The article describes the challenges for health equity researchers in the context of a changing political climate. The author highlights the impact of policy changes on research funding, where in the US there has been a 15% reduction in NIH grants for projects focused on the social determinants of health in 2025-2026. It suggests survival strategies such as diversification of funding sources, including private foundations and international partnerships. He recommends building coalitions with other disciplines, such as economics and public policy, to strengthen the argument. Researchers should focus communication on measurable outcomes, such as reducing the mortality gap by 20% in disadvantaged communities. The article emphasizes the importance of adapting to political pressures without compromising ethical standards. Published in Nature Medicine 6 February 2026 (doi:10.1038/s41591-026-04227-7).