The recent deaths of former African presidents Muhammadu Buhari and Edgar Lungu while receiving medical treatment abroad have reignited discussions about the confidence African leaders place in their own countries' healthcare systems. This trend of seeking medical care in foreign facilities raises questions about investment in and the quality of healthcare available to ordinary citizens across the continent. The deaths underscore a potential disparity between the resources available to elites and the general population, prompting renewed calls for improvements in African healthcare infrastructure and services.