On 4/12/2021 8:48 PM, Dennis Brasky wrote:
https://newrepublic.com/article/162000/bill-gates-impeded-global-access-covid-vaccines <https://newrepublic.com/article/162000/bill-gates-impeded-global-access-covid-vaccines>

Thanks Dennis, it's a very useful article. One friendly amendment to this 'graf on access to generic (not branded) AIDS medicines:

   "In Geneva, the lawsuit was reflected in a battle at the WHO, which
   was divided along a north-south fault line: on one side, the home
   countries of the Western drug companies; on the other, a coalition
   of 134 developing countries (known collectively as the Group of 77,
   or G77) and a rising “third force” of civil society groups led by
   Médecins Sans Frontières and Oxfam."

My own no-doubt biased memory from two decades ago was that the most dynamic /un/civil society forces were actually radicals in South Africa's Treatment Action Campaign (TAC) and the U.S. grassroots movement AIDS Coalition to Unleash Power, ACTUP! - though MSF and Oxfam were certainly important, as were the other excellent NGOs and academics mentioned in Zaitchik's article. Here's <https://www.multinationalmonitor.org/mm2001/012001/interview-achmat.html> part of an interview I did at the time with TAC leader Zackie Achmat:

   /*MM:*//The drug companies are claiming that with their donations,
   they are now doing as much as can be expected./

   //

   *Achmat:* Well, first, the various donations have come only because
   of protest. These are, in any case, just holding operations for the
   drug companies, which hope they can delay the import or local
   production of generics in Africa. And the very large South African
   private sector is still not covered in one of the largest deals,
   between Pretoria and Pfizer, for Fluconazole.

   Whatever the nature of a particular donation, we can't afford to let
   up pressure on the drug companies, otherwise prices will go way up
   again after they capture the market.

   In any event, some of these programs are also financially
   self-interested. In Botswana, for every dollar Merck gives, the
   Gates Foundation gives a dollar, which comes back to the company
   when they buy Merck drugs at wholesale price, which can be added to
   Merck's tax deduction on the donation. The big question about the
   drug companies' donations is how long they can be sustained, and how
   many people will be reached? Evidence so far is not encouraging.

   What is, however, most disturbing about the drug companies'
   philanthropy is their ability to buy off potential protest from the
   established AIDS organizations. Bristol-Myers-Squibb, for instance,
   has given $120 million to a "Secure the Future" program over three
   years, directed at women, children and NGOs. That gives them the
   clout to go into established AIDS organizations and literally
   purchase loyalty by researchers and NGO leaders. Some NGOs have
   become much less critical than they should be.

   And BMS's two drugs are ddI and D4T, which in any case were
   developed by the U.S. National Institute of Health and Yale
   University. Yet both are still priced prohibitively in South Africa.

   //

   /*MM:*//Is progress being made on a vaccine, and how are drug
   companies doing in R&D more generally?/

   *Achmat:* Of course we would support a vaccine. The World Bank,
   Gates and other funders, including our government, all hope for a
   magic bullet. In reality, however, there's no chance of getting even
   a 50 percent effective vaccine within 7 to 10 years, according to
   the main scientific researchers.

   While they are looking for that magic bullet, millions are due to
   perish, and millions more will contract HIV.

   We wish they would spend a lot more of the resources now going into
   vaccine work into something more practical, namely a microbicide
   gell or spray which can prevent HIV transmission during vaginal and
   anal sexual intercourse, because it kills off lots of STD bugs. It's
   much more promising, but it's massively underfunded.

   I think that so few companies are doing serious work on microbicides
   because the people who will use them most are poor women. If the
   perception within the drug companies is that the rich, white
   heterosexual market doesn't need it, you can expect it to become a
   fatally low priority.

   https://www.multinationalmonitor.org/mm2001/012001/interview-achmat.html

The point, though, is that in November 2001, pressure from below - activists plus African health ministers plus professionals in WHO, UNAIDS and even the WTO - overwhelmed Gates and then U.S. Trade Representative Robert Zoellick. The result was a massive increase in generic availability in subsequent years, that here in South Africa raised life expectancy from 52 to the current 65.

