No. 57, May 2014 |
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No. 57 The Real Agenda of the Gates Foundation I. The World’s Largest Private Foundation The Gates Foundation in India: A Primer
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The Real Agenda of the Gates Foundation
IV. A Broader Agenda Behind BMGF’s coordinated interventions in pharmaceuticals, agriculture, population control, and other putatively philanthropic concerns lies a broader agenda. In a recent interview Bill Gates briefly strayed off-message to warn of “huge population growth in places where we don’t want it, like Yemen and Pakistan and parts of Africa.”77 His use of the majestic plural here is revealing: in spite of much rhetoric about “empowering poor people,” the Foundation is fundamentally concerned with reshaping societies in the context of ruling-class imperatives. “Land mobility” not land reform Although Foundation publicity pays lip service to the idea of sustainable smallholder agriculture, in fact its initiatives are uniformly directed toward high-tech, high-yield farming methods – much like the “Green Revolution” technologies that proved ultimately ruinous for rural peasantries beginning in the 1960s.82 Gates works closely with agribusiness giant Monsanto through organizations like the Alliance for a Green Revolution in Africa (AGRA), which steers billions in grant money primarily to biotech and GMO research.83 The Foundation has also thrown its weight behind a revival of Grameen-style microbanking schemes, which transpired during the 2000s to be a debt trap leading to dispossession of rural families.84 Far from empowering small farmers, BMGF’s efforts envision the exit of “inefficient” small farmers from their land – a process euphemistically termed “land mobility” – as revealed by an internal memo leaked to the press in 2008:
The impact of these policies on small farmers and their families is disastrous. As Fred Magdoff recently explained, “the world capitalist economy is [no longer] able to provide productive employment for the huge numbers of people losing their lands. Thus the fate of those migrating to cities or other countries is commonly to live in slums and to exist precariously within the ‘informal’ economy.86 Indeed, the Foundation's agricultural policy strikingly resembles what Samir Amin describes as the logical outcome of subjecting agriculture to the same market principles as any other branch of production: 20 million industrial farmers producing the world's food supply in place of today’s three billion peasants.87 As Amin observes:
Amin’s analysis chimes with the Gates Foundation memo quoted above, and there is reason to believe that BMGF is already contemplating strategies for coping with the “surplus” population that the processes of accumulation and dispossession are generating. Population control not redistribution Bill Gates, at one time an avowed Malthusian “at least in the developing countries”91 is now careful to repudiate Malthus in public. Yet it is striking that Foundation publicity justifies not only contraception, but every major initiative in the language of population control, from vaccination (“When children survive in greater numbers, parents decide to have smaller families”92) to primary education (“[G]irls who complete seven years of schooling will marry four years later and have 2.2 fewer children than girls who do not complete primary school.”)93 In a 2010 public lecture, Bill Gates attributed global warming to “overpopulation” and touted zero population growth as a solution achievable “[i]f we do a really great job on new vaccines, health care, and reproductive health services.”94 The argument is disingenuous: As Gates certainly knows, the poor people who are the targets of his campaigns are responsible for no more than a tiny percentage of the environmental damage that underlies climate change. The economist Utsa Patnaik has demonstrated that when population figures are adjusted to account for actual per capita demand on resources, e.g., fossil fuels and food, the greatest “real population pressure” emanates not from India or Africa, but from the advanced countries.95 The Gates Foundation is well aware of this imbalance and works not to redress it but to preserve it – by blaming poverty not on imperialism but on unrestrained sexual reproduction “in places where we don’t want it.” From Malthus to the present day, the myth of overpopulation has supplied reliable ideological cover for the ruling class as it appropriates ever greater shares of the people's labor and the planet's wealth. As argued in Aspects No. 55, “Malthus’s heirs continue to wish us to believe that people are responsible for their own misery; that there is simply not enough to go around; and to ameliorate that state of wretchedness we must not attempt to alter the ownership of social wealth and redistribute the social product, but instead focus on reducing the number of people.”96 In recent years BMGF's publicity apparatus, exploiting Western alarm about “climate change,” has helped create a resurgence of the overpopulation hysteria last experienced during the 1970s in the wake of Paul Erlich’s bestseller The Population Bomb.97Yet the sheer scale of BMGF's investment in “family planning”" suggests that its ambitions reach beyond mere propaganda. In addition to the multibillion dollar contraception distribution program discussed previously, BMGF provides research support for the development of new high-tech, long-lasting contraceptives (e.g., an ultrasound sterilization procedure for men as well as “non-surgical female sterilization”). Meanwhile the Foundation aggressively lobbies Third World governments to spend more on birth control and supporting infrastructure.98 while subsidizing steep cuts in the price of subcutaneous contraceptives.99 These initiatives lie squarely within the traditions of Big Philanthropy. The Rockefeller Foundation organized the Population Council in 1953, predicting a “Malthusian crisis” in the developing world and financing extensive experiments in population control. These interventions were enthusiastically embraced by US government policymakers, who agreed that “the demographic problems of the developing countries, especially in areas of non-Western culture, make these nations more vulnerable to Communism.”100 Foundation research culminated in an era of “unrestrained enthusiasm for government-sponsored family planning” by the 1970s.101 Less discussed but amply documented is the consistent support for eugenics research by US-based foundations, dating from the 1920s, when Rockefeller helped found the German eugenics program that undergirded Nazi racial theories,102 through the 1970s, when Ford Foundation research helped prepare the intellectual ground for a brutal forced sterilization campaign in India.103 Why have foundations invested so persistently in actual technologies and campaigns for population reduction? In the absence of a definitive explanation, two possibilities are worth pondering:
The relationship between bourgeois ideology and imperialist practice is dynamic and mutually supportive. As David Harvey has observed: “Whenever a theory of overpopulation seizes hold in a society dominated by an elite, then the non-elite invariably experience some form of political, economic, and social repression.”108 Seen in this light, BMGF's promotion of population control is doubly pernicious because it is cloaked in the language of environmentalism, popular empowerment, and feminism. Melinda Gates may evoke “choice” in support of her family planning initiatives, but in reality it is not poor women, but a handful of the world’s wealthiest people who have presumed to choose which methods of contraception will be delivered, and to whom. Dependency not democracy In particular, the Foundation’s emphasis on single-issue, vertically organized interventions tends to undermine community-based primary care, endorsed by the Alma Ata Declaration of 1978 as the model for Third World public health programs. Based implicitly on the “barefoot doctor” program that revolutionized public health in the People’s Republic of China, the philosophy of primary care proposed that the people “have a right and duty to participate individually and collectively in the planning and implementation of their health care.”111 In theory, the goal was not only improvement of health as such, but also popular empowerment and genuine democracy at the local level. People would be encouraged to believe that health care was not a gift from Western benefactors, but belonged to them as of right. Although the Chinese model could never be properly implemented in non-socialist countries, Alma Ata inspired various community-based health initiatives in developing countries, achieving some success in lowering infant mortality and raising life expectancy.112 Today, however, primary care programs worldwide are on the decline due both to the imperatives of structural adjustment programs and to the meddling of US-based foundations.113 The Gates Foundation, for its part, invariably acts to steer resources away from community-based holistic doctoring and toward single-disease crash programs, controlled by Western NGOs in collaboration with health-related MNCs. Its approach to diarrhea, which kills upwards of one million infants annually, is a case in point. The procedures necessary to control diarrhea are not mysterious: clean water and adequate sanitation are essential to prevention, while treatment consists of administering oral rehydration salts (ORS) and zinc supplements to afflicted infants. Chinese “barefoot doctors” achieved steep declines in diarrhea mortality from the 1950s through the 1980s by distributing ORS supplies at the village level and educating families on their importance and proper use.114 Yet while shepherding governments away from investing in the sanitation infrastructure and primary care that have been proven to save lives, BMGF funds and promotes vaccine research, marketing programs administered by NGOs, and “work[ing] with manufacturers and distributors to make ORS and zinc products more attractive to consumers—by improving flavors and repackaging products.”115Perhaps Bill Gates, who became rich through the expert marketing of inferior software, really believes that poor mothers can’t be relied upon to take an interest in saving their children’s lives unless medicines are advertised like Coca-Cola. But BMGF’s overall stance toward diarrhea, as toward public health in general, reminds us that the attenuation of Third World democracy is far from unwelcome to the rulers. As the educational theorist Robert Arnove has observed, foundations are at bottom
Charitable activities that undermine democracy and state sovereignty are immensely useful to the ruling class. Robust, effective social programs in developing countries are an impediment to the current imperial agenda of worldwide expropriation; healthy people, in control of their own destinies and invested in the social well-being of their communities, are better equipped to defend their claim to the wealth they possess and produce. Far better, from the point of view of the Good Club philanthrocapitalists, if the world’s poorest billions remain wholly dependent on a largesse that may be granted or withdrawn at pleasure. A facelift for the rulers BMGF’s publicity operation was quick to respond. The Foundation exploited “multiple messaging avenues for influencing the public narrative” including the creation of “strategic media partners” – ostensibly independent news organizations whose cooperation was ensured via the distribution of $25 million in annual grant money.117 Bill Gates, said to be socially awkward and formerly shy of media attention, was suddenly ubiquitous in the mainstream press. In every interview Gates worked from the same talking points: he had resolved to dedicate “the rest of his life” to assisting the world’s poor; to that end he intended to give away his entire fortune; his uncompromising intelligence and business acumen made him uniquely qualified to wring “more bang for the buck” from philanthropic endeavors; he is nevertheless kindhearted and deeply moved by personal encounters with sick and impoverished children; etc. Invariably he told the suspiciously apposite story of his mother’s deathbed adjuration: “From those to whom much is given, much is expected.”118 At the same time BMGF expanded its online operations, using Twitter and Facebook to disseminate pseudoscientific aperçus and heartwarming images to millions of “followers” worldwide.119 Gates’ willingness to carry the torch for the world’s billionaires reflected an understanding that his Foundation plays an important ideological role within the global capitalist system. Apart from the promotion of specific corporate interests and imperialist strategic aims, BMGF’s expertly publicized activities have the effect of laundering the enormous concentration of wealth in the hands of a few supremely powerful oligarchs. Through stories of Gates’ philanthropy we are assured that our rulers are benevolent, compassionate, and eager to “give back” to the less fortunate; moreover, by leveraging their superior intelligence and technocratic expertise, they are able to transcend the bureaucratic fumblings of state institutions, finding “strategic, market-based solutions” to problems that confound mere democracies. This apotheosis of Western wealth and knowhow works hand-in-hand with an implicit contempt for the sovereignty and competence of poor nations, justifying ever more aggressive imperialist interventions. 120 Thus the Gates Foundation, like the MNCs it so closely resembles, seeks to manufacture consent for its activities through the manipulation of public opinion. Happily, not everyone is fooled: popular resistance to the designs of Big Philanthropy is mounting. The struggle is broad-based, ranging from the women activists who exposed the criminal activities of PATH in India, to the anti-sterilization activities of African-American groups like The Rebecca Project, to the anti-vaccine agitations in Pakistan following the revelation that the CIA had used immunization programs as cover for DNA collection.121 Surely a worldwide campaign to eradicate the toxic philanthropy and infectious propaganda of the Gates Foundation would be in the best traditions of public health.
NEXT: The Gates Foundation in India: A Primer
