In the shadow of conflict, the Central African Republic is grappling with a decades-long health crisis. Here, in a country of 5.5 million people, access to healthcare is all but impossible and life expectancy is little more than 54 years. For years, Doctors Without Borders/Médecins Sans Frontières (MSF) repeated calls for more action from governments and humanitarian actors. Yet, the situation worsens, and our teams and the communities we serve are left wondering: Where is everyone?