U.S. Foreign Policy and Global Health

This series focuses on the challenges that U.S. engagement on global health faces in a world battered by the COVID-19 pandemic, divided by power politics, and uncertain about the ability of the United States to sustain global leadership. 

The New Amendments to the International Health Regulations

The passage of a new IHR marks a key moment for global health governance

Why Pandemic Agreement Negotiations Failed to Land

Months of negotiations and a final weeklong push ended with impasses over technology sharing and accountability measures

Governance

Advancing Global Tobacco Control as New Challenges Arise

The most recent meeting of the Framework Convention on Tobacco Control confronted persistent problems and new threats

Governance

Big Tobacco Is Being Held More Accountable Around the World

Regulatory regimes beyond public health are targeting Big Tobacco's abuses

Governance

Fatal Attacks on Health-Care Workers Doubled in 2023

Amid a rise in global conflict, a new report shows that health-care workers are being killed at alarming rates

Governance

The New U.S. Strategy on Global Health Security

The strategy seeks to make U.S. foreign policy on global health more effective

Governance

Rethinking Donor Partnerships in Africa

Improving health in Africa requires more effective and respectful collaboration with global partners

Governance

Africa's New Public Health Order and U.S. Global Health Policy

Pan-African public health ambitions challenge U.S. health diplomacy in Africa

Governance

Global Health and the "Second Independence of Africa"

Plans for a new public health order for Africa are central to the continent's future in a geopolitical world

Governance

Pandemic Agreement Negotiations Begin Final Stretch: What To Expect

With final negotiations set for late April, two experts explain the nuances of the Pandemic Agreement's latest draft

Food

Polarization Threatens Food Security and Systems Globally

Political disagreements on sustainability and climate action damage prospects for needed changes in food production

Food

The Food Is Medicine Strategy Gains Momentum

U.S. health care is crafting food-based nutrition interventions to combat diet-related diseases

Food

Transforming the Global Food System for Better Health

Healthy, sustainable, and resilient food systems require changes in food policies and private-sector engagement

Governance

PEPFAR HIV Program Gets Yearlong Lifeline: What's Next?

PEPFAR's former chief of staff describes why its latest reauthorization still spells uncertainty for the program

Governance

The Endgame for Global Health Governance Negotiations

Talks to finalize a pandemic agreement and IHR amendments enter decisive stages as the world's divisions deepen

Governance

Facts and Falsehoods: Israel's Attacks Against Gaza's Hospitals

How Biden could intervene against Israel's assaults on Gaza's hospitals

Trade

Insights From India on Expanding Global Vaccine Production

The Indian pharmaceutical industry offers lessons for building vaccine-production capacity in developing countries

Trade

Efforts Against Flu Show Developing Nations Can Make Vaccines 

WHO's global plan for influenza vaccines blazed a trail for more vaccine production in low- and middle-income countries

Trade

The WHO's Push for Global mRNA Vaccine Access

Will the WHO hub realize its vision before the next global health crisis?

Governance

The Shadow of China's Lockdown Remains

Four years after China locked down Wuhan, the country is still feeling the aftershocks

Governance

Global Health Security and Diplomacy in 2024: Lead, Leverage, and Elevate

Discussions will intensify in 2024 to strengthen the global health security architecture

Environment

At COP28, the Climate-Health Nexus Turned a Corner, for Better and Worse

Health got more attention, a change that magnifies the unprecedented dangers an unprepared world faces

Governance

The EU Global Health Strategy, One Year On

Early achievements and challenges ahead

Governance

Henry Kissinger, Foreign Policy, and Global Health

Kissinger’s legacy informs the U.S. foreign policy experience with global health

Environment

Climate Change and Health at COP28

The conference in Dubai seeks to elevate health in climate policy

Governance

Two Geopolitical Rivals, One Health

The Biden-Xi summit did not advance U.S.-China health security cooperation

Trade

The Indo-Pacific Economic Framework Reveals Changes in the Trade-Health Nexus

President Joe Biden’s push to finish the IPEF highlights how trade and health issues have evolved

