A Comment in this week's Lancet describes the phenomenon of 'enshittification... the gradual unravelling of once-effective systems—whether public health infrastructure, multilateral institutions, or US global health leadership—due to neglect, underfunding, and misaligned priorities'.
'The enshittification of global health will have devastating consequences — millions of people will die from preventable diseases, and hard-won gains in the fight against HIV and other infectious diseases will rapidly erode, leaving the world more vulnerable to future crises...'
Read online: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00453-2/fulltext?dgcid=raven_jbs_etoc_email
Best wishes, Neil
HIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil@hifa.org