We obviously need to replicate that accomplishment for Covid-19 vaccines and treatment, and the article gives excellent details about why Gates and his Foundation stand in the way.

And here's critique of Gates from other perspectives, including the other major intervention he's made in South Africa: racially- and class-segregated sanitation (about which I've already posted the ghastly details on this listserve a few weeks ago, here <https://groups.io/g/marxmail/topic/but_beware_the_sadism_of/80894234?p=,,,20,0,0,0::recentpostdate%2Fsticky,,,20,2,0,80894234>).


       Bill Gates’ silver-bullet misfiring at the Mandela Memorial
       Lecture
       
<https://www.pambazuka.org/global-south/bill-gates%E2%80%99-silver-bullet-misfiring-mandela-memorial-lecture>

   Patrick Bond <https://www.pambazuka.org/taxonomy/term/3429>
   Jul 14, 2016

   On July 17, Bill Gates will deliver the annual Mandela Lecture in
   Johannesburg, justifying his philosophy of market-oriented,
   technology-centric philanthropy. Last year, French economist Thomas
   Piketty’s speech on inequality attracted healthy debate
   
<https://theconversation.com/why-inequality-will-not-be-fixed-with-pikettian-posturing-and-distorted-data-48389>,
   with even business notables
   
<http://www.bdlive.co.za/opinion/2015/09/28/pikettys-fix-for-inequality-in-sync-with-development-plan>
   endorsing his concerns, given South Africa’s intense social conflict.

   To illustrate, South Africa’s Gini Coefficient measuring inequality
   <http://ccs.ukzn.ac.za/default.asp?2,68,3,3639> is the world’s
   highest (at 0.77 on a scale of 0 to 1, in terms of income inequality
   from employment). Since 2000, social protests have numbered
   
<http://mg.co.za/article/2016-06-07-new-stats-show-that-nine-out-of-11-protests-a-day-are-peaceful>
   an average of 11 per day. From 2012-16 the World Economic Forum’s
   /Global Competitiveness Report /category measuring
   <http://reports.weforum.org/global-competitiveness-report-2015-2016/>
   worker militancy ranked South Africa’s proletariat as the angriest
   on earth, while PricewaterhouseCoopers Economic Crime surveys
   awarded
   
<http://www.pwc.com/gx/en/services/advisory/consulting/forensics/economic-crime-survey.html>
   the gold medal for world corruption to the Johannesburg bourgeoisie
   in 2014 and 2016.

   In this context, Gates, who is worth $80 billion (up $24 billion
   from 2011), will expound on redistribution. And to be sure, many of
   his projects have been vital to human progress. But compare what can
   be termed Gates’ ‘philanthro-capitalism
   <https://www.thenation.com/article/philanthrocapitalism-a-self-love-story/>’
   with Ford Foundation President Darren Walker’s proposal
   
<https://www.fordfoundation.org/ideas/equals-change-blog/posts/toward-a-new-gospel-of-wealth/>
   for a more appropriate approach to giving in the 21^st century: “We
   foundations need to reject inherited, assumed, paternalist
   instincts… We need to interrogate the fundamental root causes of
   inequality, even, and especially, when it means that we ourselves
   will be implicated.”

   In contrast, Gates specialises in top-down technicist quick-fixes –
   ‘silver bullets’ – which often backfire on the economic shooting
   range of extreme corporate influence and neoliberal policies. As
   Global Justice Now’s Polly Jones complained in a report
   
<http://www.globaljustice.org.uk/resources/gated-development-gates-foundation-always-force-good>
   last month, Gates’ “influence is so pervasive that many actors in
   international development, which would otherwise critique the policy
   and practice of the foundation, are unable to speak out
   independently as a result of its funding and patronage.”

