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A Critical Examination of Bill Gates' Philanthropic Record

sam_handelman writes "The common perception among Slashdotters is that while Bill Gates may cause us some professional difficulties, he makes up for it with an exemplary philanthropic record. His philanthropic efforts may turn out to be not as altruistic as one may think. Edweek, not ordinarily an unfriendly venue for Gates, is running a series of blog post/investigative journalism pieces into what the Gates' foundation is doing, and how it is not always well received by stakeholders."

52 of 370 comments (clear)

  1. Foundations are tax shields by Anonymous Coward · · Score: 4, Informative

    See subject: Anyone that's worked with foundations knows it. I had some dealings with companies that set things like that up for the extremely wealthy whilst I lived in NY City in 2003.

    I.E.-> It's better to spend monies on foundations than face tax penalties that would otherwise ensue. You're probably not that much different, considering you probably have monies in IRA's, property, or business investments!

    * So - Does this make "King Billy" (I call him that out of respect, NOT ridicule & I have for years) some 'evil guy'? No.

    (He's just doing what he has to with HIS monies, and in the most sensible manner possible. Were you in his shoes, would YOU do anything differently with YOUR money? I doubt it.)

    APK

    P.S.=> Conversely, does it make him a 'saint'? No, of course not - he's just a guy managing his money, and he does a good job of that... I like his educational investments the most! apk

    1. Re:Foundations are tax shields by Anonymous Coward · · Score: 5, Insightful

      You are absolutely right. Having the choice between Bill Gates and Steve Jobs ways of dealing with wealth I prefer the philanthropic effort/foundation path offered by Bill. To my mind this difference is also what eventually will make Bill stand out as as the greater man. *hides*

    2. Re:Foundations are tax shields by hairyfeet · · Score: 5, Interesting

      Well I DID read TFA and basically its just the word "foundation" wrapped around a lobbying group. Surprise surprise, rich people that reach the level of Gates, Jobs, and Ellison are greedy self serving douchebags, news at 11.

      I mean who didn't know that? while I'll give him credit for using what must be a ripped off copy of Job's old RDF when it came to the foundation, seriously guys, who did NOT know the uber rich are greedy soulless self serving douchebags? You see those of us that DO have a soul, and thus a conscience, couldn't actually stomach sitting on billions of dollars while knowing the guy down the street is praying his 92 Dodge stuck on the side of the road will start because if it don't and he misses a day of work he's gonna be homeless, we just couldn't do it.

      Hell I'm not rich by ANY means yet I've given away more computers and more of my time than I could ever count, and not taken a cent off of anything because that is not what it was for it was for making someone else's life a little bit better, for helping some single mom or as I've been doing with the guy downstairs helping a guy who has nothing become computer literate. Has someone like Gates EVER invited someone who had no place to go into his home for Xmas dinner? I doubt it,and before anyone asks yes I have, but I didn't do it for any type of credit or recognition, I did it because it was the right thing to do.

      So while I'm glad the RDF is starting to fail on the foundation I'm frankly not surprised its a greedy self serving foundation because i have yet to see a single one of the billionaires that aren't just as I described, more sociopath than normal person by a LONG shot. Hell Jobs fucked over Woz with the Atari sale and he was supposed to be Jobs best friend and without him he would have never had a company, I'm sure if you looked into Gates and Ellison you'd find just as many cases of them royally fucking over people that were honestly trying to be friendly and help them when they were starting out. The pure unadulterated greed required to get to that level, to truly be one of the 1%, just requires a viciousness that most of us thankfully do not possess.

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    3. Re:Foundations are tax shields by SuperAlgae · · Score: 3, Insightful

      He's just doing what he has to with HIS monies

      No, that's one of the main issues raised by the article. You should go read it-- it's quite interesting. Gates uses his foundation's leverage to direct other charitable funds into projects that support his personal world view. Instead of being chosen by their public merits, the projects are determined by the influence of Gates, and those projects get money from more than just the Gates foundation.

    4. Re:Foundations are tax shields by kestasjk · · Score: 4, Insightful
      I read the article and it is indeed troubling..

      African and Indian agricultural workers maintain that the Foundation's philanthropy is environmentally toxic , and undermines vital agricultural development that respects local conditions.

      This one grabbed my eye, but the article is full of them; I checked the link, and there's no mention of the Melinda Gates Foundation..

      Diana Ravich comments on the Gates Foundation's proposed education reforms:

      I am also puzzled by the Gates Foundation’s persistent funding of groups that want to privatize public education. I am puzzled by their funding of “astroturf” groups of young teachers who insist that they don’t want any job protections, don’t want to be rewarded for their experience (of which they have little) or for any additional degrees, and certainly don’t want to be represented by a collective bargaining unit.

      So she's a teacher who is suspicious of young teachers who don't want to be in unions, and want to be rewarded for performance instead of how long they have been teachers / how many degrees they have?
      That's understandable for an elderly teacher with degrees, who is in a powerful union and has many job protections, but there's really no substance to the blog article other than "Gates doesn't know about education".

