1 00:00:15,356 --> 00:00:22,996 Speaker 1: Pushkin from Pushkin Industries. This is Deep Background, the podcast 2 00:00:23,036 --> 00:00:26,116 Speaker 1: where we explore the stories behind the stories in the news. 3 00:00:26,636 --> 00:00:29,916 Speaker 1: I'm Noah Feldman. If you've been following this show for 4 00:00:29,956 --> 00:00:32,636 Speaker 1: the last couple of months, you'll know that I've covered 5 00:00:32,636 --> 00:00:35,596 Speaker 1: the coronavirus pandemic from a lot of angles. But there's 6 00:00:35,676 --> 00:00:38,316 Speaker 1: one that we haven't yet reached that I've really been 7 00:00:38,356 --> 00:00:41,836 Speaker 1: trying to puzzle over, and that is the diminishing or 8 00:00:41,876 --> 00:00:48,036 Speaker 1: even almost non existent role of international organizations. Whole countries 9 00:00:48,076 --> 00:00:52,076 Speaker 1: are making headlines for imposing and lifting social restrictions, but 10 00:00:52,156 --> 00:00:55,636 Speaker 1: the who. The World Health Organization is having its funds 11 00:00:55,636 --> 00:00:59,876 Speaker 1: cut off by President Donald Trump without international leadership. The 12 00:01:00,036 --> 00:01:03,596 Speaker 1: UN is also struggling to do its job. What's the 13 00:01:03,636 --> 00:01:07,076 Speaker 1: story behind all of this? What are these organizations supposed 14 00:01:07,156 --> 00:01:10,756 Speaker 1: to be doing? Who's filling them? Here to discuss this 15 00:01:10,836 --> 00:01:14,316 Speaker 1: with me today is not er Musa Vizade Nonnor is 16 00:01:14,316 --> 00:01:18,516 Speaker 1: an extraordinary geopolitical thinker who worked extremely closely as an 17 00:01:18,516 --> 00:01:21,916 Speaker 1: advisor for many years with Secretary General Kofi a On 18 00:01:21,996 --> 00:01:25,756 Speaker 1: of United Nations. He's held leadership positions in a wide 19 00:01:25,836 --> 00:01:28,756 Speaker 1: range of global institutions around the world, and today he's 20 00:01:28,796 --> 00:01:32,436 Speaker 1: leading a Macroadvisory Partners, a firm that provides strategies to 21 00:01:32,476 --> 00:01:37,836 Speaker 1: businesses and governments around the world. Nonna, thank you very 22 00:01:37,916 --> 00:01:41,116 Speaker 1: much for joining me. I hugely appreciate it. I wanted 23 00:01:41,196 --> 00:01:45,956 Speaker 1: to start with international organizations, and they're always an alphabet 24 00:01:46,036 --> 00:01:49,396 Speaker 1: soup of acronyms, you know, from the better known like 25 00:01:49,436 --> 00:01:53,756 Speaker 1: the UN to the WHO, the World Health Organization. Then 26 00:01:53,796 --> 00:01:58,036 Speaker 1: we've got the International Monetary Fund, the World Bank. What 27 00:01:58,156 --> 00:02:01,596 Speaker 1: are they supposed to be doing right now? We all 28 00:02:01,636 --> 00:02:03,756 Speaker 1: have the sense that they're not doing exactly what they're 29 00:02:03,756 --> 00:02:05,436 Speaker 1: supposed to do, But what are they supposed to do 30 00:02:05,476 --> 00:02:08,356 Speaker 1: in the first place? Thank you, No. I think the 31 00:02:08,396 --> 00:02:11,476 Speaker 1: first thing to think about when considering the role of 32 00:02:11,476 --> 00:02:14,756 Speaker 1: these organizations today is that they were set up, most 33 00:02:14,756 --> 00:02:17,516 Speaker 1: of the ones in your alphabet soup exactly seventy five 34 00:02:17,596 --> 00:02:20,716 Speaker 1: years ago as part of a world order that was 35 00:02:20,756 --> 00:02:23,996 Speaker 1: supposed to in the aftermath of the Second World War 36 00:02:24,756 --> 00:02:28,276 Speaker 1: establish a set of rules by which countries both would cooperate, 37 00:02:28,996 --> 00:02:33,036 Speaker 1: regulate their disputes, and where there were common interests, work together. 38 00:02:33,356 --> 00:02:36,236 Speaker 1: And that's where WHO is one example in the air 39 00:02:36,316 --> 00:02:40,596 Speaker 1: of global health. The IMF is institution. In the area 40 00:02:40,596 --> 00:02:43,316 Speaker 1: of financial stability, and that was the purpose they were 41 00:02:43,316 --> 00:02:46,956 Speaker 1: set up for. So if they're supposed to coordinate our efforts, 42 00:02:47,516 --> 00:02:49,756 Speaker 1: how would they do that? In theory? Like, how would 43 00:02:49,756 --> 00:02:54,156 Speaker 1: the WHO work on paper in a situation of global pandemic? 