<<[Gates'] wealth, like that of the giant US drug companies, was made and
  preserved through the restriction and monopolization of intellectual
  property.  What happens when such a person opens a charity whose top
  priority is combating AIDS, a disease that kills thousands of people
  needlessly because pharmaceutical companies use their monopoly power
  to restrict the production of inexpensive generic drugs?>>


http://www.wsws.org/articles/2007/jan2007/gate-j22.shtml

The Gates Foundation and the rise of "free market" philanthropy

   By Andre Damon
   22 January 2007

A number of revealing details have surfaced in recent weeks concerning the
Bill and Melinda Gates Foundation, the world's largest charitable concern.

According to a report published January 7 in the Los Angeles Times, the
Gates foundation invests its assets in companies whose operations induce
some of the health problems it seeks to combat. The report notes that 41
percent of the foundation's holdings are invested in corporations whose
policies "countered its charitable goals." It also claims that the
foundation has holdings in over 60 of the highest-polluting companies in
the US.

In one example mentioned in the report, a recent medical study found that
half of the children attending a high school in Merebank, South Africa
suffer from asthma and other respiratory disorders. The study attributed
its findings to high concentrations of sulfur dioxide and other pollutants
spewed out by nearby mills and refineries operated by BP and Anglo
American.

Dr. Nonyenim Solomon Enyidah, a local health commissioner, told the
newspaper that the immense amounts of pollution generated by these plants
weaken local residents' immune systems and leave them vulnerable to polio
and measles. Yet the Gates Foundation, which is ostensibly in the business
of combating these diseases, continues to invest hundreds of millions of
dollars in the companies that help to create them.

The Gates foundation is set up as essentially two independent
organizations-an asset trust and a charity. The foundation's
investments-such as those made in BP and Anglo American-are made with only
one concern, profitability. By mandate, its investment decisions are
completely isolated from its charitable activities.

The foundation spends about 5 percent of its endowment each year, an amount
that essentially represents the return on its investments. This profit-and
the vast accumulation of personal wealth that forms the backbone of its
endowment-is made possible by the continued exploitation of workers and
poor people worldwide. What the foundation gives with one hand, it takes
with the other.

In response to criticism stirred by the LA Times report, the Gates
Foundation replied bluntly: "We do not anticipate any change in our
approach."

Another article, written by world health expert Laurie Garrett and
published in the January/February edition of Foreign Affairs, raised the
possibility that charities operating in sub-Saharan Africa-the Gates
Foundation prominent among them-may be doing more harm than good by
destabilizing the healthcare systems into which they infuse resources.

Noting that the world is short some 4 million healthcare workers (with the
so-called underdeveloped countries accounting for the vast majority of this
shortage), the article charges that non-governmental AIDS programs such as
those operated by the Gates foundation compete with local health systems
for skilled healthcare providers. The foreign organizations "frequently
bring their employees' effective wages to a hundred times what they could
earn at government-run clinics." Operations set up by aid organizations
thus attract the scarce supply of medical professionals, diverting
resources from standard clinics and potentially reducing the care available
to the local population.

"Instead of setting a hodgepodge of targets aimed at fighting single
diseases, the world health community should focus on achieving two basic
goals: increased maternal survival and increased overall life expectancy,"
the article states. By diverting medical staff from overseeing births and
battling childhood diseases, patchwork treatment of high-profile issues may
reduce the overall health in impoverished nations.

The report also indicts the performance review methods-borrowed from the
business world-used by organizations such as the Gates Foundation. This
approach gauges success by one-dimensional statistics (number of
antiretroviral drugs administered, etc.) instead of by overall social good
(as measured by infant mortality and life expectancy) and produces only
fleeting results-at best. The report continues, "If these targets are
achievable only by robbing local healthcare workers from pediatric and
general health programs, they may well do more harm than good, and should
be changed or eliminated."

The vast enrichment of the super-wealthy over the past several decades has
not brought a corresponding increase in philanthropic giving. On an annual
basis, Americans with incomes of $25,000-50,000 give away a higher
percentage of their income than those who receive $10 million a year or
more. In fact, more than half of the families worth over $20 million do not
donate any money at all.

