Confederation vs. federation - regional groups have too much power & appointments aren't change inducing - confederations are unified offices & federations are governing bodies 2. Sovereignty acceptance - gov. power to rule w/out interference, WHO has to accept that they don't have sovereignty over intra/international decisions made by nations 3. Financial Issues & Budgeting - 70% financed from donations = no core budget assurance, - health ministers have less clout and thus less connection to financing ministers 4. Mission Creep - Fundamentally they shifted to cover too much 1948 - "the attainment by all peoples the highest possible level of health" 2009 - expansion into highly politicized areas w/out additional financial/ managerial support/ability