In this Comment, we argue for a global health system that recognizes and supports countries as the primary agents of action, oriented around global public goods and collective action, and served by a leaner set of global and regional institutions. We present a potential vision for the functions and distribution of labor in the system to inform ongoing reform discussions and draw critique, dissent and amendment.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$32.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout
References
Moon, S., Røttingen, J.-A. & Frenk, J. Health Econ. Policy Law 12, 195–205 (2017).
Organisation for Economic Co-operation and Development. OECD
https://go.nature.com/4ggedoR(19 June 2026).World Health Organization. WHO
https://go.nature.com/4xDJWqT(10 April 2025).Carney...