      I also spotted some fear mongering about the initiative to start a "Green Revolution" in Africa (i.e. to bring its farming on par with other places in the word, to reproduce the massive productivity increase it brought in Asia). They talk about affecting the lifestyle of poor farmers, and the risk of genetic patents, but that's a bit narrow-sighted when you're just talking about bringing African agriculture up to standard.

      They talk about his investments in blind trusts to sustain the fund, and the way the fund is used to try and lead the way for public money, as if those are bad things. They talk about the use of GlaxoSmithKline to deliver vaccines, reminding us that GSK was recently involved in some scandal, but ignore that drugs and vaccines are what GSK does, and obviously if you want to ramp up production of malaria vaccines you're going to need to involve big pharmaceutical companies.

      The whole article seems a bit desperate really.. I'm not sure if it's just a laundry list of vague associations or if it's trying to make some point. Is it questioning Gates' motives? If it is it doesn't make it explicit, it just makes ambiguous jabs.

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  2. Shareholders don't like it? by knuthin · · Score: 5, Funny

    A fair amount of Microsoft's money is going to wipe out malaria and polio and shitloads of other diseases, on people from nations who will grow up to use pirated software. No wonder the scumbag stakeholders are pissed.

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    1. Re:Shareholders don't like it? by Jah-Wren+Ryel · · Score: 5, Informative

      A fair amount of Microsoft's money is going to wipe out malaria and polio and shitloads of other diseases, on people from nations who will grow up to use pirated software.

      A lot of the Gates Foundation's spending on medicine has served a secondary purpose of bolstering drug patents - they won't spend money on drugs from local generic manufacturers in countries that do not heel to US drug patent laws.

      No wonder the scumbag stakeholders are pissed.

      You seem confused as to the meaning of "stakeholder" - it is not shareholder. It is a term that refers to everyone with an interest in an outcome, not just those with money at risk, but the people who's lives are at risk too - nominally the ones being "helped."

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    2. Re:Shareholders don't like it? by Udo+Schmitz · · Score: 4, Informative

      *Stake*holders. As in people with an interest in donations having the best possible impact.

      From TFA: “Donor nations were shocked last month, when UNICEF disclosed that it has been forced to pay artificially elevated prices for vaccines under an arrangement called the Advance Market Commitment, which was brokered by Gates Foundation-dominated GAVI alliance, to greatly increase drug company profits. Stakeholders also worry that industry reports of particular vaccine's effectiveness might be skewed by marketing goals.”

  3. Not a strong case by Anonymous Coward · · Score: 5, Insightful

    While it seems credible that some money comes back to Bill Gates, they aren't making a strong case that this would actually be his goal. AFAIK he's getting poorer (less rich) rather than richer now. Also, he would have very little incentive to get even more money other than to pump it back into the foundation. This article does not convince me that this isn't real charity and AFAIK many projects have also been very effective and helpful.

    1. Re:Not a strong case by Doc+Ruby · · Score: 5, Informative

      Donor nations were shocked last month, when UNICEF disclosed that it has been forced to pay artificially elevated prices for vaccines under an arrangement called the Advance Market Commitment, which was brokered by Gates Foundation-dominated GAVI alliance, to greatly increase drug company profits. Stakeholders also worry that industry reports of particular vaccine's effectiveness might be skewed by marketing goals.

      That part of the article, just one point in it, says that Gates is enriching himself at the expense of the people his charity serves. There are many other points about how his charity's work is counterproductive.

      You're an anonymous coward. I say you work for the Gates Foundation.

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    2. Re:Not a strong case by hairyfeet · · Score: 4, Insightful

      Sorry AC but you are missing the point. When money gets to gates level it is no longer about the money its about the POWER and his foundation has been using their money to ensure the power stays in the hands of multinationals (like MSFT, Monsanto, big pharma) and out of the hands of the people. this ensures the status quo and makes sure USA patents and copyrights will be upheld in these countries which benefits Bill directly, not to mention all the stock I'm sure he has in the other megacorps like Monstanto and big pharma.

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    3. Re:Not a strong case by Anonymous Coward · · Score: 3, Interesting

      You're an anonymous coward. I say you work for the Gates Foundation.

      And suddenly you discredited everything you just said.

  4. a problem with large nonprofits in general by Trepidity · · Score: 3, Insightful

    Large nonprofit organizations get increasingly likely to be run in questionable ways. The most common failing, of course, is just the usual inefficiency and bureaucracy. But when you're moving around millions or billions of dollars, opportunities for personal interest and corruption are around many corners. As this article notes, nonprofit-corporate partnerships may benefit corporate shareholders, depending on how the partnership is structured (who fronts the money, who benefits, what long-term effects are generated, etc.). And even at levels below official big partnerships, there are always decisions being made: using a contractor here or there, adopting one technology or methodology over another one, etc. It's just really hard to move around billions of dollars without an array of consequences, sometimes intended and sometimes not (and sometimes intended by some people and not intended by others).

  5. So basically... by Pionar · · Score: 5, Insightful

    It sounds like Edweek is complaining that the Gates Foundation channels its money through private enterprises to achieve its goals instead of corrupt African dictatorships?

