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  • Redefining Global Health in the 21st Century: A New Series on Why Global Health Is at a Crossroads

    Redefining Global Health in the 21st Century: A New Series on Why Global Health Is at a Crossroads
    2026/06/15
    A Shot in the Arm Media launches a new nine-part series produced in partnership with the UCSF Institute for Global Health Sciences, built around the book Redefining Global Health in the 21st Century, co-authored by Dr. mike Reid (UCSF Institute for Global Health Sciences) and Ambassador Eric Goosby (former U.S. Global AIDS Coordinator and former PEPFAR Chief Medical Officer). In this prologue episode, Reid and Goosby explain why they wrote the book, what defined the “golden era” of global health since the early 2000s—the Global Fund, PEPFAR, Gavi—and why that progress now feels at risk under the Trump administration's cuts to USAID and PEPFAR. They introduce the book's central metaphor, borrowed from Cory Doctorow's concept of “enshittification,” to ask whether global health institutions are on the brink of decay, and argue that decline is a choice, not a destiny. The conversation previews the arc of the series—covering the old order, governance, financing, climate, technology and AI, and self-care for health workers—and closes with a call for honesty, bipartisanship and accountability, grounded in the legacies of Nelson Mandela and Steve Biko. 00:00 Introduction: Is the Greatest Threat to Global Health... Us? 00:49 Launching the Series: Redefining Global Health in the 21st Century 02:06 Meet the Authors: Dr. Mike Reid and Ambassador Eric Goosby 02:32 Why They Wrote This Book 03:28 Writing Through the Trump Transition 05:28 The Golden Era of Global Health 08:04 Shared Responsibility and Its Roots 10:21 What's Unraveling Now 11:34 Vancouver 1996 and the Roots of the Reckoning 12:18 Honoring Health Workers and Naming the Moral Injury 14:18 What Would Have to Change, Structurally and Politically 17:50 “Enshittification” and the Risk of Global Health Decline 20:30 Kuhn, Paradigm Shifts, and a New Vision for Global Health 22:17 Goosby's 38,000-Foot View: Aligning Need, Access and Governance 25:16 Reid on Financing, Governance, Science and New Tools 28:06 Mapping the Series and the Book's Chapters 32:11 Reform Agenda or Transformation Agenda? 35:19 Letters to My Daughters: Making Global Health Personal 37:31 Why Global Health Matters at Home 41:12 Does the Field Still Reflect Why We Got Into It? 43:18 Bipartisanship, Nelson Mandela and Steve Biko 46:18 Toward a Reckoning: Truth, Reconciliation and Accountability 51:02 “Not on Our Watch” 53:27 Holding the Administration to Account 56:32 The Book, Its Price, and Where to Find It 58:23 Sign-Off and What's Coming in Episode Two Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century (Playlist on Youtube) https://bit.ly/rgh-podcast A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast
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    1 時間 1 分
  • Episode 10 – Colon, Meet Cancer: Food Fight: The Impact of Cancer and Chemo on my Appetite

    Episode 10 – Colon, Meet Cancer: Food Fight: The Impact of Cancer and Chemo on my Appetite
    2026/06/04
    Another candid update from Ben Plumley on life with stage four colorectal cancer, focusing on one of the most under appreciated challenges of treatment: the daily battle to eat. Treatment Update — Ben is continuing maintenance chemotherapy and awaiting a PET scan at the end of June. The goal is non-progression — holding the cancer steady — which counts as a win. --- 01:30 - The Food Fight — Ben breaks down why eating has become such a struggle, covering two main culprits: the cancer itself and the side effects of chemotherapy -which damages the digestive tract lining and causes nausea, taste changes, and mouth and jaw pain. 03:37 - Taste Changes Explained — Ben describes the layered impact on his senses: from persistent metallic taste, a sulfuric reaction to eggs and squash, to complete tastelessness , and to brights including orange juice and alpine milk chocolate. 09:29 - Cannabinoids as a Tool — After a referral through Kaiser’s infectious disease department, Ben has incorporated CBD tinctures into his routine. 13:56 - And on a genuinely uplifting note, Ben’s vegetable garden is thriving with fruit and vegetables - a reminder that the garden remains a vital source of calm and energy throughout his journey. Hosted by Ben Plumley | A Shot in the Arm Media | Produced and directed by Erik Espera. Join the Conversation! If you or someone you know is living with cancer, share your experiences and thoughts in the comments! Check Out Ben’s Substack: https://substack.com/@benplumley1 Useful resources: https://fightcolorectalcancer.org https://colontown.org Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health news.
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    16 分
  • AIDS 2060 Ep 01 - Lessons from the Frontlines: San Francisco

