Desmond is a Ghana-based health policy consultant whose pointed critique of neocolonialist thinking in global development – “How (Not) To Write About Global Health”, published in the BMJ Global Health journal – went viral on the Internet. His ironic approach to deeply serious problems has earned him a reputation as a humorist, but he sees nothing funny about the lack of accountability in global health. “It’s hard to tolerate when you see the dangers firsthand. I felt an obligation to speak up because these [behaviors] have a direct impact on the lives of vulnerable people and allow injustices to persist,” he says.