[sbaqai]

Charity is most needed for problems that have no other natural source of funding. If the government/private sector can solve certain problems, then charities are perhaps not the best vehicle for solving those particular problems.

Buffett and Gates specifically focus on the former. Trying to reduce extreme poverty, provide healthcare, and educational opportunities. They also believe every life is of equal value. So the challenge then becomes helping the most people per dollar invested.

Some of the most well developed medical technologies/ solutions exists because their's a lot of wealthy people with those problems. A lot of male baldness and not so much malaria.

Malaria is a treatable disease. Millions die because they don't have access to care. You can't say these people would be better off employed, as if their health is not a factor in their economic output. Hence, the goal of trying to eliminate malaria is a valid philanthropic activity.

Buffett also donated through one of his children's foundations, to help solve/minimize the potential for a nuclear event. His view is pretty grim: the information is already out there, getting into more hands, and so the probability approaches 1 that an event will occur at some point in the future. What other natural funding exists for trying to solve this? It might be futile, it might be incredibly hard, but you need smart capable people working on this.

Furthermore, helping the rest of the world become a little bit more prosperous might reduce hostility, and violence that desperate people can be induced into. While businesses have had a great history of introducing wealth into the world, its always done with a profit motive. Where there is no profit potential, there is no interest of a business to be involved. A lot of these problems don't have those profit potentials. Hence, charity works in these areas.

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Another important point regarding disease, in general, and especially malaria is that disease often leaves survivors with permanent physical disabilities and/or neurological deficits. I think a lot of people in the U.S. and Europe have this mistaken notion that malaria is like a bad case of influenza, mononucleosis, pneumonia, or some other common disease that we are familiar with. We think that the person gets really sick and feels awful and it could even be life-threatening, but that as long as you survive it, you fully recover. That simply isn't true.

Malaria primarily affects children and many survivors have severe permanent disabilities because of it (seizure disorders, deficits caused by stroke, psychiatric problems, etc.). And malaria is just one of many serious diseases in the developing world (tuberculosis, schistosomiasis, dengue fever, HIV/AIDS, hepatitis, etc.). If you acquire a severe disability before you're even old enough to enter the workforce, how does creating jobs help you? Creating jobs alone is insufficient to address the problems of Africa. You have to concomitantly address the heavy burden of disease if you are to have any chance of solving the economic woes of Africa.