In the mission to advance global health, we often celebrate the arrival of new medical technologies: the MRI machine, the ventilator, the infant incubator. We must also consider what happens after the ribbon-cutting ceremony. The shocking reality is that in many low- and middle-income countries (LMICs), a staggering percentage of this vital equipment, in some regions as high as 50%, is out of service. This is a systemic failure, resulting in cancelled procedures, delayed diagnoses, and preventable deaths. As our foundational webinar, “Introduction to Medical Equipment