Reimagining global health financing beyond aid dependency and donor-led prioritiesFor more than two decades, global health financing has helped transform healthcare outcomes across much of the developing world. Instead, stronger domestic financing, strategic international partnerships and innovative funding mechanisms must become the foundation of a new global health financing paradigm. The future of global health financing depends on countries assuming greater responsibility for funding their own healthcare systems. Aid budgets fluctuate with political priorities, economic conditions and changing foreign policy objectives, making them an unreliable foundation for long-term global health security. Although such reforms will require sustained political negotiation, they could help create a more equitable and durable international health financing system.