David Bell

‘Global Health’ is confusing. A few short years ago community participation, disease burden, resource allocation and human rights dominated its decision-making processes. Causes such as improving childhood nutrition, empowering minorities and protecting girls from enslavement and mutilation were acceptable battles to fight.

Here we are in 2022: Coercion, exclusion, impoverishment and big business are in, whilst highlighting those other areas is ‘free-dumb’ or some subversive form of denialism. Same people, same organizations, same funders, just a change of the tide.

As with any historic shift towards fascism and colonialism, it takes a considerable group effort to ignore reality to keep this tide moving but humans, especially in hierarchical structures, have always been up to the task. We still are.