Priscilla Chan and Mark Zuckerberg Donating $25M to the CDC Foundation
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That said, hat's off to Zuckerberg. His reaction sharply contrasts with so much of the shameful, cynical fearmongering from some quarters.
CDC budget for 2014 is $6.8B so 25 million is drop in a bucket anyway.
Zuckerberg's donation is meant to help reduce the novel growth rate seen with 2014 West Africa Ebola. We have little experience with Ebola in urban areas. We're currently seeing a doubling of case rates nearly within the the Ebola generation time of 16 or so days. If that reproductive rate is not slowed quickly, in the next few months, then one possible outcome is that Ebola will never go away, and will exist as yet another terrible disease afflicting the poor.
Moreover, imagine if we could eliminate a disease like malaria for a few billion dollars. The cost-benefit of that would be astounding. It makes sense to try and eliminate Ebola now, not just prevent it from reaching the US.
How about this: the risk model for ebola is based on limited empirical data from past strains. The current outbreak already exceeds past outbreaks. If the virus is different than the past, or it mutates, then the model from which we assess that the risk is low could be wrong.
So helping to end the outbreak, for one, would cutoff many, many opportunities for ebola to mutate into something even worse.
And the budget for the department tasked with responding to the Ebola crisis is how much?
If there was a risk of Ebola reaching African proportion in US, I am sure there are emergency funds to bolster up CDC. But currently there is no such risk and realistically there is no good way to spend significant amount of money in US on Ebola.
We need to replace Congress with 1 house made up of 1,000 randomly sampled citizens to get true representation.
There's also a corruption concern, of course, but I don't see that in today's case.
I think it is pretty clear the the CDC has become just another calcified government bureaucracy who ordinarily gets very little oversight or feedback from the outside world. As they recently admitted - just like the Houston nurse they blamed - they cannot even follow their own safety protocols (anthrax and H5N1 debacles) because of their toxic culture[1]. It is a real challenge (perhaps impossible) to prevent these problems from developing in any large organization - including private sector firm (think big semi-monopolies) but even more so in government. More money could even make it worse as bigger bureaucracies are even less effective - just like putting more programmers on the failing project.
[1] http://www.nytimes.com/2014/07/14/us/after-lapses-cdc-admits...
And sticker shock aside, $6B is less that any annual super-pharma R&D budget that I was able to find in a brief search (Merck, Pfizer, GSK). And that is just R&D, not even SG&A.
edit: look, they can fit all domestic rabies cases in a small table on a single page: http://www.cdc.gov/rabies/location/usa/surveillance/human_ra... The CDC is a bunch of miracle workers, in partnership with medical and pharmaceutical advances. Does anyone recall that no less than 100 years ago the US has a president that was partially paralyzed by a disease that afflicted 20K/yr that is now domestically eradicated?
http://online.wsj.com/articles/ebola-found-in-second-healthc...
That's why the Zucks made what's called a "targeted donation." Just because an agency has a budge for $X.y billion doesn't mean they can slosh it around to overloaded departments at the drop of a hat.
Or are you proposing that the CDC just lay off half of the Atlanta office, and devote those resources to Ebola prevention?
Is it hats off or hat's off? I think you're right. The saying is 'my hat is off to you'
Either makes sense.
Billionaires don't pay taxes, they lend money to the government. This is the system the billionaires created for us.
I vacillate between thinking that just giving money will not make a huge difference here, and thinking that it's about all most of us can do that might help. I also thought that in this day and age, maybe we could do something like, a Kickstarter to fund a response to Ebola (so that the "people" can make an immediate impact), possibly to get the money to the CDC or other government (or non-government) organizations, with the expressly stated restricted use being defined in advance by a non-profit or NGO as being for the Ebola response. If money were truly the problem, it seems like we must be able to get money and fast.
It seems like money is definitely a part of the solution, but we also need those experts, heroes and volunteers who will put themselves in harm's way, with the proper tools/training/safety precautions to help. I don't know if money really helps with that aside from supporting those folks, which is definitely needed.
Certainly, funding for educational outreach to help prevent the spread of Ebola on multiple fronts is helpful.
We also need to make sure that the fundamental medical research/drug development is being funded and supported (for example, accelerated ZMapp/other drug development/testing/research and production, in conjunction with government support).
