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by javajosh 4893 days ago
> I don't get the negativity in this thread.

Bill Gates is bringing a lot of assumptions with him that tacitly validate the incumbent political, social, and economic regimes. I think a lot of us would prefer that Gates do something revolutionary with his money rather than something evolutionary.

First and foremost, the BMGF needs to consider overall-quality of life, not just specific, narrow measurements. It is only within this context that the big problems can be defined, and the correct measurements determined. It may very well be that improved infant mortality and education outcomes are not linked to overall improved quality of life. This might seem counter-intuitive, but it's easy to think of scenarios where this is the case.

Anecdotally, the thing that seems to improve people's quality of life is reducing the risk that they'll win the "you're life is ruined!" lottery. You can win this lottery in ways that are hard to prevent, like disease, accident, or natural disaster. You can win this lottery politically: surprise, the FBI, CIA, or Carmen Ortiz has decided to ruin your life.

Contrast this with what the BMGF is doing. They seem to be focusing on another goal, which is to give more people a life that can be ruined. E.g. a baby that lives is going to have a chance at life. A child who's educated is going to have a better chance at life. Noble indeed. But I have to wonder of that time and money would not be better spent helping those who manage to "naturally" obtain a life avoid winning the your life is now ruined lottery.

2 comments

Are you disagreeing with all the studies that have observed that decreases in child mortality lead to a decrease in the birth rate.

So stopping polio not only saves those potential victims but actually encourages less children to be born.

This is something I thought was commonly accepted but maybe I'm wrong.

I don't think I said anything close to that, actually. It may be that the BMGF is doing exactly the right thing to improve overall quality of life; but I would like them to be explicit that quality of life is more important than quantity. Saving a baby just so that it can starve to death later in life is not a good outcome.
"It may very well be that improved infant mortality [...] are not linked to overall improved quality of life."

Are you serious? I read here that being alive isn't necessarily a premise to having an improved quality of life!

Edit (addition): I wish I could down-vote you for this kind of nonsense.