Global Health

Michael Jackson and the Problems Money Won't Solve

Published June 26, 2009 @ 10:14AM PT

(photo credit: Nesster)

I remember "We Are the World." I remembered being  nine years old, sitting on the floor by our television, tape recorder in my hands, waiting to record the first performance of the song. I remember just how much hope we had. It felt like magic; like we were finally going to raise the money we needed to make the world better.

It turns out we need more than money. Our world in general, and global health in particular, are mired in problems that money alone cannot solve. At least, not in any short-term way.

There are problems that more money will solve, right now and for the long-term. I'd argue that eradicating polio is one of them. There are many more. But in 1985, we thought that all the problems we faced were like that, and we were wrong.

There are problems we can throw money at now and see impact in a decade or so. Health workforce development, ARV distribution, finding vaccines for major killers, and developing new drugs and therapies for resistant infections.

There are problems we can throw money at and make them better for the time being, with no long-term impact. We could supplement the salaries of health care providers in the developing world to eliminate brain drain. We could build better hospitals, clinics, and roads. We could buy ambulance and hire ambulance drivers for emergency transport. All of that would make things better for exactly as long as we kept funding.

And there are problems that need solutions beyond money. Getting people on ARVs isn't as good as preventing HIV in the first place, and we still haven't been able to find a way to get people to change their behavior to do that. Child spacing is the same way; all the contraception in the world won't help if people don't use it. Female genital mutilation, child rape in South Africa, devaluing girl children - I could be standing there with the money in my hands and I wouldn't know where to throw it to solve those problems. We don't just need money for more of the same programs. We need new solutions, and I don't know how we find them.

Edited to add: Michael Jackson wrote and produced We Are the World. And I still believe in that powerful sense of hope I had with my head next to the speakers on my TV. I just think it's going to take longer.

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Comments (33)

  1. Debbie Kreuser

    Although I have just given you "props" on your blog entry regarding how not to bore people while talking about global health issues, I must admit that I am not understanding the necessity of this entry, Alanna, and I hope that you can clarify why you felt it necessary to post it.

    The tragic life & death of Michael Jackson has literally nothing to do with what happens here at Change.org or in our current efforts to improve global health.

    What you are talking about are issues of funding global health concerns from the 1980's (We are the World) and not of how global health funding is done today.

    Thus, why the necessity of this post?

    Why not let the memory of this tortured soul who lived an inwardly tortured life go in peace? Why the necessity to tie him into a topic area where he really doesn't belong?

    Is it an attempt to draw people to this forum?

    If so, please use more meaningful ways of getting your message across than to tie it into an event which has no relevance for what we are currently facing in the Global Health movement.

     

    All the Best, debbie :)

    www.mpwn-uganda.org

     

    Posted by Debbie Kreuser on 06/26/2009 @ 11:55AM PT

  2. Alanna Shaikh

    It's possible only people only my exact age know this, but Michael Jackson wrote and produced We Are the World. I thought everyone knew that. Oviously a wrong assumption on my part.

    ONE gets finding from product (RED). It's a coalition of great organzations, some of whom I have worked for. But it doesn't have any answers other groups lack, and I honestly fail to see a difference between a charity concert and special (RED) sneakers being sold. http://www.joinred.com/Shop/shop_converse.aspx

    Posted by Alanna Shaikh on 06/26/2009 @ 08:56PM PT

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  3. cody lee

    jeez Debbie you got it out for someone.you said "PS: Let the dead rest in peace - please." lol all she was doing was pointing out great things he did.but somehow that's bothering the deceased in your mind.

    p.s debbie let the dead rest in peace

    r.i.p. michael jackson your awesome

    Posted by cody lee on 07/03/2009 @ 03:32AM PT

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  4. DITTO!!!!!!!!!!

    Posted by Michelle Gotham on 07/15/2009 @ 03:59PM PT

  5. Reply to thread
  6. Gil Alan

    Well Debbie... for me i do understand this post and it's relevance. Why are you being so hard on someone who ha sthe courage to stand up and speak thier mind and voice their opinion? A little  harsh to me. Alanna... I thank you for this post.

