Within the field of global health — and development more generally — there is broad agreement that unfair power balances exist. Donors wield most of the power and determine what gets funded, who is an expert, what gets researched, and who researches it. A large amount of money and power flows to organizations in high-income countries — not to the countries where their programs are focused. As a health economist from Ghana, Chris Atim shares his take on the decolonization of global health.