"Working between Africa and the US lets me experience both worlds in their rawness, and I navigate a kaleidoscope of emotions. My two strikingly different realities force me to live in the shadow of survivor's guilt, and I'll remain here until I know that people everywhere have access to a life-saving vaccine." Maji Hailemariam Debena, PhD, assistant professor, writes about survivors' guilt during the COVID-19 pandemic and issues of health inequity from the perspective of an African researcher living in Flint.