Global health. The current scenario and future perspectives

284 declared as barriers to implementing Global Health Diplomacy in the country, the absence of real coordination between the Ministry of Health and the Ministry of Foreign Affairs is striking. It is essential to highlight that, due to various methodological and feasibility reasons, most key actors interviewed belonged to the public or state sector. While diplomatic activity is essentially a State task and health priorities should also emanate from this sector, a notable narrative finding was the observation of power struggles among institutions and stakeholders with influence on these issues, like the industry and civil society, to impose agendas on various health topics. Future scenario The results of the discussed study provide an empirical foundation for an initial approach to the concept of Health Diplomacy. The perspective from a high-income country, situated in a region that experiences many of the typical challenges of the Global South or “underdevelopment”, can offer valuable lessons to the global community. As Chile navigates through an ongoing constituent process and a significant shift in the political landscape, its Global Health Diplomacy is poised to gain greater relevance in an uncertain scenario. Epidemiological surveillance, vaccine management and addressing the economic impact of Covid-19 in the context of significant migratory flows are examples where international health-focused activity will become a crucial pillar of Chilean foreign policy. While there has been a perception of competitive eagerness among Latin American countries in managing the pandemic, the emergence of recurring variants underscores the need for collaborative efforts, particularly in ensuring equitable access to immunization across regions and countries. The failed drafting of a potential new constitution in Chile raises key issues such as the Right to Health and retrospective respect for international treaties signed by the country, including trade agreements. This places diplomacy as a highly relevant tool in navigating definitions regarding access to healthcare for migrant populations, sustainable development and production models, while respecting environmental and cultural aspects in dealing with foreign investments. In South America, the influence of conservative governments in recent years has resulted in a hiatus in one of the region’s integrative efforts, Unasur, with attempts to replace it with another structure called Prosur. However, despite ideological affinity among its members, Prosur has not