ODA spending,1,2 the suddenness and brutality of the US Government's withdrawal from global health efforts3 have turned a shift in ambitions into a full-fledged redefinition of what global health efforts can be, what they can achieve, and how they should be organised.