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Why has global health improved—yet 4.5 billion people still lack care? WHO leader Dr. Kumanan Rasanathan explains what’s broken.

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Why has global health made unprecedented progress—yet nearly half the world still lacks access to essential healthcare?

In this episode of Analyzing Healthcare by SCALE Community, host Roy Bejarano sits down with Dr. Kumanan Rasanathan, Executive Director of the Alliance for Health Policy & Systems Research at the World Health Organization (WHO), to unpack the paradox at the heart of global health systems today.

Drawing on nearly 25 years working across WHO, UNICEF, and ministries of health worldwide, Dr. Rasanathan offers a rare inside view of how health systems actually perform across regions—where progress is real, where systems are failing, and why outcomes often vary more within countries than between them.

The conversation explores why primary care—despite being the strongest predictor of population health—remains chronically underfunded, how conflict and inequality reshape health access, and what countries like Rwanda, Thailand, Estonia, and Cambodia reveal about building resilient systems under pressure.

Roy and Dr. Rasanathan also dig into the role of digital infrastructure and AI, separating realistic opportunities from overhyped promises, and explaining what technology can improve—and what still requires political will and system-level reform.

Topics covered include:
• Global health progress vs. persistent access gaps
• Why 4.5 billion people still lack essential health services
• Primary care as the most neglected lever in healthcare
• Inequality, conflict, and health system performance
• Lessons from high-performing health systems
• The real role of digital health and AI in system reform

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