But even if all of Mr. Gates's peers were to give away significant sections
of their personal fortunes, this would not resolve the world's great social
dilemmas. The problems facing humanity are structural-they are rooted in
the irrationality of capitalism and the irreconcilability of the
nation-state system with globalized economic life. They cannot be patched
over-even with Mr. Gates's billions.

This is exemplified by private efforts to combat AIDS. Foreign Affairs
notes that there are now more than 60,000 non-government organizations
related to AIDS, all of which operate independently and without centralized
oversight. Apart from the extreme bureaucratic redundancy inherent in such
an arrangement, there is no way of effectively coordinating work between
foundations and rationally planning the deployment of resources.

The article states that "ministers of health in poor countries now express
frustration over their inability to track the operations of foreign
organizations operating on their soil ... and avoid duplication in
resource-scarce areas." Apart from these problems, a 2006 study by the
World Bank estimated that about half of the funds donated to health
initiatives in sub-Saharan Africa are diverted from their intended
purposes. In Ghana, this figure jumps to about 80 percent.

"Social entrepreneurialism"

In a recent analysis piece, the Financial Times applauded the
"businesslike" executive habits practiced by the Gates Foundation, singing
the praises of the foundation, and others like it, for increasingly
integrating themselves into private enterprise and governing by the decree
of big donors.

According to the newspaper, Warren Buffett's recent $31 billion donation to
the Gates Foundation "has highlighted above all the increasingly blurred
line that separates the non-profit 'third' sector from business and
government" and is indicative of trends that are making the philanthropic
sector "more influential than ever."

The article claims that private philanthropy, tinged with a "business
ethos," is playing an increasing role in providing humanity with the basic
necessities of life, while government-funded social services are being
scaled down around the world.

In one of the most prominent examples of what the newspaper dubbed "venture
philanthropy," Google announced that it would open a charitable arm, known
as Google.org, which will not file for non-profit status. This will allow
it to make profits and sell spin-offs to private enterprise.

Melissa Berman, the director of Rockefeller Philanthropy Advisors, told the
Financial Times, "In the past, people saw philanthropy as an experiment to
create results that would be turned over to the public sector for
implementation. Now, if their research and development is successful, they
think about turning it over to the private sector."

The Gates Foundation's attitude toward its role is reflected in the 15
guiding principles posted on its web site. The first of these reads, in its
entirety, "This is a family foundation driven by the interests and passions
of the Gates family."

The foundation's endowment stands at over $60 billion. This is greater than
the gross domestic product of 70 percent of the world's nations. Gates and
his family exercise control over this vast section of economic life like
lords over a fiefdom. Their will is law, and those who benefit from the
foundation's beneficence are to be grateful. The web site's section on "our
values" reads, "To whom much has been given, much is expected."

What exactly are the "interests and passions" of Mr. Gates and his wife?
Bill Gates is the wealthiest man in the world. He made his fortune though
his shrewd and brutal business practices, cashing in on the work of
thousands of brilliant but nameless people to establish a monopoly in the
computer operating system and office software sectors. His wealth, like
that of the giant US drug companies, was made and preserved through the
restriction and monopolization of intellectual property.

What happens when such a person opens a charity whose top priority is
combating AIDS, a disease that kills thousands of people needlessly because
pharmaceutical companies use their monopoly power to restrict the
production of inexpensive generic drugs?

As Daniel Berman, deputy director in South Africa for Doctors Without
Borders, explained to the LA Times, "The Gates Foundation is in a position
to change the dynamic, to make sure that drugs get first to the places they
are most needed. But this conflicts with the interests of Microsoft."

What is inherent-but unstated-in the much vaunted rise of "venture
philanthropy" is the transfer of social wealth and social power from the
public sector-where at least, theoretically, some form of democratic
control or influence is possible-to a wealthy elite accountable to no one
but themselves. In the final analysis, this phenomenon is merely the
byproduct of the staggering growth of social inequality, the vast
accumulation of personal wealth by a financial oligarchy at the expense of
the rest of humanity.



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