    I agree... we do need more than just money. The change must come from within. Just as with Michael Jackson... the issues that caused the so-called tourtured soul and life were created from his personal perspective - from what he thought and felt about himself - it has to do with with self worth and self llove. And as the world could plainly see... no amount of money could make a lasting difference for him. This is a great example for all of us.

    We do need new solutions!!! We need to teach awareness and to raise it - it is time to move forward through conscious evolution - this is where our solutions will come from - this is the new way forward!

    Gil

    Posted by Gil Alan on 06/26/2009 @ 12:25PM PT

  7. Debbie Kreuser

    I will wait until Alanna answers my question of what relevancy does an event that happened twenty years ago have to what is happening today in Global Health funding.

    Gil, I don't know your background in ngo's or global health advocacy but I have been a grassroots advocate for global health initiatives for nearly 30 years and so I DO know what I am talking about.

    It seems that Alanna or you may not be familiar with organizations like ONE or GCAP - some of the main social movements in the world today who are responsible for a lot of the financial funding of global health programs in the world's poorest places.

    These organizations are VERY EFFECTIVE in saving MILLIONS of people's lives from diseases & hunger every year - and they don't rely on charity albums for any of their funding!

    THE ANSWERS THAT ALANNA IS LOOKING FOR ARE ALREADY HERE - yet I seldom see her mention them.

    Thus, it's not an issue of "finding new solutions": it's a matter of appreciating & supporting the organizations that are already saving millions of people's lives around the world from totally preventable causes.

    Can these organizations count on your support?

    I hope so.

     

    Living Positively, debbie :)

     

    PS: Let the dead rest in peace - please.

     

    www.one.org

    www.whiteband.org

    www.inmyname.com

     

     

     

     

    Posted by Debbie Kreuser on 06/26/2009 @ 02:04PM PT

  8. Alanna Shaikh

    Also - CGAP is by no means a magic bullet. They will tell you that themselves. Or take a look at this new data analysis about microfinance and poverty http://blogs.cgdev.org/open_book/2009/06/roodman-morduch-2009.php

    You are not alone in believing that more funding could solve all of our global health problems. You have Jeffrey Sachs on your side. But I disagree, and there are plenty of people on my side too.

    Posted by Alanna Shaikh on 06/26/2009 @ 09:04PM PT

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  9. Doug Samuelson

    Or you could read the article Laurie Garrett wrote for Foreign Affairs a couple of years ago, pointing out how the Gates Foundation's AIDS initiative in central Africa may have cost lives, net, because they hired most of the good nurses available.  People with AIDS got good treatment, but preventive care and treatment for malaria and other more common diseases suffered.

    There's an even uglier story, I don't recall the source, about how AIDS just exploded in a few central African countries after a WHO vaccination program.  It seems a number of African doctors didn't understand why they were told to use hypodermic syringes just once and then throw them away, so they were "frugal" and kept reusing them.

    Alanna is right, therefore, to point out that money alone, even well used but with a limited goal, won't necessarily improve health.  That's true within the U.S. as well: experts disagree about which preventive treatments and early interventions truly help, which simply postpone the problem, and which do more harm than good. I'm old enough to remember the swine flu vaccine debacle in 1976, too, and several anti-Type II diabetes medications that got pulled from use because they were apparently causing heart attacks.

    And I, too, am old enough to remember the hope "We Are the World" generated.  Michael Jackson was the most commercially successful and influential entertainer in the world at the time. He chose to try to make a real difference in global health, not just raising money but also raising awareness and caring, and reminding those of us who have had some success that it's good to do something for others.  If those are not appropriate things to remember and appreciate right now, what is?

    Posted by Doug Samuelson on 06/27/2009 @ 07:24AM PT

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  10. Paul  Currion

    "These organizations are VERY EFFECTIVE in saving MILLIONS of people's lives from diseases & hunger every year."

    Some evidence for this would be nice, especially considering that there are still an awful lot of people dying from diseases and hunger.

