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Harvard Commencement Address, 2007


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The AIDS epidemic offers an example. The broad goal, of course, is to end the disease. The highest-leverage approach is prevention. The ideal technology would be a vaccine that gives lifetime immunity with a single dose.
So governments, drug companies, and foundations fund vaccine research. But their work is likely to take more than a decade, so in the meantime, we have to work with what we have in hand - and the best prevention approach we have now is getting people to avoid risky behavior.
Pursuing that goal starts the four-step cycle again. This is the pattern. The crucial thing is to never stop thinking and working - and never do what we did with malaria and tuberculosis in the 20th century - which is to surrender to complexity and quit.
The final step - after seeing the problem and finding an approach - is to measure the impact of your work and share your successes and failures so that others learn from your efforts.
You have to have the statistics, of course. You have to be able to show that a program is vaccinating millions more children. You have to be able to show a decline in the number of children dying from these diseases.
This is essential not just to improve the program, but also to help draw more investment from business and government.
But if you want to inspire people to participate, you have to show more than numbers; you have to convey the human impact of the work - so people can feel what saving a life means to the families affected.
I remember going to Davos some years back and sitting on a global health panel that was discussing ways to save millions of lives.
Millions! Think of the thrill of saving just one person's life - then multiply that by millions. … Yet this was the most boring panel I've ever been on - ever. So boring even I couldn't bear it.
What made that experience especially striking was that I had just come from an event where we were introducing version 13 of some piece of software, and we had people jumping and shouting with excitement. I love getting people excited about software - but why can't we generate even more excitement for saving lives?