Notes: 77. Ezra Klein, “Bill Gates: ‘Capitalism Did Not Eradicate Smallpox’,” Washington Post, Jan. 21, 2014, http://www.washingtonpost.com/blogs/wonkblog/wp/2014/01/21/bill-gates-capitalism-did-not-eradicate-smallpox/ (emphasis added). (back) 78. Fred Magdoff, “Twenty-First Century Land Grabs,” Monthly Review, vol. 65, no. 6, Nov., 2013, http://monthlyreview.org/2013/11/01/twenty-first-century-land-grabs. (back) 79. Agricultural Development Strategy Overview, BMGF website, http://www.gatesfoundation.org/What-We-Do/Global-Development/Agricultural-Development. (back) 80. Keith Fuglie and Alejandro Nin-Pratt, “A Changing Global Harvest,” 2012 Global Food Policy Report, International Food Policy Research Institute, http://www.ifpri.org/gfpr/2012/agricultural-productivity. (back) 81. See. e.g., Raj Patel et al., “Ending Africa's Hunger,” The Nation, Sept. 21, 2009, http://www.thenation.com/article/ending-africas-hunger; Utsa Patnaik, The Republic of Hunger and Other Essays, London: Merlin Press, 2007; Rahul Goswami, “From District to Town: The movement of food and food providers alike,” Macroscan, Jan. 8, 2013, http://www.macroscan.org/pol/jan13/pol08012013Rahul_Goswami.htm. (back) 82. See generally John H. Perkins, Geopolitics and the Green Revolution: Wheat, Genes, and the Cold War, Oxford University Press, 1997. See also Deborah Fahy Bryceson, “Sub-Saharan Africa’s Vanishing Peasantries and the Spectre of a Global Food Crisis,” Monthly Review, vol. 61, no. 3, July-Aug., 2009, http://monthlyreview.org/2009/07/01/sub-saharan-africas-vanishing-peasantries-and-the-specter-of-a-global-food-crisis. (back) 83. Raj Patel et al., op. cit. (back) 84. Aasha Khosa, “Grameen Bank Can’t Reduce Poverty: Economist,” Business Standard, April 2, 2007, http://www.business-standard.com/article/economy-policy/grameen-bank-can-t-reduce-poverty-economist-107040201126_1.html; Financial Services for the Poor Strategy Overview, BMGF website, http://www.gatesfoundation.org/What-We-Do/Global-Development/Financial-Services-for-the-Poor. (back) 85. Quoted in Community Alliance for Global Justice, “Footloose Farmers,” AGRA Watch, Aug. 19, 2011, https://agrawatch.wordpress.com/tag/land-mobility/ (emphasis added). (back) 86. Magdoff, op. cit. (back) 87. Samir Amin, “World Poverty, Pauperization, and Capital Accumulation,” Monthly Review vol. 55, no. 5, Oct. 2003, http://monthlyreview.org/2003/10/01/world-poverty-pauperization-capital-accumulation. (back) 88. Ibid. (back) 89. Michelle Goldberg, “Melinda Gates’ New Crusade: Investing Billions in Women's Health,” Newsweek, May 7, 2012, http://www.newsweek.com/melinda-gates-new-crusade-investing-billions-womens-health-64965. (back) 90. The Rebecca Project for Human Rights, Depo-Provera: Deadly Reproductive Violence Against Women, June 25, 2013, http://www.1037thebeat.com/wp-content/uploads/2013/06/DEPO-PROVERA-DEADLY-REPRODUCTIVE 91. Interview with Bill Gates, NOW with Bill Moyers, May 9, 2003, transcript of television interview, http://www.pbs.org/now/transcript/transcript_gates.html. In this interview Gates also discloses his admiration for the notorious Club of Rome report, Limits to Growth, a 1972 polemic that became central to a postwar revival of Malthusian thought. (back) 92. Bill and Melinda Gates, 2014 Gates Annual Letter. (back) 93. Dr. Denise Dunning, “Girls: The World’s Return on Greatest Investment,” Impatient Optimists website, http://m.impatientoptimists.org/?task=get&url=http%3A%2F%2Fwww.impatientoptimists.org%2FPosts%2F2014%2F02%2FThe-Worlds-Greatest-Return-on-Investment. (back) 94. Hendershott, op. cit. (back) 95. Patnaik, Republic of Hunger, pp. 10 et seq. (back) 96. Manali Chakrabarti, “Are There Just Too Many of Us?,” Aspects of India’s Economy no. 55, March, 2014, 55/toomany.html. (back) 97. The tone and implications of Erlich’s influential tract, which has sold more than two million copies, can be judged from its set-piece opening describing a “stinking hot night in Delhi” experienced by the author and his companions: “The streets seemed alive with people. People eating, people washing, people sleeping. … People thrusting their hands through the taxi window, begging. People defecating and urinating. … People. People, people. … Would we ever get to our hotel?” Paul Erlich, The Population Bomb, Cutchogue, NY: Buccaneer Books, 1968, p. 1. (back) 98. Anne Hendershott, “The Ambitions of Bill and Melinda Gates: Controlling Population and Public Education,” Crisis, March 25, 2013, http://www.crisismagazine.com/2013/the-ambitions-of-bill-and-melinda-gates-controlling-population-and-public-education; Family Planning Strategy Overview, BMGF website, http://www.gatesfoundation.org/What-We-Do/Global-Development/Family-Planning.. (back) 99. “Innovative Partnership Reduces Cost of Bayer’s Long-Acting Reversible Contraceptive