    Posted by Paul Currion on 06/28/2009 @ 02:33PM PT

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  11. Debbie - Wow.  You may be "living positively" as your sign-off states, but you're certainly not relating to the world positively.  You sound very angry and defensive, as if you took Alanna's post as some sort of personal affront.  Rather than sounding confident in the success of NGO efforts to improve world health, you sound threatened by the suggestion that money cannot overcome the obstacles with which we are faced.  Take a deep breath, Debbie - Alanna is absolutely right.  Money won't solve the world's ills but maybe if we can find a way to inspire people to think about the issues and generate new ideas we can increase the positive impact of our efforts.

    Posted by Mary Solorzano on 07/12/2009 @ 10:41AM PT

  12. Reply to thread
  13. Thomas McHugh

    It aint money that we need so much as a majority of folks to care.

    Having said that, the u.s. cant do it alone nor should it be expected to. All countries, including the u.s. needs to deal with their own shit before they can even begin to help others.

    Posted by Thomas McHugh on 06/26/2009 @ 02:17PM PT

  14. Brice R

     

     

    You're right..

    But here's a crazy idea though.

    What if we GIVE MORE money and resources to compassionate people?

    What if we compensated compassionate people...instead of making them struggle with a lack of resources and not have energy to help others?

    Money is just a resource, just like your time, health, or your intelligence.

    If we leverage the time, resources, skills, and money of compassionate people, more energy and resources can be taken to solve every major ills in the world.

    I understand and agree with the intention of this post, but I wonder if people are stuck in the money as some kind of "root of all evil" paradigm, instead as a resource that can help change the world.

     

     

     

     

     

    Posted by Brice R on 07/04/2009 @ 07:06PM PT

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  16. Rev Bookburn

    AIDS prevention is more than dealing with changes in behaviors, it is also about realistic educational and harm reduction programs. Throwing money at a problem takes care of an immediate symptom. As long as tyrannical power and runaway greed are tolerated, there will be and endless parade of atrocities. Rev. Bookburn - Radio Volta

    Posted by Rev Bookburn on 06/26/2009 @ 03:12PM PT

  17. Barbara McNamara

    I remember many of the highlights of Michael Jackson's career. He was incredibly talented and as a result, received fortune and fame. HOWEVER, the very title of this article states "...the Problem Money Won't Solve" affirms that for everything that Michael had materially, he was desperate for genuine stability and peace of mind. "We Are the World" was Michael Jackson's plea to look at things from a more humanitarian and global focus, but the world was not ready for that message. Our country was mired in rampant spending, unchecked capitalism and escalating greed. It certainly was not listening to humanitarian logic, at least not on the large scale necessary to make a real difference. Those controlling the purse strings controlled the masses. Those with the money did whatever it took to continue increasing their coffers, while disengaging those who might stand in their way. Apathy was not born, but it surely escalated.

    Michael Jackson's message, as well as many other messages at the time, fell on too many deaf ears. So here we are, feeling rather ambivalent about the death of a very complex man, one whom we may never fully understand. The real point we must take to heart, however, is that what makes us what we are is a combination of everything that we are faced with from the time we are born. How we navigate through our own personal decision making depends, in part by our own resolve, but to a greater extent by those in our paths, and how they can steer us to more productive and positive choices. Michael Jackson is an enigma, but we have to underrstand that the society we live in fully engages the choices he has made, which inevitably led to his own demise.

    Back to the comments. Money does not fix our ills, but compassion, understanding and tolerance will enable us to look beyond ourselves to a vision of hope and peaceful coexistence. We can no longer live in an isolated bubble, because what happens half-way around the world clearly affects us here. No one could deny what impact the world's poverty, illnesses and oppressive governments has on our own society. Michael Jackson's message and desire for international empathy was bigger than he was able to handle, and it is certainly bigger than any one of us can handle alone. Individual organizations that exist for profit first and humanitarian concerns second will not have much of an impact either. True humanitarian relief begins with the heart and spirals out. It is time to get to the root of what truly makes us human. It is time past for a much bigger movement.

