en 
What has changed is that there has been a concerted psychological campaign to effectively insert abstract and often empirically questionable paradigms of sickness between individual citizens and their understanding of their own bodies.
We were told public health messaging during Covid was about “following the science.” But what this FOIA-obtained document reveals is something very different: A strategic communication campaign designed to shape perception, influence behavior, and saturate culture through entertainment and media.
We agree that the international community should continue to support less-resourced members. However, we disagree that this should consist of perpetual and increasing payments to centralized agencies such as GFATM, GAVI, and the Pandemic Fund, or donor bureaucracies like USAID.
While chipping away at disease by disease with commodities like vaccines has proven lucrative to the health bureaucracy, it is not building the capacity and independence that offers a way out. Downsizing Gavi provides an opportunity to turn rhetoric into reality.
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