A doctor places a stethoscope on a child's back. The child is facing their mother.
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zeljkosantrac / Getty Images

A doctor examines a child during a medical check-up.

Rethinking the future of global health

A window of opportunity has opened to reimagine global health. It's time to build a sustainable and equitable global health system that supports a healthier future for everyone. 

Credit:

zeljkosantrac / Getty Images

A doctor examines a child during a medical check-up.

Why do we urgently need global health reform? 

The global health system is collapsing. Major shifts in geopolitics and funding have put increasing strain on an already fragmented and overly complex system. 

Aid cuts are directly impacting people’s health, especially in the world’s poorest countries. Plugging funding gaps may limit this damage, but it’s not a long-term solution. 

The old global health system has not been working for some time now. Despite many initiatives and institutions improving health and saving lives, half the world – around 4.5 billion people – still don’t have access to basic health services

This needs to change. To improve health for everyone, we must rethink the global health system. 

What could global health reform look like? 

Global health reform cannot and should not be decided solely by any one person or organisation. It must centre the communities most affected by health challenges – particularly in the Global South – whose perspectives are too often marginalised. 

While the specifics of global health reform will need to be collectively and inclusively defined, some things are already clear.

Overseas development assistance will continue to be important, especially for those countries and communities with the greatest needs, but it mustn’t drive dependence.

A new system should involve more regional and national accountability and less dependence on the priorities of donors from high-income countries. 

There is also a growing desire globally for countries and regions to have more agency and autonomy to improve the health of their citizens. The current global health system does not align with the needs and wants of individual countries. 

And ultimately, reform must lead to a sustainable, equitable global health system that meets the needs of our changing world – and secures a healthier future for everyone. 

At Wellcome, we believe our role is to kickstart discussions to rethink the future of global health. 

"As chief executive of Wellcome, one of the world’s largest philanthropies to advance science for health, I recognise we have played a role in shaping that system in the past. As well as increasing our global investments in health research, we are committed to supporting a radical rethinking of the global health architecture for the future."

John-Arne Røttingen

Chief Executive Officer

Wellcome

Connect with John-Arne:

How are we driving conversations on global health reform? 

Over the next year, we will be bringing together a wide range of voices to participate in open, inclusive conversations about what a new global health system should look like. 

To kick-start the conversation, we have commissioned five thought leaders from across the world to share their visions for global health. These ambitious ideas are outlined in five discussion papers that will be used as the starting point for regional dialogues among stakeholders, such as: 

  • national government stakeholders from ministries of health and finance
  • regional public organisations
  • regional thought leaders
  • civil society organisations and community representatives
  • health and development partners at regional and national levels

These conversations will work towards proposals for global health reform. The proposals will go beyond the discussion papers and include emerging consensus around more specific changes and how to implement them. The next step will be to encourage agreement and identify actions to take forward. 

Wellcome will then work with governments and organisations across the global health system to support this shift. 

To ensure a healthier future for everyone, it’s time to rebalance power to the people most impacted by health challenges. 

Upcoming regional and global dialogues 

  1. Late 2025

    Simultaneous regional dialogues

    Wellcome has commissioned regional partners to organise dialogues among government and non-governmental stakeholders from these regions: 

    • Latin America and the Caribbean
    • Africa
    • Asia and the Pacific
    • Europe and North America
    • Middle East and Central Asia 

    At these dialogues, stakeholders will discuss the specific needs of their regions and how changes to the global health system can be made possible. The five discussion papers will be used to kickstart dialogue and generate ideas in these meetings. 

  2. Early 2026

    Global dialogue

    Wellcome will organise a high-level global meeting that will bring together the regional dialogues. The goal will be to encourage agreement around the actions needed to move forward. 

    Wellcome will also be actively participating in wider processes and dialogues on these topics to foster coherence and promote holistic thinking and action.

Contact us 

  • Beck Smith

    Associate Director, Global Health Policy

    Wellcome

    Connect with Beck:

  • Clare Battle

    Policy Lead

    Wellcome

    Connect with Clare:

  • Fabian Moser

    Policy Adviser

    Wellcome

    Connect with Fabian:

  • Alison Stiby Harris

    Head of Government Relations

    Wellcome

    Connect with Alison: