{
  "abstract": "Global health is facing unprecedented upheaval, with significant donor disruptions requiring a reconfiguration of the global health landscape. While recently proposed frameworks for the next phase of global health represent meaningful progress in grappling with this context, their central weakness is not technical but normative. In this Essay, we argue that if the new global health architecture is defined without meaningful interrogation of its central purpose, then the system will reproduce the very problems it aims to solve. On the other hand, explicitly centering health equity as the organizing principle of the new “global health” brings to the foreground the shared struggles and movements of marginalized communities worldwide. In doing so, it demands a more fundamental, global reckoning with the structural determinants – politics and power - that produce ill health across and within countries. From this logic flows substantive shifts in global health functions, predicated on a social-ecological model: from substitution to mutual aid; from technical assistance to knowledge sharing; from global public goods to multisectoral common goods for all; and from mechanisms that facilitate global coordination to ones that also critically address the distribution of power and resources.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Medicine, New York University Grossman School of Medicine, New York, New York, United States of America",
    "Health, Nutrition and Population Global Practice, World Bank, Washington, District of Columbia, United States of America"
  ],
  "article_type": "Essay",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Pooja Yerramilli"
    },
    {
      "affs": [
        1
      ],
      "name": "Mickey Chopra"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/03gjn0zt60qcx.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pgph.0007379",
  "fulltext_url": "https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007379",
  "id": "03gjn0zt60qcx",
  "issns": [
    "2767-3375"
  ],
  "landing_url": "https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007379",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3320|Public health and occupational medicine"
    ],
    [
      "plos",
      "/Biology and life sciences/Ecology/Community ecology/Community structure"
    ],
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      "plos",
      "/Ecology and environmental sciences/Ecology/Community ecology/Community structure"
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      "/Medicine and health sciences/Public and occupational health"
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      "/Medicine and health sciences/Public and occupational health/Behavioral and social aspects of health"
    ],
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      "plos",
      "/Medicine and health sciences/Public and occupational health/Global health"
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    [
      "plos",
      "/Medicine and health sciences/Public and occupational health/Socioeconomic aspects of health"
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      "plos",
      "/Social sciences/Economics/Finance"
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      "/Social sciences/Economics/Health economics"
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  "pdf_url": "https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0007379&type=printable",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/03gjn0zt60qcx.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:37Z",
      "native_id": "10.1371/journal.pgph.0007379",
      "source": "plos",
      "url": "https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007379"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "plos:epidemiology",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Reclaiming the new era in global health: A proposal for an equity-centered paradigm",
  "title_text": "Reclaiming the new era in global health: A proposal for an equity-centered paradigm",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:37Z",
  "url": "https://research.draconitic.com/paper/03gjn0zt60qcx",
  "venue": "PLOS Global Public Health",
  "versions": []
}