<incom> FW: [TriumphOfContent] Two Bills, One Mission (Wall Street Journal)

Gurstein, Michael gurstein at ADM.NJIT.EDU
Thu Jul 13 13:13:52 CEST 2006 

 

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Subject: [TriumphOfContent] Two Bills, One Mission (Wall Street Journal)



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<http://articles.news.aol.com/business/_a/two-bills-one-mission/>
news.aol.com/business/_a/two-bills-one-mission/ 
20060711093709990001

Two Bills, One Mission

Vastly Different Personalities, Clinton, Gates Join Forces in Global 
Effort to Fight AIDS

By MARILYN CHASE, The Wall Street Journal

(July 11) - THEIR STYLES are worlds apart, but they have at least two 
things in common: supersize egos and a zeal for bettering global health.

Bill Gates, chairman of Microsoft Corp. and the world's richest man, 
gives away billions through his family foundation to underwrite 
health programs from childhood vaccines in Africa to AIDS prevention 
in Indian truck stops. Bill Clinton is shorter on spending power, but 
the former president is rich with powerful friends and skilled in the 
art of negotiation, enabling him to broker deals for AIDS-drug 
discounts and persuade governments to do more for patients.

Though the two men have rubbed shoulders for years at elite 
gatherings around the world, it has only been in recent months that 
the two began joining forces. Mr. Gates has funded a small grant 
($750,000) to the Clinton Foundation to explore the best ways to roll 
out expanded access to drugs for HIV/AIDS. Today Mr. Clinton will 
speak at Mr. Gates's Microsoft Government Leadership Forum in 
Capetown, South Africa, and tomorrow the two plan to travel with Mr. 
Gates's wife, Melinda, to Maseru, Lesotho, to visit sites including 
the Clinton Foundation HIV/AIDS Initiative Clinic.

And next month, Messrs. Gates and Clinton will make their highest- 
profile joint appearance yet when they share the podium at the XVI 
International Conference on AIDS in Toronto, addressing thousands of 
scientists, activists and media on how to fight the threat of HIV. 
Behind the budding partnership of opposites is a potential synergy 
between two leading figures in the new breed of philanthropists.

"I think what you're seeing is the beginning of what you might call 
the first super NGO...with overlapping interests and a great deal of 
resources," says Richard Holbrooke, Mr. Clinton's United Nations 
ambassador and now president and chief executive of the Global 
Business Coalition on HIV/AIDS in New York.

There is so far little formal arrangement between the two men or 
their foundations, and representatives from each organization 
declined to comment on their joint African site visits during what a 
Gates spokeswoman called a "learning trip." Messrs. Clinton and Gates 
themselves were traveling and unavailable for comment, according to 
aides. But the spate of joint public appearances reflects a more 
intense level of engagement aimed at bringing maximum attention to 
their cause. "They have ongoing discussions," says Helene Gayle, Mr. 
Gates's AIDS chief until leaving recently to become president of 
CARE, the Atlanta-based international humanitarian organization.

Their overlapping interests are evident in Lesotho, where since 2004 
the Clinton Foundation has been helping the government with national 
AIDS-drug access programs at such sites as the clinic in Maseru.

Lesotho is a highly significant venue for the two to visit because of 
such factors as its nationwide HIV testing, and destigmatization of 
treatment, says Trevor Neilson, a former spokesman for both President 
Clinton and for the Gates Foundation and now a partner in Endeavor 
Group, a philanthropic-strategy firm in Washington. "It's a little 
country showing what can be done," he said. He adds: "It's not an 
exaggeration to say the two Bills are leading the world in the fight 
against AIDS."

Improving drug delivery to patients in poor countries is a challenge 
the Gates Foundation has wrestled with often. A project it ran with 
Merck & Co. in Botswana to provide free drugs, for example, initially 
struggled because the country has so few clinics and doctors, and 
stigma discouraged patients from lining up for treatment.

Not everyone agrees that wealthy and influential private figures 
should be the driving forces for improving global health. Mark 
Harrington, executive director of the New York-based Treatment Action 
Group, says the entry of Mr. Gates's fortune has transformed AIDS and 
biomedical research overall. But "it could give governments an excuse 
not to step up to the plate," he says, which is worrisome at a time 
when the National Institutes of Health budget is "flat and going down 
in real terms."

Indeed, Mr. Gates has tried to engage the G8 industrialized nations 
to commit to long-range global health funding, but recent infighting 
between some members threatens to retard programs like bond issues 
for vaccines. Enlisting more government cooperation is an area where 
Mr. Clinton excels, and this could offer him and Mr. Gates an 
opportunity to leverage their respective strengths.

The Bill and Melinda Gates Foundation, a $30 billion foundation that 
will double to $60 billion thanks to Warren Buffet's recently 
announced gift, has already pumped over $10 billion into grants, $6 
billion for public health in the developing world. While the Clinton 
foundation's financial grants are more modest, Mr. Clinton's charm 
and diplomacy, along with his gift for uniting governments, activists 
and the pharmaceutical industry in common cause, are valuable assets.

A linear thinker who sees the opportunity to halt the AIDS epidemic 
much like a giant calculus problem, say aides, Mr. Gates likes to 
work independently of host governments, often refusing to channel 
gifts through politicians' hands, and prefers to directly fund 
nonprofit partnerships. Mr. Clinton -- the consummate insider -- 
works hand in glove with host governments, even occupying office 
space inside ministry offices. Having induced Chinese government 
officials to hug a spike-haired AIDS activist at a town-hall meeting, 
the former president often brags that the event launched a new era of 
transparency about AIDS in China.

Ira Magaziner, longtime senior adviser for policy development in the 
Clinton White House and now executive director of the Clinton 
Foundation, in an interview last year cited a key difference in the 
approaches of Mr. Clinton and Mr. Gates to AIDS in India.

"The Gates Foundation is doing good work but doesn't have a direct 
agreement with government," he says. "He is private-sector and NGO- 
oriented. We're providing a small amount of money but that's not our 
main activity. We're not going to compete with Gates or the U.S. 
government at handing out money. We mostly provide technical 
assistance."

In 2003, Mr. Gates awkwardly upstaged his own gift to India, a $200 
million AIDS-prevention program, by roiling the New Delhi government 
by citing high AIDS projections for India made by the Central 
Intelligence Agency. Mr. Clinton engaged the government on AIDS 
without a ripple of controversy. Congratulating the newly elected 
government of Congress Party leader Sonia Gandhi and her prime 
minister, Manmohan Singh, Mr. Clinton traveled to India in July 2004 
and by September had signed what Mr. Magaziner said was that 
country's first deal with a private U.S. foundation. Both projects 
are now well under way.

"Gates doesn't work as well with governments because he doesn't have 
the skills or political acquaintances," says Mr. Holbrooke. "Clinton 
doesn't have the resources. But Clinton is the most important public 
figure and Gates the most important financial figure." And while 
differences between the two are "true," says Mr. Holbrooke, they are 
"of low-level importance." He adds: "What's important is there's a 
marriage of many organizations of which Clinton's and Gates's are the 
most powerful."

July 11, 2006



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