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The Bill and Melinda Gates Foundation funds many, if not most, of the world’s global health initiatives, so much so that the Foundation has become one of the most influential deciders of global health policy. With the distribution of vaccines to developing countries all but completely failing, how do we assess the Gates’ culpability? And is it time to imagine another model for global health cooperation?   Guest: Tim Schwab, investigative reporter.  If you enjoy this show, please consider signing up for Slate Plus. Slate Plus members get benefits like zero ads on any Slate podcast, bonus episodes of shows like Slow Burn and Dear Prudence—and you’ll be supporting the work we do here on What Next. Sign up now at slate.com/whatnextplus to help support our work. If you've just signed up for Slate Plus because of What Next, fill out this form and you may get some What Next swag! Learn more about your ad choices. Visit megaphone.fm/adchoices