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    • Opinion
    • Global health

    Opinion: Global health can't run on charity — now is the time for reform

    As head of one of the world's largest health science philanthropies, we're supporting brave reimagining of the global health ecosystem.

    By John-Arne Røttingen // 29 May 2025

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    As it faces a funding precipice that charity cannot fill, global health needs to double down and act bravely on long-discussed reform.

    That global health is in crisis is hardly news. At last week’s World Health Assembly, the deep sense of shock after recent, abrupt cuts to development aid was impossible to ignore. There was also a sense of growing acceptance of the hard truth that money lost is not coming back anytime soon.

    Still, there was evidence of leaning in, not pulling away from multilateralism — through the historic signing of the Pandemic Agreement and agreement of a 20% increase in annual membership fees for the World Health Organization.

    This article is free to read - just register or sign in

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    Read more:

    ► Can domestic financing solve the global health funding crisis?

    ► As aid declines, Africans must take a greater lead on health financing

    ► Why fixing health after US cuts needs more than 'cosmetic changes'

    • Global Health
    • Funding
    • Institutional Development
    • Wellcome
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).
    The views in this opinion piece do not necessarily reflect Devex's editorial views.

    About the author

    • John-Arne Røttingen

      John-Arne Røttingen

      John-Arne Røttingen joined Wellcome as chief executive officer in January 2024 and leads the charitable foundation’s mission to support science to solve the urgent health challenges facing everyone. John-Arne trained in medicine and science and has held many international roles in health and research.

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