44 00:02:54,596 --> 00:02:57,996 Speaker 1: What are they supposed to do for us? The key 45 00:02:58,076 --> 00:03:00,916 Speaker 1: role for the WHO in a pandemic or in a 46 00:03:00,996 --> 00:03:04,476 Speaker 1: crisis of a global health nature of any kind really 47 00:03:04,556 --> 00:03:08,316 Speaker 1: is to do two things. One is to provide technical 48 00:03:08,316 --> 00:03:13,316 Speaker 1: assistance emergency advice to those countries most exposed and least 49 00:03:13,356 --> 00:03:16,556 Speaker 1: able based on the strength of their own public health systems. 50 00:03:16,916 --> 00:03:20,076 Speaker 1: And then also play a broader normative rule, what are 51 00:03:20,076 --> 00:03:23,116 Speaker 1: the ways in which the world can cooperate better? Be 52 00:03:23,236 --> 00:03:28,276 Speaker 1: a catalyst for action, for alliances and for cooperation. And 53 00:03:28,316 --> 00:03:30,916 Speaker 1: you'd really think we would need to cooperate in a 54 00:03:30,956 --> 00:03:34,876 Speaker 1: pandemic because obviously the virus doesn't know borders and it's 55 00:03:34,876 --> 00:03:37,556 Speaker 1: spreading everywhere, and yet we have this incredible patchwork of 56 00:03:37,756 --> 00:03:41,036 Speaker 1: approaches all over the world. In principle, would the WHO 57 00:03:41,116 --> 00:03:43,916 Speaker 1: give advice that countries would be bound to follow or 58 00:03:43,916 --> 00:03:46,196 Speaker 1: would it just be suggestions? Sort of the way Donald 59 00:03:46,236 --> 00:03:48,876 Speaker 1: Trump is chosen not to dictate to the States, but 60 00:03:48,956 --> 00:03:51,796 Speaker 1: it's rather allowed states to make their own determinations. Yeah, 61 00:03:51,796 --> 00:03:54,236 Speaker 1: I mean, I think what we see in the response 62 00:03:54,356 --> 00:03:57,756 Speaker 1: of something like the WHO. Remember again, these are inter 63 00:03:57,876 --> 00:04:02,276 Speaker 1: governmental organizations with all the bureaucracy and all the rules 64 00:04:02,276 --> 00:04:05,356 Speaker 1: around cooperation collaboration that you'd expect. But if you think 65 00:04:05,396 --> 00:04:09,636 Speaker 1: about COVID nineteen, what we have seen and but COVID 66 00:04:09,796 --> 00:04:13,476 Speaker 1: found in the international system as it arrived, particularly the 67 00:04:13,476 --> 00:04:17,356 Speaker 1: case of WHO is two key features. One is that 68 00:04:17,556 --> 00:04:24,076 Speaker 1: WHO historically has been underfunded, underresourced, and over bureaucratic, as 69 00:04:24,116 --> 00:04:28,356 Speaker 1: well as having a really quite contentious relationship with global pharma. 70 00:04:28,476 --> 00:04:33,116 Speaker 1: So that's the underlying characteristic and reputation of WHO coming 71 00:04:33,116 --> 00:04:36,436 Speaker 1: into this, even though in its leadership today and other 72 00:04:36,476 --> 00:04:39,116 Speaker 1: ways in which it's responded, I think it's been actually 73 00:04:39,436 --> 00:04:42,476 Speaker 1: surprising a lot of people. In effectiveness the other key 74 00:04:42,516 --> 00:04:44,996 Speaker 1: element here, and this is something those of us who 75 00:04:45,036 --> 00:04:47,956 Speaker 1: grew up in the UN and elsewhere continue to harp 76 00:04:47,996 --> 00:04:51,356 Speaker 1: on about, which perhaps sometimes seems like an excuse, but 77 00:04:51,396 --> 00:04:54,836 Speaker 1: it is the reality that these organizations only work if 78 00:04:54,836 --> 00:04:57,436 Speaker 1: the key actors in the world want them to work, 79 00:04:57,476 --> 00:05:01,196 Speaker 1: and want them to work as centers of collaboration. And 80 00:05:01,236 --> 00:05:04,036 Speaker 1: in this case, what we found is that the pandemic 81 00:05:04,116 --> 00:05:07,956 Speaker 1: comes to the world and finds a WHO not only underfunded, 82 00:05:08,196 --> 00:05:11,316 Speaker 1: but caught between the most important rivalry in the world today, 83 00:05:11,596 --> 00:05:14,636 Speaker 1: which is between the United States and China. And so 84 00:05:14,676 --> 00:05:18,836 Speaker 1: it's not working. What is the WHO in fact