[georgeg]

I am happy with the Gates foundation and the strengthening of basic scientific research that has come about from their grants particularly in resource poor countries. Respective governments have a role to play in improving the health systems research and I am not sure that is the mandate of the Gates foundation or any other charity. Furthermore, it may mean meddling with political forces in their respective areas of support and I am not sure if that would really ease the situation.

After all what has the Brenton Woods institutions gained or improved in resource poor countries? Have they not poured billion of dollars in loans and grants and even given conditions (some very painful) on how to administer the monies? What has improved? I think Gates foundation is doing a commendable job in supporting and raising awareness for neglected infectious diseases for example and supporting grass root solutions to common problems. I am no expert in these areas and I stand to be corrected.