A rising Asia brings to the global arena a new set of increasingly influential players with their own values, histories and strategic considerations. It remains to be seen if these shifts will lead to a clash or convergence in the management of global issues. The critical issues include Asian actors’ treatment of sovereignty, their preferences on institutional design, and conceptions of their role in global governance. Global health is fraught with a whole range of collective action problems, which we are failing to address effectively with existing institutional arrangements. This is in part because these institutions are embedded in an anachronistic world order in which Asia is governed rather than governing. Bridging this disconnect will require multiple adjustments. Existing actors involved in setting global health rules will need to adjust to take into account opportunities, constraints and perspectives from the Asian region that may have thus far been neglected. At the same time, Asian state and non-state actors need to be engaged as co-shapers of the global order – not just in terms of material contributions to existing initiatives, but also in terms of leadership and ideas for reforming and strengthening current institutions.
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