trying 85 00:05:18,916 --> 00:05:20,676 Speaker 1: to do right now that they're failing to do? Are 86 00:05:20,676 --> 00:05:23,196 Speaker 1: they just not trying because, as you say, they're caught 87 00:05:23,236 --> 00:05:25,836 Speaker 1: between China and the United States and being beaten up 88 00:05:25,876 --> 00:05:28,196 Speaker 1: to some degree by both. Well, I think what we're 89 00:05:28,236 --> 00:05:30,396 Speaker 1: seeing actually is a bit of an X ray of 90 00:05:30,436 --> 00:05:32,716 Speaker 1: the world as we find it today rather than the 91 00:05:32,756 --> 00:05:35,516 Speaker 1: world that was imagined seventy five years ago or may 92 00:05:35,556 --> 00:05:37,996 Speaker 1: have been imagined in A lot of the cooperation that 93 00:05:38,156 --> 00:05:41,996 Speaker 1: was intended around this, which is that in the vacuum 94 00:05:42,516 --> 00:05:47,436 Speaker 1: left by a WHO, which was underfunded and under mandated, 95 00:05:47,876 --> 00:05:52,156 Speaker 1: stepped in a number of global philanthropies organizations, principally the 96 00:05:52,156 --> 00:05:56,076 Speaker 1: Gates Foundation, but others as well, looking at the broader 97 00:05:56,116 --> 00:05:59,156 Speaker 1: global public health challenge and saying what can we do 98 00:05:59,676 --> 00:06:05,396 Speaker 1: as independent private sector philanthropic actors with access to capital, 99 00:06:06,116 --> 00:06:09,756 Speaker 1: reliance on science and IT bias for action and cooperation. 100 00:06:10,236 --> 00:06:12,396 Speaker 1: And so what you're seeing when you ask yourself, what 101 00:06:12,476 --> 00:06:15,236 Speaker 1: is the WHO doing today it is being asked to 102 00:06:15,316 --> 00:06:19,076 Speaker 1: play a role in some ways convening, in other ways 103 00:06:19,596 --> 00:06:23,516 Speaker 1: providing a sense of global legitimacy to these kinds of 104 00:06:23,556 --> 00:06:28,076 Speaker 1: efforts which now increasingly are catalyzed by actors which were 105 00:06:28,076 --> 00:06:31,436 Speaker 1: not imagined when these global institutions were set up. And 106 00:06:31,516 --> 00:06:35,396 Speaker 1: that is both a role that these independent private sector, 107 00:06:35,436 --> 00:06:39,636 Speaker 1: often philanthropic organizations can play because they have access to 108 00:06:39,756 --> 00:06:43,116 Speaker 1: capital and science, and also because they are not driven 109 00:06:43,556 --> 00:06:47,676 Speaker 1: by national or nationalistic agendas, much as we see so 110 00:06:47,756 --> 00:06:52,276 Speaker 1: much of the world powers operate today. This is fascinating 111 00:06:52,276 --> 00:06:54,956 Speaker 1: and I want to ask you to dive down into it. 112 00:06:55,196 --> 00:06:57,716 Speaker 1: What I hear you saying is perhaps there are no 113 00:06:57,756 --> 00:06:59,436 Speaker 1: fault of its own or just in virtue of the 114 00:06:59,436 --> 00:07:02,436 Speaker 1: way it's designed. The who hasn't been capable at this 115 00:07:02,556 --> 00:07:06,836 Speaker 1: moment of providing effective global coordination or advice that major 116 00:07:06,876 --> 00:07:10,436 Speaker 1: countries would listen to that vacuum I hear you're saying. 117 00:07:10,596 --> 00:07:13,236 Speaker 1: The words that stuck in my mind were Gates Foundation. 118 00:07:13,636 --> 00:07:16,356 Speaker 1: There are others too, but Bill Gates has gotten a 119 00:07:16,436 --> 00:07:19,996 Speaker 1: huge amount of attention, positive and negative for what he's 120 00:07:20,036 --> 00:07:22,596 Speaker 1: been trying to do. Tell us what he and the 121 00:07:22,636 --> 00:07:24,836 Speaker 1: Gates Foundation are doing in fact, so we can try 122 00:07:24,836 --> 00:07:27,276 Speaker 1: to make sense of whether the criticisms or the praise 123 00:07:27,316 --> 00:07:30,036 Speaker 1: are warranted. So I think the first thing I would 124 00:07:30,036 --> 00:07:32,356 Speaker 1: say is when the history books are written about this 125 00:07:32,796 --> 00:07:35,796 Speaker 1: a pandemic and the crisis for the world, there will 126 00:07:35,836 --> 00:07:39,076 Speaker 1: be in amazement actually at the role of one foundation 127 00:07:39,116 --> 00:07:41,076 Speaker 1: and one man. And I think the important