How the Gates Foundations values shape the world
This week we've been talking with Bill Gates copy of the bill and Melinda Gates Foundation and is trying to eradicate polio and malaria globally gates created a billion dollar climate investment fund. He has funded multiple factories to find a vaccine for Covid nineteen and the foundation is matchmaking companies around the world to get that vaccine distributed. Gate. Doesn't the position to do all of this because he's one of the world's richest people because he co-founded Microsoft and to be honest that's a little weird. So in part three here I asked Bill Gates how his philanthropy ends up doing. So much of the work of government he said some of it is mission creep take malaria. When we started out, we mostly thought that we would just increase the arm de because. You know for malaria, the people who die which at that time was over a million children a year they don't have enough money to have a voice in the marketplace. So there was no. Science, or willingness to fund on their behalf in a capitalistic system. And there was a little bit of foreign aid but much. So we came in, is the the biggest player in Malaria Ding. At first, I thought our role would just be to create the drugs and the nats. And that we weren't mean to fund the actual delivery side. Because once we have the tools. The uptake would be there in fact, it turned out that. It was much harder to. Have things delivered than we expected. So we were CO founder the Global Fund. Goes after three diseases HIV to Berkeley similar, and we were a founder of this Kavi organization that buys vaccines for the poor countries at the very lowest prices, and so those two institutions which we did in our first two years of existence to learn about delivery so far actually they've probably been the most impactful thing we've done. The R. D. promises to give us some amazing things including the tools that will help ascent malaria and. Make incredible progress on issues but the delivery side I underestimated how hard it was and how we would have to partner up to figure out what kind of axiom would be acceptable. What kind of medical intervention you know even how do you tell people that they really need to sleep under that bed net and that feeds back to the design of the product? Because you're a partner in the delivering, you see what's not working and we thought we could get women to take a daily pill. For, HIV prevention. And the uptake on that very very low, and so now we're working on something that you'd only have to take either a shot or a pill every ninety days because it looks like that would get uptake, but you're driven by the limitations of of uptake, and so that's why we've got to be deeply involved not just in rnd, but also the delivery side at what point do your priorities, the priorities of the foundation end up becoming the priorities for the world, and you've described a sort of a series of unintended consequences that pull you in deeper and deeper to. Ultimately, the work of governments in no case should countries depend on our philanthropy or any other philanthropy to solve a basic need? We can accelerate the RND and so yes, by spending money on malaria supposed to. Some. Fancy. Vacation or something. Yes. The world's resources are going more into malaria now than they did before and those million deaths are now down four, hundred thousand and so yes our values to change what gets funded in this economy and malaria just. was in my view grossly underfunded. You said it was either like it could be either malaria or a luxury. Good. But there's like a lot in between there and do you ever think maybe I. Should Turn My Lens on disinformation or wealth inequality or racism in the United States. Well we spend. We have two big things. We do one of inequity in the US, which is lot about education, and then there's global health I do believe you really have to focus and become expert. We're basically saving a life for less than a thousand dollars per life saved. These miraculous interventions in other fields. People have brackets interventions through the giving pledge. Make sure lots of plant perceived these high impact things some problems. Government's spending way more than plant. Can haven't been able to solve. So mostly flat becomes up with pilots pilots. Of a mentoring program pilots of. How schools could organize a bit differently. So we do a Lotta that but once we've committed to Milorad occasion we're not going to abandon that. Sadly, there's very few fields where you can save millions of lives for small sums of money. Bill Gates is Co Chair of the Gates Foundation.