Left #UNGA80 more hopeful than when I arrived. Yes, UN reform struggles, but real innovation is alive: African leaders redesigning aid architecture, philanthropists scaling practical solutions, tech-driven local approaches gaining traction. What’s your take?

The systems driving multilateralism & global devt are being tested like never before. Yet 1600 ppl still showed up to Devex Impact House to push forward. That tells you something about this community. We’re doing this again World Bank/@IMF mtgs next month. Stay tuned. #UNGA80

Just learned 1 in 4 Americans has silent liver disease and most have no clue Got my liver scanned @ #UNGA80 using Echosens FibroScan (shoutout to our friends @ISGlobal for setting this up). Literally 60 sec, done Wild that we can now scan organs as easily as checking our pulse

Samantha Power's takeaway from USAID shutdown: Development orgs and social enterprises have freedoms govt never had — faster decisions, flexible funding, direct local partnerships. Her message: use that edge. NEID Global The Philanthropic Initiative (TPI) 📷 Craig Keenan Photography

Power shift: Gates Foundation is World Health Organization (WHO)'s largest funder. USAID gone, EU aid slashed, billionaires hold $16T. When private wealth fills the public health gap, what guardrails do we build? Just shared insights in Health: A Political Choice: edition.pagesuite.com/html5/reader/p… The Global Governance Project

USAID gutted. Europe pulling back. Everyone's scrambling for Plan B. But what if the answer isn't new donors - it's a new frame? Every health dollar trains workers, builds markets, grows economies. Health isn't a cost - it's infrastructure.

Three takeaways from Paris Peace Forum: Paris Agreement turns 10 with Brazil leading climate push, food security everywhere, and Ukraine - where Howard Buffett is largest private donor. More insights: