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Chapter 33 - Philanthrocapitalism and Global Health

from Section 6 - Shaping the Future

Published online by Cambridge University Press:  04 February 2021

Solomon Benatar
Emeritus Professor of Medicine, University of Cape Town
Gillian Brock
Professor of Philosophy, University of Auckland
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Philanthropy is usually taken to involve private individuals donating their resources – whether time, money, or property – voluntarily for the public good (Payton, 1988). Philanthropy has a history that stretches back thousands of years, but both the scale and manner of philanthropic giving have changed significantly since the turn of the millennium. CNN founder Ted Turner’s 1997 decision to donate $1 billion to the United Nations and his widely publicized criticisms of other billionaires for not doing more are often thought to have incited changes that led to Bill Gates and others committing to massive programs of giving to promote global health (Callahan, 2017).

Global Health
Ethical Challenges
, pp. 416 - 428
Publisher: Cambridge University Press
Print publication year: 2021

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Alexander, A. (2018). A Stranger Truth: Lessons in Love, Leadership and Courage from India’s Sex Workers. New Delhi: Juggernaut.
Alvaredo, F., Chancel, L., Piketty, T., et al. (2018). World Inequality Report 2018. Available at (accessed April 20, 2019).
Amarante, E. (2018). The perils of philanthrocapitalism. Maryland Law Review 78, 172.
Arthur, W. B. (1989). Competing technologies, increasing returns, and lock-in by historical events. Economic Journal 99(394), 116131.
Beetham, D. (2015). Moving beyond a narrow definition of corruption, in Whyte, D. (ed.), How Corrupt Is Britain. London: Pluto Press, pp. 4146.
Bill & Melinda Gates Foundation (2018). Goalkeepers. Available at (accessed April 20, 2019).
Bill & Melinda Gates Foundation (2019). Foundation Fact Sheet. Available at (accessed April 20, 2019).
Birn, A.-E., & Richter, J. (2018). U.S. philanthrocapitalism and the global health agenda: the Rockefeller and Gates foundations, past and present, in Waitzkin, H. (ed.), Health Care Under the Knife: Moving Beyond Capitalism for Our Health. New York: New York University Press, pp. 155173.
Bishop, M. (2006). Survey: the business of giving. Economist 378 (8466), 3–14.
Bishop, M., & Green, M. (2008). Philanthrocapitalism: How the Rich Can Save the World. New York: Bloomsbury Press.
Bishop, M., & Green, M. (2015). Philanthrocapitalism rising. Society 52(6), 541548.
Bullough, O. (2018). Moneyland: Why Thieves and Crooks Now Rule the World and How To Take It Back. London: Profile Books.
Callahan, D. (2017). The Givers: Wealth, Power, and Philanthropy in a New Gilded Age. New York: Alfred A. Knopf.
Carnegie, A. (2017 (first published in 1889)). The Gospel of Wealth. New York: Carnegie Corporation of New York. Available at (accessed April 20, 2019).
Centre for Effective Altruism (2019). Combining Empathy with Evidence. Available at (accessed April 20, 2019).
Clift, C., & Røttingen, J.-A. (2018). New approaches to WHO financing: the key to better health. British Medical Journal 361, k2218.
Cohen, G. A. (1995). Self-Ownership, Freedom, and Equality. Cambridge, UK: Cambridge University Press.
Commission on the Social Determinants of Health (2008). Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health. Final Report of the Commission on Social Determinants of Health. Geneva: WHO.
Fejerskov, A. M. (2015). From unconventional to ordinary? The Bill and Melinda Gates Foundation and the homogenizing effects of international development cooperation. Journal of International Development 27(7), 10981112.
