Send us a text

For decades, global health has treated aid dependency as a neutral, technical condition, something to measure and manage. But what if dependency is actually a feature of the system, not a bug? Emilie Koum Besson introduces a "Matrix of Dependency Dimensions," revealing eight distinct forms, ranging from historical and epistemic to what she calls "hidden co-dependency," in which elites in both the North and the South benefit from the status quo. She challenges the sustainability-versus-dependency binary, explains when aid shifts from catalytic to excessive, and argues that 2025's rhetorical shift toward sovereignty won't matter without dismantling the actual architecture of global health financing.

To support us, consider becoming a paid subscriber on Patreon or making a one-time donation via PayPal.

Subscribe to our weekly newsletter: globalhealthunfiltered.com

Follow us on X (@unfiltered_gh), LinkedIn, Instagram, and TikTok.