Global health is facing a reckoning. A new Health Policy Watch article — Global Health Leaders Urge Fewer Agencies Amid Funding Crisis — reveals a 21% drop in global development assistance for health and a 67% cut in U.S. funding, totalling more than $9 billion.

In this episode we scroll through the article in real time and unpack what these numbers really mean — for HIV programs, child mortality, and the very architecture of global health itself. Are there too many agencies? Or is the system simply too fragmented to survive another funding shock?

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