Implant By More Than 50 Percent,” BMGF press release, Feb. 27, 2013, http://www.gatesfoundation.org/Media-Center/Press-Releases/2013/02/Partnership-Reduces-Cost-Of-Bayers-Reversible-Contraceptive-Implant. (back) 100. Kingsley Davis, quoted in Donald T. Critchlow, ed., The Politics of Abortion and Birth Control in Historical Perspective, University Park, Penn.: Pennsylvania State University Press, 1995, p. 85. (back) 101. Ibid., p. 87. (back) 102. Edwin Black, “Eugenics: the California connection to Nazi policies,” San Francisco Chronicle, Nov. 10, 2003, http://www.sfgate.com/opinion/article/Eugenics-and-the-Nazis-the-California-2549771.php. See generally Allan Chase, The Legacy of Malthus, Champaign, Ill.: Univ. of Illinois Press, 1980. (back) 103. Mark Hemingway, “Ford Ahead: The Foundation Tightens Its Belt,” Wall Street Journal, June 26, 2009, http://online.wsj.com/news/articles/SB124598045813858017. (back) 104. Quoted in Mao Zedong, The Bankruptcy of the Idealist Conception of History, Sept. 16, 1949, http://www.marxists.org/reference/archive/mao/selected-works/volume-4/mswv4_70.htm. (back) 105. Public Report of the Vice President's Task Force on Combatting Terrorism, Feb. 1986, p. 1, http://www.population-security.org/bush_and_terror.pdf. (back) 106. Hence BMGF literature lays special emphasis on population control in urban sub-Saharan Africa and South Asia – putative hotbeds of “terrorism” and precisely areas to which peasants dispossessed via Gates-sponsored agricultural policies may be expected to relocate. (back) 107. Population control is also potentially a weapon of ruling class terror, as when India used coercive mass sterilization during the 1975-77 ‘Emergency’. In such a scenario, whether or not population control measures succeed in substantially reducing the numbers of people, they are effective in instilling and deepening among the common people a dread of the State and its power to intervene in their lives. (It is tempting to speculate that ultrasound and other high-tech sterilization methods funded by BMGF are appealing because they could facilitate coercive sterilization campaigns while avoiding the gory surgical botches that might draw unfavourable publicity.) (back) 108. David Harvey, “Population, Resources, and the Ideology of Science,” Economic Geography, vol. 50, no. 3, July 1974, p. 273. (back) 109. Global Health Watch, op. cit., p. 251. (back) 110. Ibid, p. 253. (back) 111. Declaration of Alma-Ata, International Conference on Primary Health Care, Alma-Ata, USSR, September 6-12, 1978, http://www.who.int/publications/almaata_declaration_en.pdf?ua=1. (back) 112. Mala Rao & Eva Pilot, “The Missing Link: The Role of Primary Care in Global Health,” Global Health Action, Jan. 1, 2014, p. 2. (back) 113 .John Walley et al., “Primary Care: Making Alma-Ata a Reality,” Lancet 2008; 372: 1001-1007. (back) 114. Carl E. Taylor and Xu Zhao Yu, “Oral Rehydration in China,” Am J Public Health 1986; 76:187-189. (back) 115. BMGF, Enteric and Diarrheal Diseases Strategy Overview, Gates Foundation website, http://www.gatesfoundation.org/What-We-Do/Global-Health/Enteric-and-Diarrheal-Diseases. (back) 116. Robert Arnove, ed., Philanthropy and Cultural Imperialism, Boston: G.K. Hall, 1980, p. 1. (back) 117. Tom Paulson, “Behind the scenes with the Gates Foundation’s ‘strategic media partners’,” Humanosphere, Feb. 14, 2013, http://www.humanosphere.org/2013/02/a-personal-view-behind-the-scenes-with-the-gates-foundations-media-partners/. For example, NPR’s “Global Health Beat” and The Guardian’s Global Development page are underwritten by the Gates Foundation. Ibid. (back) 118. See, for example, Caroline Graham, “This Is Not The Way I’d Imagined Bill Gates,” Daily Mail, June 9, 2011, http://www.dailymail.co.uk/home/moslive/article-2001697/Microsofts-Bill-Gates-A-rare-remarkable-interview-worlds-second-richest-man.html. (back) 119. As of this writing Bill Gates’ Twitter account boasts 15.8 million followers. Social media is prized by corporate marketers as a low-cost, unmediated, seemingly “organic” method of distributing publicity. (back) 120. At the same time, the ideology promoted by BMGF fosters the involvement of the corporate sector within ‘philanthropic’ interventions, legitimizing the exploitation of public needs for private profit. This opens the door for private corporations to annex still more sectors of state activity, justifying the high cost of their services by invoking illusory "efficiencies.” BMGF's assistance to the ongoing privatization of US public education via the “charter schools movement” is a case in point. (back) 121. “Yes, Vaccinations Are a CIA Plot,” Economist, July 20, 2011, http://www.economist.com/blogs/democracyinamerica/2011/07/bin-laden-vaccine. (back)
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