    Why do people think they have a voice in how a private not-for-profit spends their money? The Gates Foundation does a lot of good. This seems like a lot of knocking down the guy on top.

    1. Re:So basically... by sam_handelman · · Score: 5, Informative

      In fact, no, that is not it either. Plenty of money is going to corrupt African dictatorships.

        But money is being directed AWAY from public health infrastructure, and the people who are complaining about it (I know: too much to ask for you to read the article) are doctors and public health workers in the African countries.

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    2. Re:So basically... by sam_handelman · · Score: 5, Insightful

      Oh, please, that's just complete bullshit.

        I'm assuming you didn't actually read the article? Perhaps you read the careful research in the primary source:
      http://www.ghwatch.org/sites/www.ghwatch.org/files/D3_0.pdf

        Pharmaceutical companies make third world dictatorships look like Finland.

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      The good and new comes from no quarter where it is looked for, and is always something different from what is expected.
    3. Re:So basically... by h4rr4r · · Score: 4, Insightful

      You mean like BP oil spill levels of accountability?
      Well, maybe you mean union carbide in Bhopal?

      People are people, the only difference between private and public is that at some point you might be able to vote to impact the nature of a public policy.

    4. Re:So basically... by Doc+Ruby · · Score: 5, Insightful

      No, that's not what Edweek's writer is complaining about. They're complaining that Gates' foundation is doing quite a lot of harm for private benefit. It specifically points out how African doctors, not dictators, are watching patients die because Gates forces healthcare to work only on what benefits Gates, rather than any of the other medicine that could save lives. Gates sucks all the oxygen out of the room, and people literally die from it.

      I don't see how you can miss the many examples the article points out. You really should either read it again, or explain what vested interest (financially or ideologically) you have that makes you unable to notice it.

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    5. Re:So basically... by Doc+Ruby · · Score: 3, Insightful

      No, you're just blurting out whatever your ideology tells you, with no actual knowledge or experience of African healthcare, government or economy. Nor do you evidently care about African people, since you're more interested in standing against them out of ideology than just looking into it before defending the people being harmed.

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  6. Not Me by eldavojohn · · Score: 5, Interesting

    The common perception among Slashdotters is that while Bill Gates may cause us some professional difficulties, he makes up for it with an exemplary philanthropic record.

    Not me. I've voiced my concerns that are not so warmly received.

    The short of it is that I think what Gates is doing is great but I don't understand why they buy research facilities in America and not Africa or why all the drug companies that get to sell their cures to Africa are all American. I mean without stability, roads and other infrastructure, Africa is going to constantly need someone else to fix their problems. And the money from the B&G Foundation stays in America invested in American companies that pays out to American companies that provide "cures" for Africa. It will perpetually work that way.

    Imagine aliens landed on Earth, took an assessment of us and were saddened to see war, pollution, poverty, etc. So they say they're going to help us and they buy 10 long range matter transmitters from another alien race and give them to Earth. But if we ask them on how to make the transmitters ourselves they just laugh and say "Please, you're still searching for subatomic particles. Plus, you're just going to use them for war if you can make them. And on top of that, you would have to pay sums you cannot fathom to the alien race who invented these machines. When these break, we'll get you some new ones." Meanwhile they're receiving accolades from the galactic senate and Earth remains full of war, pollution, poverty, etc.

    It's a horrible truth but the one thing Africa has a lot of is humans. Life is cheap there. If you want to reverse that, you need to introduce stability and then farming and then commerce. There are huge areas where crime, corruption and warlords make it impossible to raise crops. Curing malaria is important but it isn't going to stop that from being the hungriest place on Earth. And it's not going to raise the value of human life there. Gates' idea to fix that is to pair up with Monsanto (surprise another American company with tons of IP). Right. I wonder if they'll patent the seeds they breed that grow well in regions of Africa?

    Just like thinking up a new microfinancing system can win you a Nobel Prize, ideas on how to make areas secure and stable will go much further for farming in Africa than importing Monsanto seed with terminator genes.

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    1. Re:Not Me by Blahah · · Score: 4, Insightful

      1. It would be crazy to try to solve disease by creating research facilities in Africa, when there isn't the infrastructure or educational standard to support to work. Cures will develop much faster in developed nations.
      2. Ditto with American drug companies - which African ones are large and stable enough to handle the work?
      3. You're describing aid programmes with your alien tech analogy, which are flawed for the reason you give. That's not how the Gates Foundation works. I can only speak to their agricultural development work, but it is not similar to an aid programme - they invest heavily in R&D geared towards specific high-impact goals. They are investing the money where they think it will have the highest impact per dollar spent.
      4. I agree about the fundamental problems in Africa, but those aren't the remit of the foundation. They are about developing technological solutions, not about steering political and economic change, which is much less concrete and difficult to engineer. Frankly, whether or not you think it's the major problem, the tech is needed.
      5. MONSANTO DO NOT USE TERMINATOR GENES. NOBODY DOES. It's crazy how many people have this idea, but there have never been seed with terminator genes on the market from any company. The technology *was* developed to an early stage by the USDA and a small agro company, who were later bought out by Monsanto. Monsanto made a public commitment to abandon the terminator technology when they acquired the company.