It's a catch-22, we all talk about how the drug manufacturers make fortunes on the licensing/patenting of drugs. At the same time, if we can help those who are suffering by getting those "fortunes" in the hands of the people who have the drugs or can make the drugs that are needed, then while we may not like it, if it helps then it's worth getting those funds in place. I am aware of policies for compassionate use and pre-FDA approval, special relationships between government and private industry, where sometimes they can get the drugs needed without much trouble and they are often donated by the drug manufacturers (as I believe was the case with ZMapp).
In any case, it certainly is a complex challenge and I am glad to see people trying to make a difference. I yearn for simplification here with regards to such issues.
Many people don't realize that just "getting money out the door" is an incredibly difficult task when you have the burden of so much bureaucracy. Most of this bureaucracy is well intentioned (e.g. vetting partner organizations for terrorist or narcotics connections), but taken as a whole it is stifling.
In fact, the USAID Mission in Kenya (USAID's largest in Africa) turned down increased funding in 2012 because they simply had too much cash and not enough staff to obligate it to organizations on time.
This ends up creating a heavily calcified aid "system" where older organizations with the ability to cope with legal/bureaucratic issues are the only ones who can survive. The average wait-time for a USAID payment is something around 9 months, so small start-up organizations are de-facto ineligible if they need immediate funding.
Obviously this is just anecdotal. However, the ultimate result that I have observed is that aid typically gets distributed to organizations (contractors) who are heavily entrenched and will generally take around a 50% overhead fee.
USAID has attempted to alleviate this problem through the USAID Forward initiative (which requires Missions to have a certain percentage of "locally owned" organizations ). However, once again entrenched aid contractors are best suited to jump through bureaucratic loopholes. For example, by incorporating country-based subsidiaries in locations where they are pursuing contracts.
Just my own take on why money isn't always the problem when it comes to assisting developing countries.
This attitude - "I gave you money to help x, I only want it to be used on x" is part of the problem. In order for relief agencies to be prepared for the next problem, they need resources on hand that don't have strings attached. But such agencies have learned that if they do this - take money donated at the time of one crisis, and keep it on hand to help with the next crisis - people will be upset.
Planet Money explains this well: http://www.npr.org/blogs/money/2014/09/26/351515481/episode-...
To be honest, I hadn't realized that the CDC had a foundation until I saw this today and had been wondering about how to be able to direct funds to them specifically (I did definitely know about other relief agencies, such as Doctors without Borders).
I had been specifically wondering about the interplay of the newer crowdfunding models (like Kickstarter or even Watsi) and traditional donation models here, and whether there were new/different opportunities for rapid response methods to approach this kind of challenge (and how one might go about it).
That was also a period when we had a bunch of new antibiotics available to help with secondary infections, which are frequently the biggest problem with influenza.
I myself want to help make a positive difference and am trying to figure out what else can be done beyond just donating to help (or whether rallying donations is really helpful) - especially in this specific case.
EDIT: I was in no way trying to downplay the kindness of the donation by Zuckerberg and his wife - if anything I was trying to understand what more can be done (or what more money can be raised).
Downvotes on HN, especially for new posts, correlate basically not at all with post quality. That's what happens when a brigade of grumpy assholes make it their mission to read the first word of every sentence in a post and then vote based on whether they feel you wasted their time or not.
We're worse than Reddit in this regard so don't worry about it too much.
It's a lot easier to be a hero when you've got the tools to be heroic.
The reason I worded it the way I did was that I was trying not to be exclusive to government in the US only and instead be inclusive of other governments and organizations (such as Doctors Without Borders), etc.
Due to these rules the fact they were married after - one day after! - the IPO could make a big difference if they were to ever divorce[2]. Of course, like almost every very wealthy person, they likely have a prenuptial agreement which should establish exactly who owns what.
[1] http://en.m.wikipedia.org/wiki/Community_property
[2] http://www.reuters.com/article/2012/05/21/us-facebook-prenup...
The indignation of the form of your question is remarkable.
But to answer your question: It's probably funneled through their foundation, which they would, of course, name and manage together. Because, ya know, they're married.
Changing the headline's speaker from Zuck to "anonymous HN software" changes the meaning.