Fejerskov, A. M. (2018). The Gates Foundation’s Rise to Power: Private Authority in Global Politics. New York: Routledge. (2019). Bill Gates. Available at (accessed April 20, 2019).
Frenk, J., & Moon, S. (2013). Governance challenges in global health. New England Journal of Medicine 368, 936942.
Gabriel, I. (2017). Effective altruism and its critics. Journal of Applied Philosophy 34(4), 457473.
Gates, M. F. (2014). Putting women and girls at the center of development. Science 345(6202), 12731275.
Gates, M. F. (2019). The Moment of Lift: How Empowering Women Changes the World. New York: Flatiron Books.
Giving Pledge (2019). About the Giving Pledge. Available at (accessed April 20, 2019).
Kilgannon, C. (2018). What’s that strange new thing rising in the Hudson River? New York Times, December 12. Available at (accessed April 20, 2019).
King, M. L., Jr. (2010). Strength to Love. Minneapolis, MN: Fortress Press.
Lim, C.-M. (2018). Effectiveness and ecumenicity. Journal of Moral Philosophy 19, 123.
Macaskill, W. (2015). Doing Good Better: How Effective Altruism Can Help You Make a Difference. New York: Gotham Books.
Mahajan, M. (2018). Philanthropy and the nation-state in global health: the Gates Foundation in India. Global Public Health 13(10), 13571368.
Mayer, J. (2016). Dark Money: The Hidden History of the Billionaires Behind the Rise of the Radical Right. New York: Doubleday Books.
Nozick, R. (1974). Anarchy, State, and Utopia. New York: Basic Books.
Oxfam (2019). Public Good or Private Wealth? Available at (accessed April 20, 2019).
Payton, R. L. (1988). Philanthropy: Voluntary Action for the Public Good. New York: American Council on Education.
Piketty, T. (2014). Capital in the Twenty-First Century. Cambridge, MA: Harvard University Press.
Pummer, T. (2016). Whether and where to give. Philosophy & Public Affairs 44(1), 7795.
Rawls, J. (1993). Political Liberalism. New York: Columbia University Press.
Rawls, J. (2001). Justice as Fairness: A Restatement. Cambridge, MA: Harvard University Press.
Reddy, S. K., Mazhar, S., & Lencucha, R. (2018). The financial sustainability of the World Health Organization and the political economy of global health governance: a review of funding proposals. Globalization and Health 14(119), 111.
Reich, R. (2018). Just Giving: Why Philanthropy Is Failing Democracy and How It Can Do Better. Princeton, NJ: Princeton University Press.
Reubi, D. (2018). Epidemiological accountability: philanthropists, global health and the audit of saving lives. Economy and Society 47(1), 83110.
Riddell, R. C. (2014). Does foreign aid really work? An updated assessment. Social Science Research Network (online). Available at (accessed April 20, 2019).
Robeyns, I. (2016). Having too much. Social Science Research Network (online). Available at (accessed April 20, 2019).
Sadeh, J., Tonin, M., & Vlassopoulos, M. (2017). Why give away your wealth? An analysis of the billionaires’ view, in Costa-font, J., Macis, M., & Zahn, P. (eds.), Social Economics: Current and Emerging Avenues. Cambridge, MA: MIT Press, pp. 6178.
Scanlon, T. M. (2018). Why Does Inequality Matter? Oxford, UK: Oxford University Press.
Sen, A. (1981). Poverty and Famines: An Essay on Entitlement and Deprivation. Oxford, UK: Oxford University Press.
Singer, P. (1972). Famine, affluence, and morality. Philosophy and Public Affairs 1(3), 229243.
Storeng, K. T. (2014). The GAVI Alliance and the “Gates approach” to health system strengthening. Global Public Health 9(8), 865879.
Wilkinson, R., & Pickett, K. (2009). The Spirit Level: Why Greater Equality Makes Societies Stronger. London: Bloomsbury Publishing.
World Health Organization (WHO) (2018). Dialogue with the Director-General. Available at (accessed April 20, 2019).
World Health Organization (WHO) (2019). WHO Financial and Programmatic Reports. Available at (accessed April 20, 2019).

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