      The simple fact is that the Green Revolution worked in Asia, it raised nearly 1.5 billion people out of frequent famine. Whether or not it created a perfect system, it got massive humanitarian results. It couldn't have happened if it didn't leverage existing infrastructure including plant breeding and seed companies, as well as agrochemical producers.. The same is true of Africa - if agricultural production is to be massively increased there within a reasonable timeframe, it needs to be done using the best infrastructure we have available, which includes having the world's major seed companies involved in seed production.

    2. Re:Not Me by Xest · · Score: 3, Informative

      But on the flip side, if it's purely a tax dodge, why does Gates invest so much of his personal time visiting poor parts of the world, and speaking publicly about the issues his foundation is attempting to deal with?

      He'd have no reason to do this if it was a tax dodge, he could just keep to himself and let it do it's thing, but he doesn't, he gets actively involved.

      Maybe they buy research facilities in the US and not Africa because their key focus is on solving the problems they've set as their priorities - like dealing with Malaria. Giving Africa the resources to deal with the problem isn't just a case of building a research centre there - you need a strong talent pool to go with it, which means also building up an education system in the region of the research centre that is on par with Western areas, and then further waiting until the required staff pass through that education system with the skills needed.

      His foundation does fund educational initiatives also, but how does that help them deal with the problems in Africa right now? Funding better education and research centres on the continent is a long term investment - you can't just stick a research centre there and assume it to magically fill up with MIT and Cambridge quality grads - it takes time.

      So what do you suggest as an alternative? set the groundwork and just wait 20 years until that groundwork has flourished to the point it can deal with the problem? or do both- which is precisely what they are doing. Using American talent now, to deal with immediate problems, whilst sowing the seeds for an Africa that can better help itself with these problems through it's funding and investment in education.

      The fact is there are far better tax dodges around, ones that require far less personal effort and involvement if that was the only aim. It may well be that Gates uses his foundation to further the financial fortunes of friends and so forth as a side thing, I'm not denying that, but he clearly has a lot of actual personal interest in solving problems too, and that's far better than merely being a tax dodge, or simply hoarding fortunes for the sake of hoarding which just about every other billionaire does.

    3. Re:Not Me by Blahah · · Score: 3, Insightful

      Not all of Africa is warlords and mud huts. Are you racist, or is this just typical ignorance?

      I never suggested it was. The quality of biological research in most African nations is so bad as to be meaningless when compared with developed countries. It makes no sense to try to tackle the biggest biological challenges of the century using the worst labs and worst educated researchers in the world. It's a sad fact, but a fact nonetheless. It's got nothing to do with race.

      !American != African. Logic fail, kid.

      I oversimplified in response to parent, but this was your logic fail. I never asserted that there was a binary choice between African and American, I just used the words used by the parent. The Gates Foundation does not only use American companies - GSK for example are a UK company.

      And draw human and logistic resources away from other goals that health care professionals are already working on.

      Firstly, the GF is trying, as every philanthropic organisation must, to prioritise the most important work. Of course that means some people will work on the more important problems, that's the whole point. They add funding and structure, the work gets done. Secondly, they are primarily *adding* resources to the (African) system, not diverting them.

      Right, if your goal is to spread the dominance of Big Pharma, you don't have to worry about whether people are dying faster than you can vaccinate them. You just give out a bunch of vaccinations, declare MISSION ACCOMPLISHED and move on.

      This is trollish. Perhaps you have not actually read the article or about what work the GF supports, but this isn't it.

      Yes, actually, this is one of the world's great tragedies. The terminator genes can never do worse than decrease yields, and in exchange they would prevent other farmers' fields from being contaminated with Monsanto's IP, which would prevent Monsanto from stealing their land. In fact, we should have demanded that every GMO plant ANYWHERE IN THE WORLD be modified with Monsanto's terminator gene. The down side, bad seed practices. The up side? No accidentally saving seed and getting assraped by Monsanto.

      I don't completely disagree. But what do you mean by 'bad seed practices'? Licensing their technology? I think you misunderstand how the world is being fed - it's by farmers who willingly buy licensed seed because it is more productive and generates higher yields and profits for them than other alternatives. If they want to cheat by breaking the license conditions, they face the legal consequences. Most don't, and they feed the world under that system.

  7. Re:All charity ends by stewbacca · · Score: 3, Insightful

    Where is the money supposed to come from, tooth fairies?

    This is a story about how philanthropic Bill Gates is, so yeah, the money comes from him. That's the whole point of charity -- you give away portions of your wealth for a cause.

  8. Re:All charity ends by FriendlyLurker · · Score: 5, Insightful
    Probably feeding the troll, but here goes... running health (amongst other "social" activities) as a business, how is that working out for ya, USA?.

    Donor nations were shocked last month, when UNICEF disclosed that it has been forced to pay artificially elevated prices for vaccines under an arrangement called the Advance Market Commitment, which was brokered by Gates Foundation-dominated GAVI alliance, to greatly increase drug company profits. Stakeholders also worry that industry reports of particular vaccine's effectiveness might be skewed by marketing goals.