   Amongst the few exceptions are Katharyne Mitchell and Matthew
   Sparke, whose research critiques
   
<https://www.researchgate.net/profile/Katharyne_Mitchell/publication/280624828_The_New_Washington_Consensus_Millennial_Philanthropy_and_the_Making_of_Global_Market_Subjects_with_Matthew_Sparke/links/55bf942808aed621de139aab>
   Gates’ “highly targeted investments, market-mediated partnerships,
   rapid technological fixes, constant assessment, quick exits, and the
   use of competition, benchmarking and rankings to set funding
   priorities.”

   Bad examples can be drawn across the vast sphere of Gates Foundation
   activities:

     * Gates’ power
       
<http://www.oaklandinstitute.org/little-help-bill-gates-world-bank-creates-new-aid-conditionality>
       threatens African food in part due to his advocacy
       
<http://acbio.org.za/the-chicanery-behind-gm-non-commercial-orphan-crops-and-rice-for-africa/>
       of Genetically Modified Organisms (GMOs), which benefit
       agro-corporates such as Monsanto but wipe out local seeds. In
       Kenya
       <https://www.rt.com/news/328014-kenya-gmo-us-gates-monsanto/>,
       Gates’ people and USAID appear to have succeeded in reversing a
       GMO-seed ban (only four African states allow GMOs). The
       Gates-supported Alliance for a Green Revolution in Africa
       “advised and lobbied the governments of Ghana, Tanzania, and
       Malawi, among others, to adopt pro-business seed and land policy
       reforms,” according to a critique by a progressive
       food-sovereignty NGO, Oakland Institute.
     * To address species-threatening climate change, a rather confused
       
<https://thinkprogress.org/climate/2016/05/02/3770561/bill-gates-wrong-carbon-tax-2/?utm_source=newsletter&utm_medium=email&utm_campaign=tptop3&utm_term=1&utm_content=53&elqTrackId=542661263f154a938c4befa8ac39aeeb&elq=ac0350c6e05b4a3d8707df77652fe9f1&elqaid=29979&elqat=1&elqCampaignId=5538>
       Gates favours
       
<https://www.nytimes.com/2016/02/23/opinion/bill-gatess-clean-energy-moon-shot.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-right-region&region=opinion-c-col-right-region&WT.nav=opinion-c-col-right-region&_r=1>
       ‘Terrapower’ nuclear, a dangerous
       
<http://www.truth-out.org/news/item/35229-bill-gates-nuclear-pipe-dream-convert-mountains-of-depleted-uranium-to-plutonium-to-power-earth-for-centuries>
       distraction from the urgent need to both expand renewable energy
       and radically reduce fossil-fuel abuse. As Exxon CEO Rex
       Tillerson bragged
       
<https://thinkprogress.org/climate/2016/05/26/3781761/bill-gates-exxon-climate-policy/?utm_source=newsletter&utm_medium=email&utm_campaign=tptop3&utm_term=3&utm_content=53&elqTrackId=44f789141c5f47dd8f1cd48dd78f87a8&elq=8d16528f4c464f58a1b7ad777825445f&elqaid=30255&elqat=1&elqCampaignId=5704>
       about Gates at his recent AGM, “there’s no space between he and I.”
     * Privatised health and education are Gates’ speciality but in
       India, a Gates-funded trial on the genital cancer-causing
       disease /Human papillomavirus/ /was cancelled by the government
       /because
       
<http://articles.economictimes.indiatimes.com/2014-08-31/news/53413161_1_hpv-vaccine-cervarix-human-papilloma-virus>
       thousands of girls aged 10-14 were victims of ethics violations
       such as forged consent forms and lack of health insurance; seven
       died. The case is now in the country’s Supreme Court.