thing to 128 00:07:41,116 --> 00:07:44,436 Speaker 1: remember is not just that Bill Gates stepped out now, 129 00:07:44,716 --> 00:07:48,756 Speaker 1: but that he had already created institutions which had for 130 00:07:48,796 --> 00:07:53,596 Speaker 1: some time been leading the world in developing vaccine, thinking 131 00:07:53,636 --> 00:07:58,636 Speaker 1: about pandemic preparedness, thinking about immunization of children in the 132 00:07:58,676 --> 00:08:02,756 Speaker 1: poorest parts of the world, and supporting something like the 133 00:08:02,796 --> 00:08:07,316 Speaker 1: Global Fund against HIV, Tuberculosis and Malaria, which was something 134 00:08:07,316 --> 00:08:10,956 Speaker 1: that Kofiana in fact established in the early two thousands 135 00:08:10,996 --> 00:08:14,716 Speaker 1: in response to the global HIV AI's pandemic. And there 136 00:08:14,716 --> 00:08:18,596 Speaker 1: we saw actually perhaps the last time there was enough 137 00:08:18,596 --> 00:08:21,956 Speaker 1: global cooperation and frankly enough global leadership that something like 138 00:08:22,196 --> 00:08:24,236 Speaker 1: that could be stood up in the middle of a 139 00:08:24,316 --> 00:08:27,276 Speaker 1: crisis as a global response. With the Gates Foundation has 140 00:08:27,316 --> 00:08:30,116 Speaker 1: done since, both with its support for the Global Fund, 141 00:08:30,116 --> 00:08:33,236 Speaker 1: but also with entities such as GAVI and sepages to 142 00:08:33,316 --> 00:08:36,916 Speaker 1: add to your alphabet soup is to establish and fund 143 00:08:37,356 --> 00:08:41,676 Speaker 1: and convene partnerships where they are often the largest funder, 144 00:08:41,836 --> 00:08:44,956 Speaker 1: but really are there to do something really important, which 145 00:08:45,036 --> 00:08:47,436 Speaker 1: is to say, with the WH show not being able 146 00:08:47,516 --> 00:08:50,916 Speaker 1: to play its role, with governments being either too domestically 147 00:08:50,956 --> 00:08:57,076 Speaker 1: focused or too nationalistic to cooperate, here are institutions that 148 00:08:57,116 --> 00:09:00,796 Speaker 1: have the support of a key funder who is as 149 00:09:00,836 --> 00:09:04,716 Speaker 1: I said, science based bias for action, access to capital, 150 00:09:04,756 --> 00:09:07,756 Speaker 1: and can then drawin others in working together. And I 151 00:09:07,796 --> 00:09:11,396 Speaker 1: think that's the world the pandemic also found. It found 152 00:09:11,436 --> 00:09:14,316 Speaker 1: actually in these institutions that many people had really not 153 00:09:14,436 --> 00:09:18,156 Speaker 1: heard of, at least the beginnings the foundations of the 154 00:09:18,236 --> 00:09:21,076 Speaker 1: kind of global response. And that's why when the WHO 155 00:09:21,196 --> 00:09:25,556 Speaker 1: makes it announcement of a new alliance around both diagnostics, 156 00:09:25,836 --> 00:09:30,516 Speaker 1: therapeutics and vaccines, the Gates Foundation is a very principal speaker. 157 00:09:30,636 --> 00:09:33,516 Speaker 1: All of its entities had separate speaking roles. And why 158 00:09:33,636 --> 00:09:36,436 Speaker 1: is this important? Oh, it's important because it shows you 159 00:09:36,876 --> 00:09:41,916 Speaker 1: that a private sector of philosophic enterprise essentially has co 160 00:09:42,236 --> 00:09:47,196 Speaker 1: led the global response to the pandemic. Yes, with Who, 161 00:09:47,316 --> 00:09:49,796 Speaker 1: but frankly with a couple of governments. And that's been 162 00:09:49,876 --> 00:09:53,076 Speaker 1: the core of the response. What does that look like? Concretely, 163 00:09:53,356 --> 00:09:55,636 Speaker 1: there's a press conference, lots of people are speaking, as 164 00:09:55,636 --> 00:09:58,556 Speaker 1: you say, alongside the who it's a kind of kabuki theater. 165 00:09:58,636 --> 00:10:01,476 Speaker 1: As you point out, who has speaking roles tells you 166 00:10:01,516 --> 00:10:04,436 Speaker 1: where the power lies. But I still don't get what 167 00:10:04,596 --> 00:10:06,676 Speaker 1: happens on a day to day basis. You know who's 168 00:10:06,716 --> 00:10:08,756 Speaker 1: calling the shots and how are the shots being called. 