    Bill & Melinda Gates Foundation proves once again that leopards dont change their spots.

  9. WTF? by Anonymous Coward · · Score: 5, Insightful

    This is a bad hatchet-job.

    For example, it demonizes the Gates Foundation for having some partnerships with Monsanto. Without discussing the details of the actual partnership, and the expected status quo, and the change the partnership creates.

    It effectively creates a vast conspiracy of things the author doesn't like. And then blames them on the Gates foundation, because it does some things they don't like. Like their portfolio is in a double-blind trust that can own stock in evil corporations like coca-cola. Which is a fair criticism, buried in the middle of a paragraph halfway down the page. There is some content in here, but it's either buried or so biased that it is like listening to Noam Chomsky.

    And it mentions leverage like it's a dirty word.

    The quality of slashdot is really going downhill when this kind of thing makes it onto the page.

    1. Re:WTF? by Wovel · · Score: 5, Insightful

      It was a hatchet job.maybe it just appears that way to those of us who read the summary here first. We were told to expect investigative journalism. We read a heavily biased opinion piece. Very little facts. I read the whole thing. There is no substance. I am not sure if you are being deliberately obtuse or have a similar axe to grind.

      Where is the investigation? Where is the journalism? The author read some news articles and a couple of opinion pieces on-line and wrote an extremely slanted summary. Who did she talk to? What was uncovered?

      The EdWeek readers want Bill to take a hit for supporting teacher testing. Why don't they stick to a topic that fits into their magazines core competency.

  10. Re:Speak for yourself, bucko by serviscope_minor · · Score: 4, Insightful

    So, do I need to RTFA to have that confirmed, or is that pretty much the gist of it?

    Hey, I've got an idea. Try RTFA.

    I know, new here etc etc...

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  11. saving as many human lives possible by Prof.Phreak · · Score: 3, Interesting

    Eh, nice try. Consider ``saving as many human lives possible'' being pretty much the only goal, and all starts to fall into place. It's not about making folks happy, or not leveraging, it's about getting the most saved lives for your moneh, using whatever means [if it means using your moneh to get more moneh, good, if it means using your politics to get others to go along with you, good, etc.].

    Heck, it's one of the few non-profits that does things by the numbers. Look around, see what you can do with your $$$ that saves the most lives: identify stuff like malaria, and HIV,... which one kills most folks? malaria. So HIV gets no attention, at least not while other things are much bigger killers.

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  12. Re:All charity ends by roman_mir · · Score: 3, Insightful

    And that is what I am talking about, if you build an entire business out of charity, you should make it profitable, you should be able to show that your management costs are very low and that the money that the charity is providing is mostly making it to the actual recipients of whatever the benefit is, and if you can show that, then you can run the charity as a business by hiring people and advertising the fact that you are a very efficient charity and those who want to donate to that cause should do it through you rather than through other charity groups, because you are the most efficient in it.

    Only donating your own money is one thing and it always ends, one person's resources are not limited. Creating a steady stream of donations by running a successful charity business is another.

  13. Re:All charity ends by poetmatt · · Score: 5, Insightful

    Yet people have been denying this from day one on the phrase of "oh it's philanthropic".

    If someone can't figure out that working with Glaxosmithkline, Monsanto and Coca Cola (who happily works with Cargill, as if they aren't bad enough on their own) might be a bad thing, then they deserve to have a fast one pulled on them by the Gates foundation.

    Maybe now people will realize that Bill Gates didn't step down to do "Great things for the world". He stepped down to continue the Microsoft concept of business and expand it *further*, outside of the US's reach.

  14. Re:All charity ends by Anonymous Coward · · Score: 5, Insightful

    Shout all you like that the problem with health care is the US government, nobody can hold up an example country with fully privatized health care which is being run well (Well as in, people dont die early or have to live with treatable health problems for lack of income, not well as in it makes corporates boatload of money).

  15. Re:All charity ends by h4rr4r · · Score: 3, Interesting

    Mr.Gates resources are actually pretty close to not limited. He could easily set enough aside for the foundation that only the interest would ever have to be spent.

    No matter how you run it though there is no need to use it as a tool to make people spend more money.

  16. Re:All charity ends by stewbacca · · Score: 4, Insightful

    Well I know this won't be popular, but you shouldn't build a "business" out of a charity. You should, however, run your charity like a business to make sure it is efficient. If you make your charity a true business then it is no longer a charity...it's a business. I'm thinking not-for-profit or non-profit here, but I am not intelligent enough to understand the nuances.

  17. Billionaire businessman favours businesses. Gasp. by jholyhead · · Score: 4, Insightful

    Their problem seems to be that Gates is focussed on building sustainable businesses that can survive after the charity taps get turned off. That bastard!

    Doesn't he realise that he is just supposed to pump money into Africa and hope that amongst the missile launchers and the AK47s, someone manages to smuggle in some penicillin?

    Are we supposed to be shocked that a man who made a huge fortune in the private sector, favours a private sector approach when he is trying to get shit done?