   In South Africa, the techie-fix fascination is controversial in
   Durban’s peri-urban settlements where Gates-backed ‘Urine Diversion’
   toilets imposed <https://www.greenleft.org.au/node/39116> by the
   municipality on nearly 100 000 poor black households are considered
   a new version of the hated ‘bucket system.’ Higher-income residents
   of Durban – including in the nearby, traditionally-white western
   suburbs – don’t suffer this discriminatory indignity.

   As an interesting aside, not only does Durban’s retired water
   director now offer sanitation consulting to Gates, so too is the top
   
<http://www.gatesfoundation.org/Media-Center/Press-Releases/2008/01/Foundation-Announces-Geoffrey-Lamb-as-Managing-Director-Public-Policy>
   Gates Foundation policy official, Geoffrey Lamb, a South African.
   Once a hard-core Marxist (and son-in-law of ‘colonialism of a
   special type’ inventor Michael Harmel), Lamb’s work once included
   pathbreaking class analysis
   
<http://onlinelibrary.wiley.com/doi/10.1111/j.1467-7660.1977.tb00728.x/abstract>
   of the Tanzanian peasantry, and he was a PhD advisor when SA trade
   and industry minister Rob Davies wrote his Marxist thesis at Sussex
   University.

   After an ideological U-turn, Lamb was central
   <ccs.ukzn.ac.za:files:Bond%2520Elite%2520Transition%25202ndEdn.pdf>
   to developing a ‘homegrown’ structural adjustment strategy working
   at the highest levels of the World Bank during the 1980s, and
   especially in its application inside the African National Congress
   during the early 1990s.

   But the most damage done within South Africa was Gates’ promotion of
   intellectual property (IP) rights. Long-term monopoly patents were
   granted not only to Gates for his Microsoft software, but for
   life-saving medicines.

   IP beame a fatal barrier to millions of HIV+ people who, thanks to
   Big Pharma’s profiteering, were denied AIDS medicines which cost
   R150 000/year fifteen years ago. The Gates Foundation was part of
   the problem by insisting on Merck-branded drugs in its Botswana AIDS
   clinics, complained
   <http://www.multinationalmonitor.org/mm2001/012001/interview-achmat.html>
   Zackie Achmat of the Treatment Action Campaign (TAC) in 2001.

   With TAC instead demanding and finally – in the wake of at least
   330 000 avoidable
   
<https://www.hsph.harvard.edu/news/press-releases/researchers-estimate-lives-lost-delay-arv-drug-use-hivaids-south-africa/>
   AIDS deaths – winning access to generic medicines made locally, the
   cost to African governments became negligible and today nearly four
   million people in South Africa alone get the drugs, which has raised
   life expectancy from 52 in 2004 to 62 today.

   Self-interest was perhaps a factor, because Gates got rich
   
<http://www.huffingtonpost.com/dean-baker/the-secret-to-the-incredi_b_10580438.html>
   from IP illegitimately acquired thanks to blatantly anti-competitive
   practices, such as bundling
   <https://en.wikipedia.org/wiki/United_States_v._Microsoft_Corp.>
   Windows with the slow, security flaw-ridden Internet Explorer
   web-browser, according to US prosecutors. The emails that Gates and
   his colleagues sent each other
   <https://edition.cnn.com/TECH/computing/9811/17/judgelaugh.ms.idg/>
   unveiled their cutthroat, illegal approach to IT (and Gates’ own
   slipperiness), notwithstanding the internet’s massive government
   subsidies.

   And as Edward Snowden showed, Microsoft is in league
   
<https://www.theguardian.com/world/2013/jul/11/microsoft-nsa-collaboration-user-data>
   with the United States National Security Agency’s Prism snoop
   service to hack your computer, Outlook, Hotmail and Skype accounts.

