For our fifth podcast we welcome guest host David Somekh of the European Health Futures Forum. David hosts a round table discussion with three guests: Zuzanna Cichon, a master student in Global Health at Maastricht University who is currently in Barcelona working on her thesis about the predictive capacity of climate variables for dengue epidemics in Venezuela, and who provides an overview of the state of global health; Matthijs Zwier, who is involved with the Health Pact project in Utrecht which facilitates a collaborative movement to help citizens have direct input into the development of a healthy and happy urban life for everyone; and Mike Bewick, a doctor and former national deputy medical director for the NHS in the UK, who describes some of the major changes that are happening in health care.