    AIDS 2060 Ep 01 - Lessons from the Frontlines: San Francisco
    2026/05/10
    This is the first episode of AIDS 2060, a special multimedia mini-series of podcasts and Substack articles devoted to understanding what is needed to bring the HIV epidemic under control, how long that will take, and why the world has been unable to do so to date, notwithstanding overly ambitious public commitments that questionably are not rooted in science and hide the real threat HIV poses, even today. We are in San Francisco, one of the first epicenters of the epidemic, and meet the City’s Community Health Center which is on the frontline of providing comprehensive care and prevention services to the hardest to reach populations, people of color, the trans community, people who inject drugs, the homeless and people with mental health issues. Ending the HIV epidemic will not be achieved, let alone by an arbitrary date like 2060, unless human rights and evidence-based programs reach and are used by these people. Does a progressive city like San Francisco have the political will to do what the science tells us works? Host Ben Plumley is joined by Lance Toma (CEO), Dan O’Neill (Chief Medical Officer), and Dr. Tatyana Moaton (Chief Strategy & Workforce Officer). 00:00 Welcome to AIDS 2060 00:38 Why the Response Stalled 02:05 Picking 2060 as the Lens 03:01 San Francisco Frontlines 03:39 Targets and Reality Check 04:16 Meet the Health Center Team 05:35 Will AIDS 2030 Happen 07:46 Local Progress and Setbacks 10:52 Who the Clinic Serves 14:12 Trans Communities as Canary 18:15 Surveillance Data Under Attack 22:15 Leading Through Funding Chaos 26:53 Long Acting Injectables in Practice 28:47 Prep Access Gaps and Equity 30:14 Street Medicine and Viral Suppression 32:50 Worrying About Innovation Stalls 33:16 HIV Pipeline Reality Check 33:54 Long Acting Drug Revolution 35:10 New Classes And Regimen Design 36:02 Once Yearly Prevention Vision 37:09 Equity Over Innovation 37:52 Whole Person Care Infrastructure 40:31 Radical Roots And Community Power 42:58 Hard Reboot In Crisis 46:25 Coalitions Beyond HIV 49:43 Data Visibility And Erasure 53:55 Global Community Connections 55:32 2060 Hopes And Closing Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.
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    1 時間 4 分
  • Emily Bass on PEPFAR’s Data Spin, What South Africa’s Oral Histories Reveal & the future w/ AIDS2060