169 00:10:09,156 --> 00:10:11,396 Speaker 1: I think what's been so interesting about this crisis, and 170 00:10:11,956 --> 00:10:13,876 Speaker 1: you and I have talked about many other crises over 171 00:10:13,916 --> 00:10:16,836 Speaker 1: the years, but but so interesting about this crisis is 172 00:10:16,876 --> 00:10:21,116 Speaker 1: that it really took a handful of actors and leaders, 173 00:10:21,676 --> 00:10:24,516 Speaker 1: a lot of governments obviously scrambling initially what to do, 174 00:10:24,636 --> 00:10:27,996 Speaker 1: which measures to take, what kind of public health infrastructure 175 00:10:27,996 --> 00:10:30,316 Speaker 1: they had in place. But what we actually are talking 176 00:10:30,356 --> 00:10:34,356 Speaker 1: about in the case of the response globally, because China 177 00:10:34,436 --> 00:10:37,556 Speaker 1: has been hugely focused on its own domestic response yes 178 00:10:37,596 --> 00:10:42,356 Speaker 1: on some international behaviors. The United States remains enormously focused 179 00:10:42,396 --> 00:10:46,396 Speaker 1: on its domestic challenge. So globally the response really has 180 00:10:46,396 --> 00:10:50,476 Speaker 1: been led by President Makhall of France, Chancellor mercle of Germany, 181 00:10:50,476 --> 00:10:53,116 Speaker 1: and Bill Gates. So what happened was there were a 182 00:10:53,196 --> 00:10:56,876 Speaker 1: number of ideas, and people were circulating proposals for global 183 00:10:56,876 --> 00:11:01,276 Speaker 1: cooperation and alliances between various institutions. But really what happened 184 00:11:01,276 --> 00:11:03,876 Speaker 1: in the last two weeks was that a series of 185 00:11:03,876 --> 00:11:08,996 Speaker 1: phone calls between Marcol Gates, Christina Geogeva at the IMA, 186 00:11:09,796 --> 00:11:12,916 Speaker 1: really a handful of global leaders, a global response was 187 00:11:12,956 --> 00:11:16,916 Speaker 1: designed and then executed, and then other parts of the 188 00:11:16,916 --> 00:11:20,436 Speaker 1: global system, frankly were added afterwards, which is things like 189 00:11:20,476 --> 00:11:22,956 Speaker 1: the WHO, which had less of a role in the 190 00:11:23,076 --> 00:11:26,356 Speaker 1: design and more of role now in the fronting of it. 191 00:11:26,636 --> 00:11:29,436 Speaker 1: Global pharma obviously needs to play a role. But what 192 00:11:29,596 --> 00:11:32,596 Speaker 1: was so interesting about this crisis is it really was 193 00:11:32,676 --> 00:11:37,316 Speaker 1: the personal diplomacy. The personal relationship between Maco and Marcol, 194 00:11:37,716 --> 00:11:41,116 Speaker 1: Christina Geo gave the IMF and the Gates Foundation, who 195 00:11:41,236 --> 00:11:45,196 Speaker 1: ended up being principal drivers of the global response. So 196 00:11:45,396 --> 00:11:48,596 Speaker 1: not are what you're just described is sort of astonishing 197 00:11:48,596 --> 00:11:53,036 Speaker 1: to me. You said that three people, the President of France, 198 00:11:53,556 --> 00:11:57,676 Speaker 1: the Chancellor of Germany and Bill Gates co ordinated an 199 00:11:57,716 --> 00:12:01,396 Speaker 1: international strategy on the phone with some facilitation from the 200 00:12:01,396 --> 00:12:04,956 Speaker 1: head of the IMF, and then they basically told the 201 00:12:05,116 --> 00:12:07,996 Speaker 1: WHO to appear and as you put it, front the 202 00:12:08,076 --> 00:12:11,156 Speaker 1: plan that for international coordination that they'd come up with. 203 00:12:11,596 --> 00:12:14,436 Speaker 1: How literally do you mean that? I mean literally you're 204 00:12:14,436 --> 00:12:16,636 Speaker 1: describing phone calls with Bill Gates on one side and 205 00:12:16,636 --> 00:12:18,796 Speaker 1: Emmanuel Mark call on the other, or on Glimmercal on 206 00:12:18,836 --> 00:12:21,236 Speaker 1: the other saying we think that this is the right 207 00:12:21,276 --> 00:12:25,236 Speaker 1: coordinative strategy on the basis of this plan devised by 208 00:12:25,636 --> 00:12:28,996 Speaker 1: Gates Foundation supported entities. Is that what you're describing put 209 00:12:28,996 --> 00:12:31,716 Speaker 1: it this way, There's no doubt that, of course other 210 00:12:31,756 --> 00:12:35,436 Speaker 1: governments who are involved