Governance

Global Health and the Sources of American Power

The Biden administration’s foreign policy vision exposes serious challenges for U.S. global health engagement

Governance

Counterterrorism Concepts and Health Policy Debates

Attacking drug cartels and applying pro-life principles to aid echoes ideas from the war on terrorism

Governance

American Conservatism and Global Health

A presidential transition strategy contains a conservative vision for U.S. global health policy

Governance

Leaders Should Recognize That Global Health Is a Security Issue

“International cooperation is the only way to escape the cycle of panic and neglect,” says Croatia’s former president

Governance

The UN General Assembly Hosts an Ambitious Health Agenda

Summits and high-level meetings will address post-COVID global health challenges

Governance

The G20 Summit Showcased India’s Ambitions in a Geopolitical World

The New Delhi declaration positioned global health within a nonaligned development strategy

Governance

Blocs, the BRICS, and Global Health

Recent geopolitical moves further reshape the international context for global health

Governance

Inside the New Bureau of Global Health Security and Diplomacy

An interview with Ambassador-at-Large John Nkengasong

Environment

Amid Global Boiling, the Foreign Policy Response Remains Lacking

Record heat clarifies the severity of the foreign policy problems climate mitigation and adaptation pose

Trade

Fentanyl and Foreign Policy

A domestic crisis confronts transnational challenges and geopolitical calculations

Governance

Abortion Politics, PEPFAR, and U.S. Foreign Policy on Global Health

Anti-abortion positions on PEPFAR’s reauthorization highlight the transformed politics of U.S. global health policies

Governance

Foreign Policy and Global Health in a Multipolar, Multi-Crisis World

After COVID, foreign policy on global health operates in a different political ecosystem

Governance

Pandemic Fund to Africa: Step to the Back of the Line

Missed opportunities for impact in Africa in the Pandemic Fund’s first round of grants

Governance

The Polarized Pandemic

COVID-19 has contributed to the fragmentation of domestic and international politics

Governance

PEPFAR's Twentieth Anniversary Might Be Its Last

Proposed changes to the mold-breaking program could break it for good

Governance

PEPFAR in a Global Democratic Recession

At age twenty, PEPFAR's continued success depends on weathering an illiberal wave worldwide

Environment

PEPFAR Meets Climate Change

Another president's emergency plan for another global health crisis

Environment

COP27 Produced a Triple Burden for Climate Policy—And That's Bad News for Global Health

The conference created a "loss and damage" fund but failed on mitigation and adaptation

Governance

At Bali, the G20 Confronts Multidimensional Crises with Empty Diplomatic Rhetoric

The summit revealed the G20's and global health's vulnerabilities in a geopolitical world

Governance

Why Global Health Remains Bipartisan

It has proven to be "a good investment with astonishing results in saving lives"

Governance

The Midterm Elections and U.S. Policy on Public and Global Health

The elections produced double-edged results for U.S. efforts to strengthen public health at home and abroad

Governance

A Plan B to Strengthen Biosafety and Biosecurity

A "minilateral" approach is needed to strengthen global biorisk management

Governance

The United States Needs a Foreign Health Service

Advancing American interests in global health requires transforming U.S. health diplomacy

Governance

The World is Unprepared for the Unthinkable

A biological attack anywhere would have profound and far-reaching political, military, and health consequences

Governance

Global Health Through the Haiti Looking Glass

Another crisis in Haiti sharpens the imperative for new thinking among democracies

Governance

The Escalation of the Ukraine War and Global Health

The war has entered a more dangerous phase with grim portents for health

Governance

Strengthening the Biological Weapons Convention's Contributions to Global Health Security

Countering Russian disinformation creates opportunities to enhance the BWC's role against dangerous pathogens

Governance

The Global Fund, PEPFAR, and U.S. Foreign Policy

COVID-19 raises questions about these global health programs and U.S. national interests

Trade

Trade Law Confronts an Exceptional Global Health Crisis

How should the trade system change after the pandemic?

