Chatham House
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Global health reform cannot wait for a new world order. Middle powers must act now
EXPERT COMMENT
The World Health Assembly in Geneva presents a narrow window of opportunity for action to save multilateral cooperation on global health. Three things need to happen.
The 79th World Health Assembly (WHA) – the decision-making body of the World Health Organization (WHO) – will take place in Geneva on 18–23 May amid major challenges to global health cooperation. The United States has withdrawn from WHO, leaving a $600 million funding gap and forcing WHO to cut its budget for 2026-27 by 20 per cent. Bilateral health deals under the America First Global Health Strategy are being signed across Africa and Asia, bypassing multilateral frameworks and transferring costs onto the partner countries without commensurate power. In February, WHO Director General Dr Tedros Adhanom Ghebreyesus described 2025 as potentially the most difficult in the organization’s history.
Two recent speeches provide the clearest political diagnosis of the current international moment. On 5 March, Canada’s Prime Minister Mark Carney told the Australian parliament that the rules-based order is not in transition – it is in rupture. That same day – and building on Carney’s speech – Finland’s President Alexander Stubb opened the Raisina Dialogue by arguing that the Global South will decide what the next world order looks like, and that the West has one last chance to prove it is capable of dialogue rather than monologue. Although neither mentioned global health explicitly, both were talking about it.
Click here to continue reading the full version of this Expert Comment on the Chatham House website.
Original article link: https://www.chathamhouse.org/2026/05/global-health-reform-cannot-wait-new-world-order-middle-powers-must-act-now
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