  18. Re:All charity ends by Doc+Ruby · · Score: 5, Insightful

    Until the US government got involved, running US healthcare strictly as a business left millions of us to get sick, stay sick and die, without preventive or responsive care available. That left many millions of other people to stay trapped in a sick home, unable to live fully, work properly or contribute economically or educationally.

    Since the time the US government got involved in a coordinated way, through Medicaid and Medicare, the large majority of the population has been freed from the worst afflictions, healthwise and otherwise. Meanwhile the expanded healthcare economy has completely transformed health science and practice.

    You and your fellow "libertarian" corporate anarchists would return us to the bad old days. Next you'll tell us war is good for the economy, so we should have more of what ruins us.

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  19. Re:All charity ends by h4rr4r · · Score: 4, Insightful

    Yeah, it worked so great that in 1965 all kinds of things would have been a death sentence that are now done on an outpatient basis.

    Even in a perfect free market land if you get a disease that so few people have that no money can ever be made on a cure you are totally screwed.

    Even worse is that short term profit motives will slow research to a crawl on all but the most profitable sectors of drug research. We would be able to have 40 kinds of pecker medicine and not much else.

  20. What's the point of this article? by Toreo+asesino · · Score: 3, Insightful

    To prove the Bill & Melinda Foundation isn't perfectly run? To suggest it's a sinister organisation perhaps?

    There's no love for billg here that's for sure but poo-pooing his attempts (however imperfect) at doing good in the world is just petty.

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    1. Re:What's the point of this article? by Coeurderoy · · Score: 3, Informative

      It is not the world's most popular OS it is the one you "have" to use because of monopoly building tactics.
      The Office suit might be the most popular, but even this is tainted by abusing the power on the OS market to illegally favor the application.
      And that money would be better of being totally destroyed rather than in the hand of a guy who pretend to believe that monsanto is a friend of hungry people in emerging countries.
      (just in case you are under the delusion that GMO are a misunderstood champion of the poor, learn from the fate of the 1000s of Indian farmers who commit suicide due to their working with monsanto, and think about how usefull "industrial agriculture" can be when it is imposed on a population where at least 40% of the population cannot do something more sophisticated than small traditional agriculture, it took the "emerged world" 60 years to move from around 50% to 2 or 3% of the population in the "fields", if you want to do the same i one generation you can just as "humanely" shoot the poor b***ds directly.)

      And gates is not a roge philantropist but a 100% corporate america white collar criminal pushing a conservative agenda with some "democrat" colloring.

      (well democrats are just somewhat less obviously right wing radicals than republicans...)

    2. Re:What's the point of this article? by Toreo+asesino · · Score: 4, Insightful

      No difference at all, right, the two are completely comparable. http://en.wikipedia.org/wiki/Al_Capone#Saint_Valentine.27s_Day_Massacre

      You've pretty much demonstrated why I rarely bother even taking up this subject anymore. Simular thing with republicans when they start comparing democrats to nazis - it blows any chance of reasonable debate out of the water and there's just no point continuing.

      --
      throw new NoSignatureException();
    3. Re:What's the point of this article? by Tom · · Score: 3, Interesting

      No, the point is to show that a leopard doesn't change its spots. Gates is still the abusive business man, even when he switches sectors from IT to philantropy. This isn't even news, many reports like this have been appearing for many years now. But they are rarely reported in any mainstream press. Gates is doing an excellent job controlling his public image these days (don't for a second think that someone of his wealth does not employ a small PR staff).

      Basically, the gist is that he uses the foundation money to buy exclusively from companies that he is a shareholder of. Since the foundation is so huge, and he has convinced many others to contribute, so that in many areas his foundation enjoys a monopoly - oh, look, that word again - he can control some of the markets involved, and he does it. And not necessarily to the advantage of the poor and sick.

      --
      Assorted stuff I do sometimes: Lemuria.org
  21. Re:All charity ends by luis_a_espinal · · Score: 5, Insightful

    Shout all you like that the problem with health care is the US government, nobody can hold up an example country with fully privatized health care which is being run well (Well as in, people dont die early or have to live with treatable health problems for lack of income, not well as in it makes corporates boatload of money).

    I hear what you are saying, and I tend to agree with you (having been in Japan, I know what good health care is, and how bad we have it here in the USA.) However, @roman_mir does have a point. Fully privatized health care DID work.

    The problem here is not whether health care is privatized, or whether other countries have better health care systems with some type of government intervention. The root of the problem is the collusion of government and health care firms, which have created a self-perpetuating carcinogenic mass of middle man sitting between the patient and the physician.

    Not all private enterprises are created equal. There are those that compete freely (with price controls dictated by supply and demand), and there are cartels. Two solutions to the problem exist:

    1. Have a government-sponsored health care system as found in Japan or Germany

    2. Have the goverment dismantle the health care middlemen cartels, forcing them to compete freely.

    Either one will work, and both require goverment intervention of some form. People need to stop looking at goverment vs private enterprise as if both formed a zero-sum game, a black-n-white, matter-antimatter dichotomy. They are not. Such parrochial black-n-white window painting serve well to pander simple solutions to the simple-minded masses on both sides of the political fence, but that's the extend of its usability.