Governance

Overcoming Cacophony in Public Health Communication after COVID-19

Communication failures during the pandemic require strategic attention

Governance

Why the Global Fund Is Important to U.S. Foreign Policy

The Global Fund is pivotal to tackling current pandemics and emerging threats

Governance

The Monkeypox Outbreak and Foreign Policy

The outbreak has limited implications for U.S. foreign policy on global health

Governance

The Monkeypox Outbreak and the WHO's Existential Crisis

The emergency declaration on monkeypox reinforces concerns about the WHO's role in global health governance

Governance

Changing Foreign Policy on Cyberspace: Lessons for U.S. Global Health Engagement

Proposals to transform U.S. cyber foreign policy can inform rethinking global health engagement

Governance

Supreme Court Decisions and U.S. Foreign Policy on Global Health

Recent rulings from the court have consequences for U.S. global health engagement

Governance

The G7 Summit's Geopolitical Pivot Signals a Difficult Future for Global Health

The G7's focus on war, power, and ideology overshadowed global health concerns

Governance

The World Health Assembly Takes Steps Toward Global Health Reforms

Countries began to reshape global health governance but left themselves room to change course

Governance

Tucker Carlson Blasts the Pandemic Treaty as a Threat to the American Way of Life

The Fox News pundit joined the global health debate and invited viewers to think about what he said—so I did

Governance

Five Questions for the World Health Assembly

The assembly meets as global health transitions into a dangerous post-COVID world

Governance

U.S. War Aims, Health, and the Armed Conflict in Ukraine

Ambitious U.S. objectives in the war will affect health on Ukrainian battlefields and in nations beyond

Governance

The Domestic Sources of U.S. Foreign Policy on Global Health

The transformation of American politics threatens foreign policy engagement on global health

Governance

Global Health and the Declaration for the Future of the Internet

The declaration takes geopolitical and ideological stands that raise questions for global health

Governance

COVID-19's Repercussions on Public Health Policy and Law in the United States

The pandemic has triggered regressive state-based law and policy reforms across America

Governance

Southeast Asia's Economic Future After COVID-19

Geopolitics and war threaten ASEAN's post-COVID plans for economic recovery, integration, and resilience

Governance

U.S. Foreign Policy, Global Health, and the Challenge of Institutional Reform

Rethinking U.S. engagement on global health requires transforming domestic and international institutions

Governance

Biodefense Leadership and National Security: Lessons from the Goldwater-Nichols Reforms

The U.S. government needs transformational reform to combat threats to health security

Governance

Global Health's Moment of Truth in the United States

Twenty years ago, Congress created a global health bill that changed the world and this week, they could do it again

Governance

Guns, Germs, and Gases

The invasion of Ukraine darkens the future for global health

Governance

Noncommunicable Diseases and Foreign Policy on Global Health

The pandemic and climate change will deepen foreign policy disinterest in NCDs

Governance

The Bioeconomy Revolution Can End the Panic-and-Neglect Cycle in Health Security

Progress in biotechnology will advance pandemic defenses even more in coming decades

Governance

The Ukraine Crisis, COVID-19, and Global Health

The Russian threat to Ukraine has nothing to do with the pandemic, but the situation has implications for global health

Governance

Latin America, COVID-19, and the Fate of a Post-Pandemic Civilization

Latin American countries need U.S. power to restore global health values

Governance

The Challenge of Pandemic Governance for Low- and Middle-Income Countries after COVID-19

LMICs should find better ways to cooperate against global health threats

Governance

The World Health Assembly Special Session and the Pandemic Treaty Controversy

Low- and middle-income countries face challenges in upcoming negotiations on pandemic governance

Governance

Pandemic Governance Negotiations and U.S. Foreign Policy

Ready or not, the future of pandemic governance will be determined next year

Governance

The Summit for Democracy and U.S. Foreign Policy on Global Health

As the COVID-19 pandemic continues, this week's summit underscores the need to rethink global health in foreign policy