    Emily Bass on PEPFAR’s Data Spin, What South Africa’s Oral Histories Reveal & the future w/ AIDS2060
    2026/05/06
    Investigative journalist and public health expert Emily Bass returns to A Shot In The Arm with the most consequential update on the global HIV response in months. Drawing on a brand-new report from Physicians for Human Rights and South African partners — built from 40 oral histories — Emily walks Ben Plumley through the human cost of the Trump administration’s foreign aid disruptions, the staggering waste of dismantled prevention infrastructure, and the bizarre data spin emerging from the State Department. The episode also covers Dr. mike Reed’s headline-making resignation as PEPFAR’s Chief Scientific Officer, the dangerous quiet around supply chain contracts and bed-net procurement, and what the new “America First Global Health Strategy” is choosing to celebrate — and choosing to obscure. Ben closes with a preview of two new initiatives: AIDS 2060, a long-horizon project from A Shot In The Arm Media, and the rebrand of MTV Staying Alive Foundation to Shuga Global. 00:00 Welcome and Setup 01:18 Global Health Upheaval 03:13 PEPFAR Data Spin 04:07 South Africa Report 05:51 Prevention Platform Collapse 09:27 Clinic Breakdown Story 12:52 Why 18 Percent Matters 16:33 Community Resilience 19:22 Research Partnerships Lost 22:12 Treatment Disruptions 25:26 Trauma to Transition 31:11 Data Blackout Returns 39:07 Prep Data Mirage 42:08 Kids Treatment Declines 44:55 Age Data Removed 47:02 Congress Pushback 52:02 Supply Chain Breakdown 59:38 Last Mile Disaster Story 01:02:16 Orderly Transition Demands 01:06:23 AIDS 2060 Vision 01:10:35 Sugar Global Storytelling 01:15:20 Africa Led Future 01:20:42 Closing Thanks Read Emily Bass’ Substack: https://substack.com/@emilysbass Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.
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    1 時間 26 分
  • AIDS 2060 — An Exciting New Project from A Shot In The Arm Media

    AIDS 2060 — An Exciting New Project from A Shot In The Arm Media
    2026/05/05
    What the hell has gone wrong with the global HIV and AIDS response? Does it matter? And what do we need to do to fix it? Ben Plumley introduces AIDS 2060, a new project from A Shot In The Arm Media asking the questions the global health community has been quietly dodging for a decade. With 40.8 million people living with HIV, 1.3 million new infections every year, and the US sending the world into "septic shock" with sudden cuts to PEPFAR, the scale of the real challenge ahead is finally coming into focus. Over the coming months, we'll travel the world to gather insights from scientific, political, and community leaders — starting with an initial AIDS 2060 episode focused on San Francisco’s evolving epidemic and long-term plans. Look out for that episode dropping soon! 00:00 Welcome and Big Question 00:30 Why HIV Still Matters 00:57 Funding Shock and False Optimism 01:42 Introducing AIDS 2060 02:05 Looking Ahead to Future Conferences 02:19 World Tour and First Episode 02:42 Subscribe and Closing Thanks Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.
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    4 分
  • PEPFAR’s Dr. mike Reid Resigns on Substack: Equity, Authoritarianism, & the Future of Global Health

    PEPFAR’s Dr. mike Reid Resigns on Substack: Equity, Authoritarianism, & the Future of Global Health
    2026/04/25
    Ben Plumley is joined by Ambassador Eric Goosby, and by Dr. mike Reid to react to Reid’s recently announced resignation from PEPFAR on Substack. Reid describes his growing moral dissonance with an administration he characterizes as authoritarian, citing concerns that lifesaving HIV services could be conditioned on geopolitical or commercial interests, a deprioritization of equity, reduced emphasis on evidence-based programming, and rapid changes made without deliberation or stakeholder engagement. The conversation contrasts partnership-based global health diplomacy with short-term coercive quid pro quo dynamics, the push toward country ownership and government-to-government funding, as well as ensuring marginalized populations are still able to access comprehensive HIV services. Is there a need for PEPFAR to course-correct, and if so, how? Perhaps the future will depend on what kind of new administration comes into office in 2029… 00:00 Special Episode Introduction 00:33 Resignation Goes Public 02:53 Why Reid Resigned Now 07:50 Authoritarianism And Ethics 10:39 Quid Pro Quo In MOUs 12:28 Partnership Versus Coercion 15:30 Making Global Health Matter 18:13 Domestic Policy Dissonance 20:22 PEPFAR Not Fit For Purpose 23:56 Country Ownership Fast Track 26:21 Public Health Versus Politics 28:23 Who Gets Left Behind 31:32 Science And Sustainable Transition 33:36 Can PEPFAR Recover 35:54 Shared Blame and Dependency 38:14 MOU Enforcement and Penalties 40:56 Minerals Deals and Ethics 43:37 Lessons From Past Bilaterals 44:47 Building Sustainable Systems 47:45 Doing More With Less 50:50 Efficiency Integration and Tech 52:41 New Tools and Market Shaping 54:08 Personal Next Steps 56:41 Moral Ambition and Hope 01:00:51 Final Thanks and Signoff Read mike’s resignation on Substack: https://reimaginingglobalhealth.substack.com/p/stepping-away Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.
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    1 時間 5 分
  • Episiode 09 - Colon, Meet Cancer: Up and Down

