Many of the problems of poverty and need are really problems of physical infrastructure: not enough hospitals, too few schools, insufficient roads, bridges, and a lack of tools. This is what makes traditional philanthropy so daunting. You could build a thousand new hospitals in some parts of the world and barely make a difference.
America has tremendous problems. We're a debtor nation. We're a serious debtor nation. And we have a country that needs new roads, new tunnels, new bridges, new airports, new schools, new hospitals.
When lack of funds prevents hospitals from functioning efficiently and fully, private philanthropy of all kinds must help. The difference it makes in terms of human betterment, represents the kind of happiness that money really can buy.
Of course, it's absurd that we trust the Tories with our day-to-day reality, as so many of them don't really inhabit it. Why elect people to run our schools and hospitals who choose not to go to those schools and hospitals?
Pakistan is not about to crack down on terror groups or cut its military budget in order to build roads, schools and hospitals.
New schools, hospitals, clinics, factories, bridges, dams, and airports tell the story of a South Africa that has indeed moved forward.
Too many politicians seem to reach for 'infrastructure' as the default answer to investment, as if roads and bridges were the answer to everything. Even the IMF and the World Bank seem to mainly offer infrastructure spending as an alternative to austerity, although they are right to focus on the need for investment.
We certainly would resolve the problems of the charities that are working in areas where they can do the most good. So if you consider that the U.S. foreign aid budget is 30 billion, yes, we could make a major contribution to reducing global poverty, start to deal much better with some of the other big environmental problems that the world faces. So I think we could solve a lot of problems.
Yes, we need a substantial investment in our hard infrastructure like roads and bridges. But roads and bridges can't serve people if they don't have the child care they need in order to go to work or the health care they need to stay healthy and participate in the workforce.
What mothers need, as well as fathers, spouses, and the children of aging parents, is an entire national infrastructure of care, every bit as important as the physical infrastructure of roads, bridges, tunnels, broadband, parks and public works.
It is the daydreaming of some people who live in a make-believe world who think you can make roads, hospitals, and railways without any social impact!
We know the potentiality of Nigeria and the talent and the resources and to see it having no effect on the lives of the people, on the infrastructure, the roads, the hospitals, the schools, seeing no effect of these talents, these recourses is very frustrating. But it is the result of the damage that was done to the country, especially during the various military regimes.
The quality of health care in Germany is not as good as people sometimes believe it to be. We have problems with chronic diseases. The German system allows too many hospitals and specialists to treat chronic diseases. We do not have enough volume in many institutions to deliver good quality, and we do have fairly strict separations ... between primary physicians, office specialists and hospital specialists. But I think the quality problems can be solved in the next couple of years, and we have made major progress in diabetes, coronary artery disease and pulmonary disease care.
That is the difference between St. Jude's and all other children's hospitals. The other hospitals are not bad at all; they're good hospitals, but they're just working with what they know, and St. Jude's is working with what nobody else knows, because they're doing research.
Technology sometimes gets a bad rap because of certain consequences that it's had on the environment and unforeseen problems, but we shouldn't use it as an excuse to reject our tools; rather, we should decide that we need to make better tools to solve the problems caused by the initial tools in a progressive wave of innovation.
The truth is this: the Earth cannot provide enough food and fresh water for 10 billion people, never mind homes, never mind roads, hospitals and schools.
We should recognize that schools will never solve the bedrock problems of education because the problems are problems of families, of cultural pressures that the schools reflect and thus cannot really remedy.