This is exactly the sort of criticism that the Gates Foundation has received for its oversized influence within the global health realm — that it is unaccountable, promotes a neoliberal and corporatist agenda that favors its founders’ ideology, and skews international aid priorities. Critics charge that the opacity of CZI and other private philanthropic funders allows them to set the global health agenda on their own terms — and potentially in opposition to what developing countries actually want in the health space.
Do we want private individuals and institutions to have so much say in how the world tackles something as critical as health? Given CZI’s LLC status, it’s unclear whether outsiders will be able to assess the efficacy of its investments. Nor can the global health community know whether CZI’s attention can or will be sustained.