   Speaking of secrecy, Microsoft’s offshore tax-avoidance policies
   today earn
   
<http://www.ibtimes.com/microsoftadmits-%20keeping-92-billion-offshore-avoid-paying-%2029-billion-us-taxes-1665938>
   the company more money than Gates gives annually in donations (less
   than $4 billion/year).

   Next Sunday, Gates will get even richer, in terms of the moral
   legitimacy bestowed by the Mandela Lecture. But to explain this,
   perhaps more context is useful.

   The 1990s witnessed a series of debilitating concessions
   
<https://theconversation.com/why-south-africa-should-undo-mandelas-economic-deals-52767>
   to multinational corporations by Mandela’s African National
   Congress. Mandela Foundation director Verne Harris acknowledges
   
<http://www.truth-out.org/progressivepicks/item/20974-mandela-was-unable-to-dismantle-the-white-oligarchy-keeping-south-africa-in-economic-chains>,
   “Under Madiba’s leadership the ANC embraced a neoliberal agenda with
   unseemly haste and we’re paying a terrible price for that now.”

   Added Harris, “We’re only beginning to understand the nature of this
   phenomenon. From the late 1980s, a huge seduction was underway, of
   the liberation movement by capital and it’s playing out in
   all kinds of destructive ways now, from arms deals to corruption.”

   Gates has apparently not (yet) reached the stage of
   philanthro-seduction of radical social movements, trade unions,
   feminists, Black Lives Matter activists, LGBTI scene,
   environmentalists, Occupiers, anti-imperialists, youth and
   progressive political parties which do so much to withstand
   <http://ccs.ukzn.ac.za/default.asp?2,68,3,3639> the inequality,
   state surveillance, racism and other features of contemporary
   economic tyranny.

   These forces show, objectively, that the world urgently needs far
   less corporate power – including in the hands of Bill Gates and
   Microsoft – and many more bottom-up activist initiatives to achieve
   thorough-going wealth redistribution.

***

Over the past few months, updated concerns about Gates are well expressed by Vandana Shiva's Navdanya International <https://navdanyainternational.org/>, which is especially hard-hitting on GMOs and climate crisis "false solutions."

Academic critique of Gates - and philanthro-capitalism <https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=philanthrocapitalism&btnG=> more generally - includes fine analysis by Univ of California radical geographers Matthew Sparke <https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=%22matthew+sparke%22+%22bill+gates%22&btnG=> and Katharyne Mitchell <https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=%22katharyne+mitchell%22+%22bill+gates%22&btnG=>.

Actually, speaking personally, the biggest dilemma, I find in contributing to this network of /left /critics, is being drowned out by - or worse, co-opted into <https://www.google.com/search?q=rfk+%22bill+gates%22+%22patrick+bond%22&client=firefox-b-d&ei=krx0YMrtCcPSkwXqtonoCA&oq=rfk+%22bill+gates%22+%22patrick+bond%22&gs_lcp=Cgdnd3Mtd2l6EAM6CAguEJECEJMCOgQILhBDOgoILhDHARCvARBDOggIABCxAxCDAToFCAAQsQM6CAguEMcBEKMCOgUILhCxAzoICC4QsQMQgwE6BwguEEMQkwI6BwgAELEDEEM6CAguEMcBEK8BOgIILjoCCAA6BAgAEEM6BggAEBYQHjoFCCEQoAE6BAghEBU6BwghEAoQoAFQvq4BWMLVAWDr1wFoAXAAeACAAesCiAHTOZIBBjItMjUuNJgBAKABAaoBB2d3cy13aXrAAQE&sclient=gws-wiz&ved=0ahUKEwjK_vSS1PnvAhVD6aQKHWpbAo0Q4dUDCA0&uact=5> - /rightwing /conspiracy mongering about Gates, for which I first blame Robert F. Kennedy Jr <https://childrenshealthdefense.org/news/government-corruption/gates-globalist-vaccine-agenda-a-win-win-for-pharma-and-mandatory-vaccination/> and his anti-vaxxer crew.




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