  22. Re:All charity ends by grcumb · · Score: 5, Insightful

    Well I know this won't be popular, but you shouldn't build a "business" out of a charity. You should, however, run your charity like a business to make sure it is efficient. If you make your charity a true business then it is no longer a charity...it's a business. I'm thinking not-for-profit or non-profit here, but I am not intelligent enough to understand the nuances.

    Well, I agree most with your last sentence. 8^)

    I've worked for and with NGOs and non-profits large and small, from UN agencies to universities to the independent think tank where I am now. Let me assure you that the death-knell of any non-profit is to have it taken over by someone who claims it needs to run more like a business.

    Profit-making and non-profit organisations are very different in their nature and -more importantly- their culture. They each have a million ways to fail, but here's the key: Non-profit organisations can and must measure success by something other than financial returns. This impacts every single aspect of its work. It sometimes means that you can (and should) spend more time on seemingly pointless details getting things just right. It sometimes means that you work on things that you know have a high chance of failure, but you take them on precisely because no profit-making outfit can't afford the risk.

    The killer on both sides of the equation, though, is complacency and power. Allow either to become too apparent and the same sociopathic personalities begin to appear at the head of the organisation. And though they die in different ways, their death is a painful spectacle. Non-profits, especially those with guaranteed budgets, get over-run by careerist know-nothings who spend more time agonising over their per diems and life-saving meetings than actually thinking about what they're supposed to be achieving.

    In profit-making ventures, the organisations get overrun by strategic thinking business-school types who spend more time plotting strategy and market position than actually running the fricking company.

    Non-profits die like old oak trees: They rot from the inside; they remain standing for far longer than they should, providing shade for a few but hosting an increasing army of parasites.

    Profit-making companies die by fire. They remain standing until the first lightning strike, then collapse in flames, sometimes taking half the countryside with them.

    --
    Crumb's Corollary: Never bring a knife to a bun fight.
  23. Re:All charity ends by Anonymous Coward · · Score: 4, Informative

    Did you read the articles (duh, Slashdot, I know...) - the problem is the Foundation is campaigning on behalf of it's business partners to get the governments who they claim to be helping to establish policies that benefit Monsanto rather than their population. The end result is, Foundation spends x, corporate partners gain x*y. Bill Gats (personally) and Foundation then also gain from investment in corporate partner. This is not about charity at all, it is about disguising dodgy business practises as charity.

  24. Re:What's the big deal? by grcumb · · Score: 5, Informative

    From what I read, instead of handing out money directly.. which just leads to corruption, he is leveraging it in a way that prevents the money from being abused. Free money never works when it comes to aid son.

    Never say never, son.

    A few years ago, Xanana Gusmao, the Prime Minister of Timor Leste was facing a crisis. As a result of the violence leading up to Timor's first free elections, almost 10% of the country (over 100,000 people) ended up in refugee camps. He asked the UN and other aid agencies for advice, and they came up with an 8 year plan at the end of which, the first houses would be built.

    The PM immediately ordered cash payments to all internally displaced people to help them rebuild their homes. It was a partial answer, one that the government admitted would require significant further effort, but the move helped 60,000 people to begin rebuilding within a year.

    The aid agencies went apeshit. They told him that the money would be wasted, stolen, spent on the wrong things, that there would be no way to measure the success, that they wouldn't be able to avoid fraud.... But Xanana insisted. Within two years, the camps were empty.

    In retrospect, it's easy to see why: Nobody wants to live in a camp. The money each person received wasn't enough to build a house, but it was enough to get started. And that's all the encouragement people need.

    William Easterly's Aid Watch blog also documents studies tracking how direct cash donations to displaced persons in sub-Saharan Africa were used. They found that less than 10% of the money was wasted or somehow misused. That's better than just about every other form of aid in terms of efficiency.

    The moral of the story, therefore, is not that giving money is bad. The moral is that you need to give it to people with the reason and motivation to use it for the right things. I hate to break it to you, but the majority of multi-national corporations lack that motivation.

    --
    Crumb's Corollary: Never bring a knife to a bun fight.
  25. Re:All charity ends by codewarren · · Score: 4, Insightful

    Medicare running out of money has nothing to do with whether or not it was a good idea. It is running out of money because of the combination of a baby boom and a poor economy. Even if it single handedly made the baby boom possible, it didn't make it necessary, and so it still was not necessarily a bad idea. In fact, statistics suggest that more, not less, government aid results in better systems.

    Another way of looking at it is that Medicare isn't designed to be profitable. The amount of money it can get is determined by law makers who decide how much goes to Medicare and how much goes elsewhere, like say, the military. If the military was running out of money, it wouldn't mean having a military is a bad idea, it would mean we're not funding it enough. It's the same with Medicare.

  26. Really? by Kupfernigk · · Score: 4, Insightful
    I thought that it was established that GM crops merely lock farmers into a dependency cycle where they have to pay Monsanto every year, while the food revolution was created by, mostly, Government and academic researchers. As for vaccines, it has been argued by academics in loony left-wing rags like Scientific American that Big Pharma doesn't want them to succeed because it means that the future revenue is nonexistent. The smallpox vaccine, the rabies vaccine and the poliomyelitis vaccine were all developed by small teams.

