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The WHO Power Grab: Reform or Surrender?

The WHO Pandemic Agreement adopted in May 2025 explicitly preserves national sovereignty and imposes no coercive powers on member states, making the "power grab" framing largely a distortion — but the deeper problem it attempts to solve is real: COVID-19 cost $13.8 trillion and killed disproportionately even in wealthy, "prepared" nations, while the existing legally binding IHR framework was widely ignored with zero consequences. The central unresolved tension is whether a new agreement can generate compliance that the IHR failed to produce, with Gostin arguing stronger equity norms will shift behavior and Fidler countering that non-compliance with the IHR gives no logical basis for optimism — a disagreement about institutional theory that the agreement's lack of funded implementation plans does nothing to settle. Largely absent from mainstream debate is the Global South critique that the real failure was never too much WHO authority but too little equitable authority, a structural problem the agreement's unresolved Pathogen Access and Benefit-Sharing system and donor-dependent budget leave fundamentally intact.

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