We are living in a period when the foundations that once sustained global cooperation are being tested, when power can overshadow principle, when norms are bent and when a rules‑based, values‑driven order appears increasingly fragile. The effects are evident across health systems worldwide: care withheld, science disregarded, services interrupted and fundamental rights reduced to empty language. Health is treated as discretionary. Women’s autonomy is challenged. Children’s wellbeing is placed