early on the European Commission, who 211 00:12:35,596 --> 00:12:38,996 Speaker 1: in doctor Chedros has been very active daily in lots 212 00:12:38,996 --> 00:12:41,956 Speaker 1: of calls. But the question these kinds of crises is 213 00:12:42,156 --> 00:12:45,836 Speaker 1: who ends up seizing the talking stick and then holding it. 214 00:12:46,156 --> 00:12:49,196 Speaker 1: And in this case, amongst the many proposals that were 215 00:12:49,236 --> 00:12:53,436 Speaker 1: out there, the various kinds of alliances, finding the path 216 00:12:53,796 --> 00:12:56,156 Speaker 1: to have clarity to say, this is what we're going 217 00:12:56,196 --> 00:12:58,716 Speaker 1: to know on diagnostics, this is what we're going to 218 00:12:58,716 --> 00:13:00,596 Speaker 1: do on therapeutics, and this is what we're going to 219 00:13:00,676 --> 00:13:04,116 Speaker 1: do on vaccines. What kind of institutions will be the 220 00:13:04,236 --> 00:13:07,356 Speaker 1: vehicles for the focus of the global effort? And lo 221 00:13:07,516 --> 00:13:11,436 Speaker 1: and behold it is the Gates funded vehicles. Seppi gave 222 00:13:11,596 --> 00:13:13,876 Speaker 1: into a certain extent the global fund that will be 223 00:13:13,916 --> 00:13:18,556 Speaker 1: the main instruments, and having the force basically to seize 224 00:13:18,556 --> 00:13:21,956 Speaker 1: the agenda and say this is where the global consensus 225 00:13:21,996 --> 00:13:26,156 Speaker 1: will sit. That was despite dozens of leaders and dobens 226 00:13:26,156 --> 00:13:28,876 Speaker 1: of actors involved in this. At the end of the day, 227 00:13:29,556 --> 00:13:32,036 Speaker 1: it comes down to three or four people who have 228 00:13:32,196 --> 00:13:34,196 Speaker 1: enough weight to bring enough of the rest of the 229 00:13:34,236 --> 00:13:37,756 Speaker 1: consensus with them and who agree on the core mission. 230 00:13:37,756 --> 00:13:41,156 Speaker 1: And there I think what you saw being the decisive 231 00:13:41,236 --> 00:13:45,396 Speaker 1: factors was in Merkel, a chancellor with huge trust and 232 00:13:45,476 --> 00:13:48,716 Speaker 1: social trust and political trust in her own system as 233 00:13:48,756 --> 00:13:53,276 Speaker 1: scientists by training, with a pre existing strong relationship with 234 00:13:53,476 --> 00:13:57,756 Speaker 1: Bill Gates, and in President Macon, a leader of Europe 235 00:13:57,996 --> 00:14:01,436 Speaker 1: who always is more ambitious than both France and Europe, 236 00:14:01,596 --> 00:14:03,996 Speaker 1: and between the three of them were able to say 237 00:14:04,076 --> 00:14:06,596 Speaker 1: this is where the consensus needs to sit. Yes, we 238 00:14:06,636 --> 00:14:09,076 Speaker 1: will now make the necessary phone calls to the other lead. 239 00:14:09,556 --> 00:14:12,516 Speaker 1: But that's how this was devised. We'll be back in 240 00:14:12,556 --> 00:14:25,236 Speaker 1: just a moment. There is a form of critique of 241 00:14:25,276 --> 00:14:28,636 Speaker 1: what's happening internationally, sometimes from the left, sometimes from the right, 242 00:14:28,636 --> 00:14:32,796 Speaker 1: and they actually sound surprisingly similar at this point that says, okay, 243 00:14:33,236 --> 00:14:38,956 Speaker 1: an unelected, multi multi billionaire. Bill Gates is calling the 244 00:14:38,996 --> 00:14:42,476 Speaker 1: shots to a huge degree, is much or more than 245 00:14:42,596 --> 00:14:46,476 Speaker 1: heads of state. And he's doing this because he has 246 00:14:46,516 --> 00:14:49,436 Speaker 1: amassed all of this capital. And you say, he's in 247 00:14:49,476 --> 00:14:53,316 Speaker 1: his foundation are science based and biased for action, but 248 00:14:53,396 --> 00:14:56,036 Speaker 1: he's also aligned at a very basic level with the 249 00:14:56,076 --> 00:14:59,156 Speaker 1: international structure of capitalism. I mean, that's what he comes 250 00:14:59,156 --> 00:15:02,396 Speaker 1: out of, that's who he knows, that's his world. And 251 00:15:02,996 --> 00:15:06,196 Speaker 1: the critique is that this is not okay. And I 252 00:15:06,276 --> 00:15:08,356 Speaker 1: always sort of dismissed this by saying, oh, come on, 253 00:15:08,476 --> 00:15:10,036 Speaker 1: