Hosted by

Ben Plumley & Professor Ambassador Eric Goosby

Episode Summary

In this episode of Global Health Diplomats, Ben Plumley and Eric Goosby take a hard look at the state of global health in the wake of major funding shifts and policy changes. With U.S. global health programs facing an uncertain future, can they be salvaged, or are we witnessing the dismantling of decades of progress?

Ben and Eric discuss:

✔️ The impact of U.S. policy changes on PEPFAR, USAID, and global health funding

✔️ The realities of restarting health programs amid political roadblocks

✔️ How countries are shifting towards self-sufficiency in health systems

✔️ Lessons learned from HIV programs pivoting to COVID-19 responses

✔️ The role of European and global players—can they fill the funding gap?

✔️ The future of long-acting HIV treatments and barriers to adoption

✔️ The ethics of global health governance—are programs being abandoned?

✔️ The human cost of these decisions on communities and health professionals

This episode is a must-listen for anyone engaged in global health, policy advocacy, and public health strategy.

Timestamps for Key Moments

00:00 - Welcome & opening remarks: Ben and Eric set the stage for a critical conversation

00:38 - Is global health dead? A frank discussion on where things stand

02:31 - U.S. policy shifts & the fallout for global health programs

07:12 - Can shuttered programs be restarted? The logistical and ethical challenges

13:52 - Global health self-sufficiency: Are countries ready to take control?

17:23 - Can Europe or others step up? The feasibility of alternative funding sources

22:19 - What national programs must prioritize to survive funding cuts

26:29 - Procurement & supply chain challenges—what's at risk?

27:52 - Surveillance & monitoring—a critical piece of the puzzle

29:34 - Long-acting HIV treatments—revolutionary but at risk

32:37 - The politics of health funding—will programs be forced to regress?

36:32 - Clinical guidelines vs. financial and political realities—who decides?

37:55 - Key populations at risk: Why marginalized communities may suffer the most

40:02 - Beyond government funding: Can faith-based organizations & business leaders help?

41:06 - The personal toll on health professionals: How this crisis is affecting those in the field

44:32 - Global solidarity under threat: How shifting geopolitics impact health

47:16 - What happens next? Ben and Eric’s final reflections on the way forward

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