This was pretty funny thread... until T-Al came in
But thanks, T-Al - I didn't want to be the first to post anything negative on this subject. But in all serious, and with no malice intended, I have heard/read from several on-the-ground sources (a Science Friday podcast was one) that the work of the Gates Foundation in Africa is doing more harm than good. I truly believe that Bill & Melinda have nothing but good intentions (even though I do have issues with Bill's business practices), but they really do need to address the concerns.
The main issue is, they are throwing money at the problem by supplying relatively expensive drugs. Sounds good, until the unintended consequences come into play. Workers are jumping on this gravy train, and basic needs, such as clean water, are getting short shrift. And even more people are dying for lack of clean water than before. As I understand it - it is a net negative in terms of human lives. More people could be helped with every $1M spent on clean water (that money goes a long, long way), than can be helped with $1M worth of AIDS treatments. It is sad, but it actually is doing more harm than good.
While one could argue that we should be doing both, you need to prioritize and get the most bang for the buck. Even with billions available, there is some 'robbing from Peter to pay Paul' going on.
Hopefully now, with his full attention on the foundation, he will look at how to make the money do the most good for the most people. I wish him well in this endeavor.
-ERD50