you know, that's not what really happening out there. And 254 00:15:10,036 --> 00:15:11,516 Speaker 1: I think I'm starting to feel like I'm a little 255 00:15:11,556 --> 00:15:13,196 Speaker 1: naive and dismissing it. I mean, it sounds like what 256 00:15:13,196 --> 00:15:16,716 Speaker 1: you're describing is actually a situation in which, in the 257 00:15:16,716 --> 00:15:21,196 Speaker 1: phase of relatively weak international organizations, a hugely successful global 258 00:15:21,236 --> 00:15:26,076 Speaker 1: capitalist is issuing strong suggestions that are then transformed into 259 00:15:26,116 --> 00:15:29,596 Speaker 1: actually being policy. I mean, am I getting that right? 260 00:15:29,716 --> 00:15:32,436 Speaker 1: That's sort of shocking to me. Look, I think you're 261 00:15:32,436 --> 00:15:39,036 Speaker 1: identifying something that's a genuine challenge and a genuine difficulty 262 00:15:39,196 --> 00:15:41,916 Speaker 1: about the world we find ourselves. And you know, for 263 00:15:41,956 --> 00:15:43,996 Speaker 1: those of us who grew up in places like the 264 00:15:44,076 --> 00:15:47,076 Speaker 1: UN and elsewhere in the international system, the challenge was 265 00:15:47,076 --> 00:15:51,476 Speaker 1: always that there was legitimacy but no efficacy, i e. 266 00:15:51,716 --> 00:15:53,916 Speaker 1: The institutions because they had every country of the world 267 00:15:53,956 --> 00:15:56,956 Speaker 1: as their members were broadly seen as global, legitimate, everyone 268 00:15:57,036 --> 00:15:59,916 Speaker 1: had to vote in the General Assembly, etc. Etc. But 269 00:15:59,996 --> 00:16:03,636 Speaker 1: the effectiveness was always lacking. And I think what we 270 00:16:03,756 --> 00:16:06,556 Speaker 1: have here is the opposite challenge, which is, yes, there 271 00:16:06,636 --> 00:16:10,396 Speaker 1: is effectiveness, there's ability to harness these various resources that 272 00:16:10,476 --> 00:16:13,596 Speaker 1: he has, but where does the legitimacy come from? And 273 00:16:13,756 --> 00:16:16,876 Speaker 1: how can he be held accountable at all? And I 274 00:16:16,916 --> 00:16:20,796 Speaker 1: think it's really important to pose that question and to 275 00:16:20,836 --> 00:16:23,076 Speaker 1: think about it now. The two things that I think 276 00:16:23,116 --> 00:16:26,956 Speaker 1: are important for context is the reason Bill Gates and 277 00:16:27,076 --> 00:16:31,196 Speaker 1: his foundations play the role they do today is because 278 00:16:31,236 --> 00:16:36,636 Speaker 1: of an absence of more effective, who more effective global 279 00:16:36,676 --> 00:16:39,956 Speaker 1: institutions in these areas, and so he has stepped in. 280 00:16:40,036 --> 00:16:43,836 Speaker 1: They have stepped in as funders, as supporters, as conveners 281 00:16:43,836 --> 00:16:47,996 Speaker 1: of institutions. That absolutely we would have been much better off, 282 00:16:48,116 --> 00:16:52,836 Speaker 1: so to speak, if you'd have global organizations with genuine 283 00:16:52,876 --> 00:16:57,396 Speaker 1: global legitimacy and sense of accountability running these But that's 284 00:16:57,396 --> 00:16:59,716 Speaker 1: not the world we're in and so he has stepped 285 00:16:59,716 --> 00:17:02,676 Speaker 1: into a vacuum. And I think one of the ways 286 00:17:02,716 --> 00:17:06,796 Speaker 1: that we can look at whether this ultimately is a legitimate, 287 00:17:07,316 --> 00:17:11,436 Speaker 1: an accountable solution to this global pandemic is whether something 288 00:17:11,516 --> 00:17:14,716 Speaker 1: really important is achieved, and that is whether both the 289 00:17:14,716 --> 00:17:18,836 Speaker 1: therapeutics and the vaccine are delivered as a global public 290 00:17:18,876 --> 00:17:25,436 Speaker 1: good ie produced at scale, at speed, and delivered on 291 00:17:25,476 --> 00:17:29,396 Speaker 1: an equity basis across the world at a cost that 292 00:17:29,476 --> 00:17:32,516 Speaker 1: everyone can afford. That's the meaning of a global public good. 293 00:17:32,796 --> 00:17:35,036 Speaker 1: And I think that will be the real test of 294 00:17:35,116 --> 00:17:39,076 Speaker 1: whether this solution not just was a bias for action, 295 00:17:39,116 --> 00:17:41,796 Speaker 1: bias for science, but actually got us the right outcome. 