In a changing landscape, where foundations are spending significant amounts on health care and public and private budgets have been doubled, the results hoped for in the sector have still not been realised. Health inequalities between rich and poor are increasing despite major advances in global wealth. In Issue 12 of The Broker the Special Report focused on ‘Health for all’ reviewing three recent and authoritative reports and revealing that there is a general consensus among health experts of a need for significant change in global health policy. Following on from this The Broker is hosting an online debate with contributions from experts and specialists. We asked: is there support for such change? What does this new approach imply for the daily practice of health care? and who should take responsibility?