    Meanwhile Big Pharma has let farmers stuff farm animals with antibiotics until resistant bacteria (including old killers like tuberculosis) are a major health problem, while failing to develop new antibiotics. I, like many older people, depend on a couple of drugs to remain healthy and reasonably comfortable, but I believe that the drug industry needs supervision and regulation, just like the banks.

    --
    From scarped cliff or quarried stone she cries "A thousand types are gone, I care for nothing, no not one."
  27. Re:No. by Carewolf · · Score: 4, Insightful

    Spending all the income on bonuses to the executives and window dressing, sounds in every way exacly like running it as a business. Running it as a business is what they should move away from, which is why charities dominated by volunteers are so much more efficient.

  28. Re:All charity ends by grcumb · · Score: 5, Insightful

    I think that when most people say a non-profit should be "run like a business", they really just mean that the organization should be setting concrete goals and objectively measuring progress towards those goals and evaluating all the organizations actions as they relate to achieving those goals.

    No, that's precisely the kind of talk I was objecting to. For one, it leads to insane reporting requirements, often in situations where every hour and every dollar spend doing actual work saves -or at least changes- lives. For another, it leads to a desire for quantifiable metrics, which mean that a ton of really important aspects of development work get left by the wayside, because they can't be easily measured. For yet another, it turns the conversation into a financial one. That's important, sure. Nobody wants their money to be wasted. But it should not be the only topic discussed when evaluating the success of a non-profit.

    All too frequently, though, that's precisely what happens when people try to run a non-profit 'like a business.'

    I know it sounds whippy-dippy to say that concrete goals are of secondary interest when the real goal is saving lives, but bear with me. As a good friend of mine who worked in disarmament used to say, it's hard to know if you're doing well when you measure your success in terms of the number of people who didn't die. They don't always show up when you're forced to measure your progress in terms of 'concrete goals.'

    I don't want to throw the baby out with the bath water. Good financial controls are essential. We're in screaming agreement on that count. But that's not nearly as big a part of the conversation as you might think when it comes to measuring success in this kind of work.

    --
    Crumb's Corollary: Never bring a knife to a bun fight.
  29. Re:All charity ends by PCM2 · · Score: 5, Informative

    Mr.Gates resources are actually pretty close to not limited. He could easily set enough aside for the foundation that only the interest would ever have to be spent.

    Actually, one of the characteristics of Mr. Gates's charity is that this will not happen.

    Gates's position is that while this sounds good, what you end up with is a charity that exists to function like a business. And then, like a business (let's take Microsoft for example), you end up with an organization that's weighed down with layers of middle managers, most of whose chief priority is to keep the business (charity) running -- not to achieve its goals, but to protect their own jobs.

    Gates rejected that model. Instead his charity has a mandate that it must spend ALL of its money by XYZ date. After that date, the Gates Foundation will be broke, and it will disappear. Personally I admire this decision.

    --
    Breakfast served all day!
  30. Re:Excuse me for defying the Monsanto-bashing by ColdWetDog · · Score: 5, Informative

    Hmm....

    Let's let Monsanto go for a bit - I would just point out that few things are purely good or evil, the world is much more complicated.

    However, the vaccine business is clearly not a win for the 'free market'. The early vaccines were not developed by drug companies, they were developed by universities. Even the measles vaccine which was in part developed by the person who started Merck was employed in a government funded lab.

    Vaccines make so little money and are so hard to produce that the US government had to write special legislation to entice Big Pharma into making them. That legislation shows just what a mess things are in the US at present. But I think it is quite reasonable to rage at Big Pharma while simultaneously trying to get them to behave in a socially responsible manner.

    And the Gates Foundation is an example of this. They certainly do some good, but their structure is really set up to benefit large Western organizations, some governmental, some non governmental. Read up on the machinations of the International Monetary Fund some time. Take some generic anti nausea medication first.

    --
    Faster! Faster! Faster would be better!
  31. Re:All charity ends by nine-times · · Score: 5, Insightful

    Call me crazy, but I don't think business should be run like a for-profit business either. That is to say, I don't think people should generally be motivated by, "what's going to generate the most possible profit at the lowest investment over the course of the next quarter."

    If you're making a computer OS, then focus on making a kickass computer OS. If you're building hardware, make awesome hardware. Build your business around your business, around doing a good job at the thing your company does, and not around generating short-term profit.

    Sure, yes, obviously you need to make a profit. You need to at least break even, or you'll go out of business. But so long as a business is making enough profit to keep their doors open, then in my not-so-humble opinion, they should devote their attention to doing a better job at serving the clients/customers and providing good products, services, and support.

    Oh, and yeah, I know. Shareholders, shareholders, bla bla bla. Fuck'em. If we can't run our businesses responsibly because everyone needs to constantly kowtow to the abstract idea of "maximizing investors' profits", then it's time to reevaluate our system of investment.