In this globalhealthpolicy.net blog post, Andrew Harmer, a research fellow at the London School of Hygiene and Tropical Medicine, responds to an article published last week in “Policy Review,” a publication of Stanford University’s Hoover Institution, by Mark Dybul, co-director of the Global Health Law Program and the inaugural global health fellow at the George W. Bush Institute; Peter Piot, director of the London School of Hygiene and Tropical Medicine; and Julio Frenk, dean of the Harvard School of Public Health. He responds directly to several points made in the article, which discusses the need for “a structural and philosophical shift” in the global health field, and concludes, “The authors say they are presenting ‘a radical vision.’ … All I can see are further retrenchment of paternalistic development principles, the same global health financiers financing global health (albeit now with more control over what and how that money is spent), and a greater role for the private sector in global governance” (6/14).