Decolonization in global health has gained popularity as a trendy topic, but the language of equity and justice falls short when it comes to practice. Richard Horton’s “Offline: The case for global health” (Lancet, May 2023) pushes us to struggle against deeper issues in our field, including power and money imbalances, unearned privileges, racism, and the omniscience to decide the narrative and tell the global south what it needs. While global health professionals engage in internal battles, the true adversaries…