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86 Foreign Aff. 14 (2007)
The Challenge of Global Health

handle is hein.journals/fora86 and id is 20 raw text is: The Challenge of Global Health Laurie Garrett BEWARE WHAT YOU WISH FOR LESS THAN a decade ago, the biggest problem in global health seemed to be the lack of resources available to combat the multiple scourges ravaging the world's poor and sick. Today, thanks to a recent extraordi- nary and unprecedented rise in public and private giving, more money is being directed toward pressing heath challenges than ever before. But because the efforts this money is paying for are largely uncoordi- nated and directed mostly at specific high-profile diseases-rather than at public health in general-there is a grave danger that the current age of generosity could not only fall short of expectations but actually make things worse on the ground. This danger exists despite the fact that today, for the first time in history, the world is poised to spend enormous resources to conquer the diseases of the poor. Tackling the developing world's diseases has become a key feature of many nations' foreign policies over the last five years, for a variety of reasons. Some see stopping the spread of HIV, tuberculosis (TB), malaria, avian influenza, and other major killers as a moral duty. Some see it as a form of public diplomacy. And some see it as an investment in self-protection, given that microbes know no borders. Governments have been joined by a long list of private donors, topped by Bill and Melinda Gates and Warren Buffett, whose contributions to today's war on disease are mind-boggling. LAURIE GARRETT is Senior Fellow for Global Health at the Council on Foreign Relations and the author of Betrayal of Trust: The Collapse of Global Public Health. [14]

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