It helps that the Bill and Melinda Gates Foundation has a hyper focus on outcomes and a track record of delivering. It's an example of what is possible to accomplish when philanthropy is done well.

While I can understand and in some sense agree that it's unfortunate our current best solution to tackling some of these problems is for someone with a lot of resources and no bureaucratic entanglements to focus on solving the problem once and for all. I can also recognize that few governments are capable of solving it regardless of political philosophy.

I'm more than happy to celebrate a solution that works today over a hypothetical solution that hasn't been successfully deployed yet. Maybe I'm too pragmatic.