    Posted by Barbara McNamara on 06/27/2009 @ 10:51AM PT

  18. Jim Barton

    I was 28 in 1985, & focussing on college and anti-apartheid work (popular that spring). I percieved that as the "real" & "serious" way to help folks overseas, not corporate development washing. I viewed Live Aid a few months ago the same way.

    Still proud of what I did, but have a less Politically Correct view. I was so much older then; I'm younger than that now.

    I think Earth Hour & the global Iran response were some of the best things that happened this year.

    Posted by Jim Barton on 06/28/2009 @ 06:49PM PT

  19. Terri Oslin

    This post is absolutely the message MJ had, each person care yourself, do what you can.  All his music videos had a message also. The US has homeless, poor, kids go to bed without food, all due to the "standard business practice" of greed by corporate America.  ER's turn away the sick, dump patients, doctor's too many times are not in the business because "it's a calling," but for the money?  What is the first question Americans are asked if making a doctor's appointment?  What Insurance do you have?  I am sick of seeing Doctor's from America doing work in other countries for "FREE," but don't give a shit about the American poor at home!  Yes, I am glad that they are there, but they should also do the same campaigns here at home!  Americans, due to money must choose to die?  And we call ourselves a civilized country?  The media crucified the poor man, he was a visionist for a better World.  "He without sin throw the first stone."  How can we condone stocking of stars by NEWS people?  Cheap stories to steal their good names. I cannot see how anyone would ever want to be a star ever again!  Africa had an Exodus out of their country!  I've lived the 50's, 60's 70's, 80's 90's and now the 21 century.  No one has learned crap!  We judged Russia for their propaganda?  We need to do a lot of self evaluation and as a people start to set right our own back yard, then maybe we'd be a good example again.  Money does not solve all the World's needs!  Money is the root to all evil.

    Posted by Terri Oslin on 06/29/2009 @ 11:54PM PT

  20. leatrice brantley

    The LACK of money/ or the unequal distribution of wealth is the root of all evil.

    Posted by leatrice brantley on 07/03/2009 @ 09:22PM PT

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  22. CherokeeGirl  for Change

    I just wish the issue of child abuse, and how it can ruin any chance of a full and happy life, was brought more into our awareness with Michael's death. Just think of what he could have accomplished if he had not been humiliated and beaten by his father and had been protected by his mother. It's a sad waste that we only saw the tip of the iceberg as far as Michael's talent and the good he could have done, even more people he could have helped with his music and giving. It's not right that he suffered in such torment all those years, and eventually turned to drugs to numb the pain.

    I'll continue to remember all the good that he accomplished and I just know he's happy that we are all so affected and that he left the world a better place than he found it.

    Posted by CherokeeGirl for Change on 07/01/2009 @ 11:17AM PT

  23. Mary Ann Thompson

    Yes you are right and no one has ever pressed charges against Katherine and Joe. You are correct no amount of fame will take away the emotional pain of abuse. He obviously left the world better in that he was a humanitarian that instead of inflicting pain he healed pain.

    Posted by Mary Ann Thompson on 07/16/2009 @ 04:22PM PT

  24. Reply to thread
  25. Doug Samuelson

    I think we're respecting the moment, not bringing up the unpleasant aspects of his life at this time, and I think that's appropriate.  Perhaps more relevant than child abuse is unchecked polypharmacy -- one lesson for global health is that getting all the treatment you could possibly obtain is not necessarily the best path to maintaining your health.  But that, too, is best saved for another time, I'd say.  R.I.P.

    Posted by Doug Samuelson on 07/01/2009 @ 07:00PM PT

  26. Mary Ann Thompson

    I agree. With all this technology why isn't medications especiazlly narcotics crossed referenced? We think of addicts as those addicted to street drugs. What about the doctors who prescribe all these narcotics and the person becomes addicted so he seeks another doctor and another. So much for the Hippocratic oath do no harm. I had a tooth extracted and was prescribed 800mg of motrin, my teenage daughter had some teeth extracted and got 30 vicodin. When I questioned the dentist his reply was for the pain. She only took 2 and I disposed of them.