Governance

Friends or Foes? International Law and Health Nationalism During COVID-19

The pandemic exposed a troubling gap between the letter and the spirit of human rights law

Governance

The Case Against a Pandemic Treaty

Strengthening global health governance after COVID-19 does not require a pandemic treaty

Governance

The Mexico-United States Border, COVID-19, and Global Health Diplomacy

Mexico and the United States need to reformulate their bilateral health diplomacy in the aftermath of COVID-19

Environment

Nature's Unprecedented Role at the Glasgow UN Climate Summit

Multi-stakeholder collaboration on natural climate solutions can transform climate action

Environment

The Glasgow Summit and U.S. Foreign Policy on Climate Change

Domestic politics, not diplomacy, will determine what "America is Back" means for climate change

Governance

The Pandemic and the Future of India's Foreign Policy

Mismanagement of COVID-19 at home squandered India's advantages in vaccine diplomacy

Migration

Border Management After COVID-19: New Strategies Required

The WHO has an opportunity to align public health and domestic politics on border measures after the pandemic

Governance

The G20 Disappoints on Global Health, but That's OK with the United States 

U.S. foreign policy on global health did not require the G20 Summit to be transformative 

Governance

Indonesia's Foreign Policy and the COVID-19 Pandemic

Jakarta tests a new foreign policy strategy on the challenges created by COVID-19

Environment

Climate Change, Global Health, and U.S. Foreign Policy

Climate change adaptation is now an imperative for U.S. foreign policy on global health

Environment

The Policy Challenge of Extreme Heat and Climate Change

Health threats in a hotter world require policy action at every level of political and social life

Governance

The Challenge of Strengthening Democracy and Global Health in U.S. Foreign Policy

The COVID-19 pandemic has battered the belief that democracy is good for global health

Governance

The Devastating Impact of COVID-19 on Democracy

The pandemic has made reversing the global decline in democracy and freedom harder

Governance

Global Health and Democracy: Managing Two Top U.S. Priorities

U.S. foreign policy commitment to both health and democratic norms is imperative

Governance

President Biden's COVID-19 Summit and the Shift in Pandemic Geopolitics

The pandemic is fading in importance for balance-of-power politics

Governance

The World Needs U.S. Funding to Prevent and Prepare for the Next Pandemic

At this week's White House pandemic summit and beyond, all eyes are on the United States

Governance

From Synergies to Tragedies: 9/11, Terrorism, and Pathogenic Threats

After the 9/11 and anthrax attacks, efforts to mesh counterterrorism and public health have failed

Governance

Pandemics, Pathological Politics, and International Order

A review of the new book "Aftershocks" by Colin Kahl and Thomas Wright

Migration

Rethinking Border Management and Global Health Security after the Pandemic

Border measures will be a more complex and controversial challenge for the post-pandemic world

Governance

The Afghanistan Disaster and U.S. Foreign Policy on Global Health

The Taliban's triumph has terrible implications for past, present, and future U.S. foreign policy on global health

Governance

Here We Go Again: U.S. Policy and Health Security

Framing pandemics as security threats failed to prepare the United States for COVID-19

Governance

Health Security and the COVID-19 Pandemic: Health and Security for Whom?

The pandemic proves that "health security" should no longer drive global health policy

Governance

A New Global Health Order?

Low-income countries and non-alignment in the wake of the pandemic

Governance

A "Third Way" for World Order After COVID-19

The pandemic will accelerate the development of a "multiplex" world

Governance

Global Health's Reckoning with Realpolitik

Geopolitics, global health, and foreign policy

Governance

The COVID Pandemic—A Global Crisis in an Era of Great Power Rivalry 

The United States must prepare for future pandemics in a geopolitical world

Governance

On Global Health, President Biden's Finest Hour

American leadership arrives at the G7 summit

Governance

A New Era in U.S. Global Health Leadership?

What the World Health Assembly meeting revealed

Governance

U.S. Foreign Policy and Global Health Explored

A series on the future of U.S. engagement on global health