The Seventy-eighth World Health Assembly commenced in Geneva, marking a significant moment as the United States notably abstained from participation for the first time. This absence comes at a critical juncture as the World Health Organization (WHO) navigates through an existential crisis prompted by substantial funding cuts from the U.S., leading to severe operational constraints. WHO Director-General Tedros Adhanom Ghebreyesus emphasized the dire implications of these cuts, revealing that over 70 countries are currently deprived of essential medical care. As the WHO seeks to address its $2.1 billion budget request, comparisons are made to the costs of war to underline the urgency of adequate funding. The assembly will also discuss a pivotal global pandemic preparedness accord, seen as vital for protecting marginalized communities. Amidst these challenges, the WHO has experienced leadership changes and is facing workforce reductions, further complicating its ability to respond effectively to public health needs.