Along the shores of a continent long accustomed to sending its most gravely ill abroad, Tanzania is quietly rewriting that story. A 112 billion shilling agreement signed in Dar es Salaam this week will expand the Jakaya Kikwete Cardiac Institute at Mloganzila, doubling its capacity through a China-backed partnership rooted in the 2024 Forum on China-Africa Cooperation. The expansion speaks to something larger than bricks and catheterization labs — it is a deliberate act of medical sovereignty, positioning East Africa as a place that heals its own.