It is not just Trump’s funding cuts that have led the country to a health crisis. The real collapse comes from a lack of political courage to actNo one should be surprised that the health system in South Africa is straining in the aftermath of Donald Trump’s cruel gutting of HIV funding. What is shocking is the political will to pretend otherwise.As public health workers, researchers, academics, people living with HIV and civil society organisations, we reject the narrative put forward by the government that things are “under control”. Testing has dropped. Frontline workers are being dismissed. Clinics that served our most marginalised communities have closed or are struggling to keep their doors open. And those most affected, such as transgender people, sex workers and drug users, have not been meaningfully included in any transition planning. The National Treasury and the Department of Health are at odds with each other. Officials within the health department are at odds with each...