Forbes January 19, 2026
David Walcott

The world’s attention has returned to borders. Territorial claims, once thought settled, are again contested. Yet while governments fixate on borders, a quieter and more consequential remapping is under way. It concerns not land, but care. The geography of healthcare innovation is changing – with the best solutions not only emerging from the richest systems, but from those that have had no choice but to function under constraint.

Emerging markets, home to roughly 85% of the world’s population, have long been cast as adopters rather than originators of healthcare innovation. That distinction is eroding. As health systems everywhere confront the same pressures – rising costs, labour shortages, ageing populations and operational fragility – the most resilient responses are increasingly emerging...

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