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Give money to people. Let them decide. Hell, have a giant crowdfunding voting platform. Philanthro-capitalism is the absolute worst way to distribute resources. One unfathomably wealthy person is not positioned in any way to rationally or appropriately distribute resources for humanitarian concerns.

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Why do you think that? http://www.gatesfoundation.org/What-We-Do seems to be doing just that and has pretty good results.

After destroying the Seattle education system first. Then after realizing issues are more complicated than he originally imagined (and local issues reflecting poorly on him) going to foreign countries to experiment with dispersing his tax breaks.

Not exactly a stunning endorsement. Basically the least bad example.

Things like trying to wipe out malaria seem quite sensible. If instead you gave the few billion to people as $1 each it would be hard to achieve the same effect.

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