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<div class="gmail_quote">From: <b class="gmail_sendername">arun gupta</b> <span dir="ltr"><a href="mailto:arun@ibfanasia.org">arun@ibfanasia.org</a></span><br><br><br>
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<div style="TEXT-ALIGN: left; FONT-FAMILY: 'Lucida Grande'; COLOR: black; FONT-SIZE: 14px"><br></div><a href="http://blogs.timesofindia.indiatimes.com/staying-alive/entry/gates-billions-for-you-no" target="_blank">http://blogs.timesofindia.indiatimes.com/staying-alive/entry/gates-billions-for-you-no</a>
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<h1 style="MARGIN: auto 0in; VERTICAL-ALIGN: top"><font face="Times New Roman">Gates' billions for you-no strings attached? </font></h1>
<p style="MARGIN: 0in 0in 0pt; VERTICAL-ALIGN: top" class="MsoNormal"><span class="namedaytime"><a href="http://blogs.timesofindia.indiatimes.com/staying-alive/page/authorProfile?page=authorProfile"><font color="#0000ff" size="3" face="Times New Roman">Rema Nagarajan</font></a><font size="3"><font face="Times New Roman">, 09 July 2010, 09:57 PM IST <span style="mso-spacerun: yes"> </span>Times of India</font></font></span></p>
<p style="VERTICAL-ALIGN: top"><font size="3" face="Times New Roman">Last week, an </font><a href="http://timesofindia.indiatimes.com/world/us/Bill-Gates-bigger-funder-of-WHO-than-US-govt/articleshow/6099581.cms" target="_blank"><font color="#0000ff" size="3" face="Times New Roman">article on Bill and Melinda Gates Foundation</font></a><font size="3"><font face="Times New Roman"> becoming one of the biggest donors for the World Health Organisation (WHO) had many exclaiming how wonderful a man Gates is to give away so much money. Indeed, Gates must be the biggest philanthropist of all times. Yet, there in unease in the health sector across the world about one person or his foundation setting the global agenda on health. </font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">The WHO is expected to be an international health agency that would set global public health priorities, provide uncompromised technical expertise and fortify the international community's ability to confront global health risks. </font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">But with more and more of its operational budget dependent on donors, the danger of WHO becoming an instrument to serve donor interests is a huge concern.</font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3" face="Times New Roman">Ruth Levine, a health economist, put it quite succintly in an open letter published in </font><a href="http://www.bmj.com/cgi/content/full/333/7576/1015?ijkey=4rwWpReX0pwATcU&keytype=ref" target="_blank"><font color="#0000ff" size="3" face="Times New Roman">British Medical Journal</font></a><font size="3"><font face="Times New Roman"> in November 2006: "… because maintaining WHO's budget requires pleasing constituencies, the agency's main product-impartial public health expertise-is undermined." </font></font></p>
<p style="VERTICAL-ALIGN: top"><a href="http://www.ghwatch.org/sites/www.ghwatch.org/files/d1.3.pdf" target="_blank"><font color="#0000ff" size="3" face="Times New Roman">The Global Health Watch Report-2 (GHW2)</font></a><font size="3"><font face="Times New Roman"> published in October 2008 points out that the Gates Foundation is governed by the Gates family with no board of trustees; nor any formal parliamentary or legislative scrutiny. "There is no answerability to the governments of low-income countries, nor to the WHO. Little more than the court of public opinion exists to hold it accountable," says the report.This lack of accountability and transparency is cited as a major problem by health experts.</font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">The ties between the Gates Foundation and pharmaceutical industry has also come under scrutiny as Gates funded organisation like the Global Alliance for Vaccines and Immunisation (GAVI) has many pharmaceutical companies, especially those from the vaccine industry, as its members. GAVI has pushed many expensive vaccines into national immunization programmes in developing countries. This according to GHW2 has led "health activists to question if the Foundation is converting global health problems into business opportunities" for the pharma industry. </font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">The Gates' Foundation's position on intellectual property (IP) rights is also a cause for concern. After all, Microsoft, along with other corporations, is pushing to strengthen IP rights and patent laws even further. Stronger IP rights will affect developing countries' right to allow generic companies to manufacture essential medicines at affordable prices. Patents and monopolies only make medicines more expensive and inaccessible to majority of the people.</font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">In October 2007, without consulting the WHO, other international bodies or so-called partners, the Foundation launched a new campaign to eradicate malaria. For many, this was an example of how the Foundation was setting the global health agenda and making the international health community follow.</font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">The emergence of cash rich players including World Bank, the Gates Foundation and GAVI, along with the shift to the public-private partnership mode in health, has left the WHO often following an agenda, rather than setting it.</font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">If the WHO is perceived to be hijacked by private corporate sector it will lose its authority as an impartial norm setter on global health issues, points out GWH2. The report asks: "Has the WHO compromised itself through its partnership with the private sector? It is hard to say. But there are certainly reasons for concern."</font></font></p>
<p style="VERTICAL-ALIGN: top"><font size="3"><font face="Times New Roman">Levine says the only way out is to reduce dependence on external funding by demanding an adequate core budget from member states to ensure full funding for priority functions.</font></font></p>
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