    Episiode 09 - Colon, Meet Cancer: Up and Down
    2026/04/09
    Ben discusses living with stage IV colorectal cancer, noting fluctuating wellbeing and chemotherapy side effects including pain, nausea, fatigue, itchy skin, brittle nails, and poor appetite. He mentions infusion logistics, new pains and temperature swings, as well as anxiety about his PET scan. He observes minor changes in tumor and thyroid SUV values and plans to review these with his oncologist. Ben recommends Colontown for peer support and acknowledges recent losses in his community. 00:00 Welcome and Gratitude 00:46 Up and Down Health 02:02 Too Much to Say 03:31 Humor and Sports Talk 06:14 Time Travel Thoughts 08:21 Facing Death and Grief 09:34 Chemo Routine Update 12:33 PET Scan Anxiety 14:23 Mystery Pains and Symptoms 18:45 Planning Life Anyway 22:27 Travel Dreams and Politics 26:04 Reading PET Results Early 29:16 Wrap Up and Colontown 29:31 Final Reflections on Loss Visit Colontown! https://colontown.org Join the Conversation! If you or someone you know is living with cancer, share your experiences and thoughts in the comments! Check Out Ben’s Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.
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    33 分
  • HIV: Rethink, Rebuild and Rise Up - With the IAS’ Birgit Poniatowski

    HIV: Rethink, Rebuild and Rise Up - With the IAS’ Birgit Poniatowski
    2026/03/26
    Ben talks with Birgit Poniatowski, the Executive Director of the International AIDS Society (IAS), about the role of professional associations in the HIV movement and IAS’s convening power. Poniatowski describes IAS’s origins in 1988, its 13,000-member multidisciplinary base including people living with HIV, and its three main conferences: the IAS Conference on HIV Science (odd years), the International AIDS Conference (even years), and HIV Research for Prevention. They discuss why the International AIDS Conference remains vital amid abrupt funding cuts and shifting donor priorities, the limits and value of hybrid/virtual formats, and plans for AIDS 2026 in Rio with the theme “Rethink, Rebuild, Rise,” emphasizing rebuilding systems for long-term realities, financing and equity, and a broad prevention toolbox. Poniatowski also outlines IAS governance changes to embed community decision-making, priorities “2026 onwards,” youth leadership programs, her career path, and how to engage via the IAS website and volunteering. For more information visit https://www.iasociety.org/ Stephanie Nolan’s article on the state of negotiations between the US and Zambia. https://www.nytimes.com/2026/03/16/health/zambia-hiv-aid-minerals-trump.html 00:00 Welcome and Setup 01:08 What Is the IAS 03:01 IAS Conferences Overview 05:25 Why the Big Conference Matters 08:01 Are Conferences Worth It 10:20 Hybrid and Virtual Access 13:47 AIDS 2026 Theme 15:07 Donor Politics and MOUs 21:22 Rio Program Priorities 23:44 US Reliance and Europe 26:41 Reforming IAS Governance 30:06 Rebuild and New Leadership 35:22 Bergit's Career Journey 38:05 Music and Final Reflections 40:12 How to Get Involved 41:53 Closing Thanks and Subscribe
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    45 分