Abstract

In a paper comparing the challenges to international health in 1950 and 20001 one of the shifts I lamented was a loss of optimism. In 1950 there were high expectations for global cooperation through the United Nations, whereas in 2000 the UN was troubled, with global policy and cooperation dominated by the G8 nations.2 The UN's main health agency, the World Health Organization (WHO), designated to ‘direct and coordinate international health work’, was increasingly criticized and challenged by other players such as UNAIDS, the Global Fund to Fight AIDS, TB and Malaria, and the Bill and Melinda Gates Foundation, all of which arrived on the health scene only in the past decade. So what will international cooperation in health look like in 2055?

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