    Posted by Mary Ann Thompson on 07/06/2009 @ 03:24PM PT

  27. Doug Samuelson

    Medications are cross-referenced, but someone has to be paying attention.  Good pharmacists often catch medication interactions that prescribing physicians overlook.  Physicians sometimes ignore effects outside their specialties -- cardiac meds such as beta blockers causing depression (it's in the Physicians' Desk Reference) with no one monitoring the patient's mood are one notorious example.  Dentists are authorized to prescribe anything a physician can, whether they understand the patient's non-dental ailments, med side effects and interactions or not; obviously some are more careful than others.  A patient who can afford to engage multiple physicians and pharmacies, shopping around to get what he demands, can bypass all the safeguards.  Nice mess, no?

    Posted by Doug Samuelson on 07/13/2009 @ 07:11PM PT

  28. Mary Ann Thompson

    Amazing that in this high tech world there isn't better systems. As a nurse I have had to call Drs oas you said about the side effects of the drugs or when they are counterindicated ? Yes that the problem many drs tell me that if they don't control pain  they will be sued. In the 30 years that I have been a nurse in nursing home the drug of choice has gone from davon to oxycontin. All our elderly are addicted also and legally.

    Posted by Mary Ann Thompson on 07/16/2009 @ 04:16PM PT

  29. Reply to thread
  30. S B

    The dead are going to rest as they see fit whether there is a blog post in Global Health about Michael Jackson's attempt to heal the world through that song in the 80s. Michael, along with Bob Geldof and other musicians were part of a team that drew attention to global disease and starvation. These actions got Bono into working on reducing debt in developing countries. Whatever the naysayers may imply about speculations pertaining to Michael's lifestyle, he did care about global health. He contributed heavily to charities that fed needy people. I personally think Michael's concern was sincere.

    If I follow the post, I believe the author is noting that money can help but not change. That comes from within and it also comes from conscious living. Global health will remain in dissaray as long as we think money is all we need to solve every crisis and all unhappiness. The author may be using the example of Michael Jackson to show that money doesn't solve big problems. Michael was a gentle soul in an awful world. That sounds a lot like the children who suffer in places where medicine is not available and governments don't care if they live or die.

    Posted by S B on 07/03/2009 @ 05:18AM PT

  31. Janet Schultz

    i think that Michael Jackson's Father beat on him so much when he was little that it changed the way he thought.he and his brothers got beat if they missed a step or didn't do what thier Father wanted.Micheal himself said that he had a bad childhood,he said while he was getting beat his Mother would yell "Joe don't kill them" Micheal was a gentle spirit and he had childish ways about him which i loved about him.i feel that God welcomed him with open arms and he is more happy now than he ever was in life.you noticed he didn't leave his Father anything in his will because he beat him.God love and Bless Michael Jackson......Janet Schultz  (Ohio)

     

    Posted by Janet Schultz on 07/03/2009 @ 01:56PM PT

  32. Janet Schultz

    i am so glad that 4 people liked my comment on Michael Jackson,thank you all.

    i believe every word i wrote.

                Janet

    Posted by Janet Schultz on 07/06/2009 @ 03:58PM PT

  33. CherokeeGirl  for Change

    I'm trying hard to forgive Katherine for allowing the beatings to take place. But as a post above says, this stuff is best left till after the funeral. I just hope we don't forget to learn from his fate.

    Posted by CherokeeGirl for Change on 07/07/2009 @ 10:01AM PT

  34. Reply to thread
  35. Andy Lepp

    Money a lot of times brings more problems.. I can see that. May he rest in peace now

    Posted by Andy Lepp on 07/07/2009 @ 06:52PM PT

  36. Edward Snyder

    “We Are The World’’ was downloaded 37,933 times on iTunes during the week of Jackson’s death, up from 1,243 the week before.

    On Tuesday alone, the day of Jackson’s memorial service, the song was downloaded 16,015 times - generating between $8,000 and $12,000 for USA for Africa, by Kragen’s estimates. That’s more than the charity usually gets in a month.

    It’s possibly the most interest in the song that the group has seen since the charity’s early days, when no one expected USA for Africa to last more than a few months, never mind more than two decades.

    The legacy of the song is bigger than the money.  That song was ahead of its time in marrying philanthropy with marketing, and marrying commercialism with charity, which has not only led to wonderful projects like (Product) Red or the ONE Campaign, but has led to big consumer brand sponsorship of big events. It opened the door for the whole mega charitable event concept and opened the door to say, ‘It is OK to use the same marketing tools that sell beer to sell the end of hunger and the end of homelessness.’

    data source:

    One more time now... by Erin Ailworth

    http://www.boston.com/business/articles/2009/07/11/one_more_time_now/

     

     

     

    Posted by Edward Snyder on 07/12/2009 @ 01:23PM PT

  37. Joy Bergstrom

    As for me I will remember the good he brought to the people expecilly when it came to feeding and clothing the poor and this he took upon his heart to do deeply. I will not say nothing against Michael for he was a good man and fater to his childern Rest in Peace Micheal for you helped so many and you still will in so many ways. 

    Posted by Joy Bergstrom on 07/15/2009 @ 03:09PM PT

  38. Dr. "God-Complex" just thru another pain patient out of the plane without a parachute. There will always be a need for drug/alcohol treatment and sensible drug laws. If a Medical Clinic/Doctor prescribes addictive meds they need to prescribes Suboxene for Patients instead of "throwing them out of the plane without a parachute". There is no Good reason to do that to anyone. There needs to be laws to protect Pain Patients from Dangerous Doctors like my old Dr. "GOD-Complex" in Coulee Dam. Someday, when he does this, someone is going to die and he will be stopped, hopefully he and his nurse will loose their licenses and/or sent to prison. There should be laws to protect BOTH pain patient and doctor.  There are so many things a doctor can do to help a pain patient who he/she believes may be in trouble. To start with, keep addictive doses low. Second, make Pain Contracts that bind doctor to pain patient. Third, before presribing an addictive drug, have the patient go through a drug/alcohol evaluation by a D/A counselor & Mental Health Counselor. It's not that hard to figure out how to prevent addiction and overdoses. I don't believe that pain patients need to suffer because Michael Jackson overdoses. With his money, he could buy any doctor. Why should I or other pain patients who are responsible with our meds be punished for what he did. He took too much and stopped breathing. They needed to call or drive him to the ER the minute his breathing became shallow. HELLOOOOOOOOOOOOOOOOO! Dur! It's not that hard to figure out. I love him too and it's sad. Like Anna Nicole, her heart ached, she wanted to escape the death of her som and took too much. That's not my fault or anyone elses fault so why are the pain patients being punished.

    Posted by Michelle Gotham on 07/15/2009 @ 04:03PM PT

  39. CherokeeGirl  for Change

    I just finished reading "Did Michael Do It? The Untold Story" by Mary A. Fisher of GQ from 1994. I'm ashamed that I had a little suspicion in the back of my mind. Evan Chandler obviously seized upon Michael's love for children to extort money from him. I should have given Michael 100% benefit of the doubt, not 98%. Sorry Michael! We love you and miss you!

    Posted by CherokeeGirl for Change on 07/17/2009 @ 02:19PM PT

  40. Joy Bergstrom

    Some people will not let him rest but talk pure crap about him, Well ' there problem. I guess if I have a father that beat the crap out of me with a belt just because I missed a step I too would be messed up for life. Him and Janet we beat every day but Joe. He was a cruel man to them. Michael know not what your saying, but the Heavenly Father does so watch what your saying for he does hear.

    Posted by Joy Bergstrom on 07/29/2009 @ 07:16PM PT

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Alanna Shaikh

Alanna Shaikh has spent the last ten years immersed in global health; she has worked for NGOs, companies, universities, and the US government on projects that ranged from preventing antibacterial resistance to improving maternal and child health.

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