296 00:17:42,596 --> 00:17:45,756 Speaker 1: I appreciate the pragmatism of your answer, but I want 297 00:17:45,796 --> 00:17:48,396 Speaker 1: to push back. I think that when you're talking about 298 00:17:48,716 --> 00:17:51,756 Speaker 1: global governance, which is what we're talking about, legitimacy has 299 00:17:51,836 --> 00:17:54,876 Speaker 1: at least two parts. It has who picked you? And 300 00:17:54,956 --> 00:17:57,196 Speaker 1: it are you accountable to the people who picked you? 301 00:17:57,796 --> 00:18:00,996 Speaker 1: In this instance, nobody picked Bill Gates except in some 302 00:18:01,076 --> 00:18:03,636 Speaker 1: general sense that the capitalist system throws off a handful 303 00:18:03,636 --> 00:18:06,116 Speaker 1: of incredibly rich people who then can choose it to 304 00:18:06,196 --> 00:18:07,836 Speaker 1: use their money how they wish, and it's great if 305 00:18:07,836 --> 00:18:09,956 Speaker 1: they use it pro socially, so no one picked him, 306 00:18:09,956 --> 00:18:12,796 Speaker 1: so in that sense, his role can't be legitimate. And 307 00:18:12,836 --> 00:18:15,796 Speaker 1: the second component is is he accountable? And I don't 308 00:18:15,796 --> 00:18:17,636 Speaker 1: think there is a way to hold somebody accountable under 309 00:18:17,636 --> 00:18:21,036 Speaker 1: those circumstances. If let's say none of the vaccines work out, 310 00:18:21,636 --> 00:18:23,156 Speaker 1: or if they do work out but they end up 311 00:18:23,156 --> 00:18:26,956 Speaker 1: disproportionately being given to richer countries, nothing's going to happen 312 00:18:26,956 --> 00:18:30,076 Speaker 1: to Bill Gates, Makran or Merkel can be kicked out 313 00:18:30,076 --> 00:18:33,476 Speaker 1: of office. I mean, that's the fundamental difference between an 314 00:18:33,476 --> 00:18:36,836 Speaker 1: elected representative of the people and someone who just steps 315 00:18:36,916 --> 00:18:39,156 Speaker 1: up and says here I am. So I'm skeptical of 316 00:18:39,196 --> 00:18:43,116 Speaker 1: the idea that we can backload legitimacy by saying, well, 317 00:18:43,156 --> 00:18:45,516 Speaker 1: if it worked, it worked. I mean that is, you know, 318 00:18:45,596 --> 00:18:47,556 Speaker 1: not to put too fine a point on it. Always 319 00:18:47,596 --> 00:18:50,916 Speaker 1: one of the arguments for non democratic government while nothing 320 00:18:50,916 --> 00:18:53,316 Speaker 1: else is working. Democracy is a mess. Let's just have 321 00:18:53,396 --> 00:18:56,476 Speaker 1: one person in charge, so you know that to me 322 00:18:56,596 --> 00:18:59,076 Speaker 1: is a genuine concern. Democracy is not perfect. It has 323 00:18:59,116 --> 00:19:01,276 Speaker 1: all kinds of flaws, but it is usually thought to 324 00:19:01,276 --> 00:19:03,076 Speaker 1: be at least I think it is better than the alternatives. 325 00:19:03,116 --> 00:19:05,556 Speaker 1: And this sounds like one of the alternatives. I would 326 00:19:05,556 --> 00:19:07,036 Speaker 1: say a couple of things, because I think you are 327 00:19:07,196 --> 00:19:10,156 Speaker 1: pointing to a really important demand of this. The one 328 00:19:10,196 --> 00:19:13,516 Speaker 1: thing is to say that we should continue to be 329 00:19:13,716 --> 00:19:17,756 Speaker 1: mindful and vigilant about the lack of both legitimacy and accountability. 330 00:19:18,156 --> 00:19:19,796 Speaker 1: I think the second part of my answer, and maybe 331 00:19:19,836 --> 00:19:23,196 Speaker 1: that's where my pragmatism comes from, Noah, which perhaps isn't 332 00:19:23,236 --> 00:19:27,396 Speaker 1: as democratically guided as you would think or want, is 333 00:19:27,436 --> 00:19:29,676 Speaker 1: that this is a pragmatism that comes from having spent 334 00:19:30,036 --> 00:19:32,236 Speaker 1: almost ten years of the UN in some of its 335 00:19:32,476 --> 00:19:34,996 Speaker 1: best days in the last thirty years, and some of 336 00:19:35,036 --> 00:19:40,036 Speaker 1: its worst, and looking at what actually is the consequence 337 00:19:40,276 --> 00:19:43,836 Speaker 1: of these global institutions that may have the legitimacy that 338 00:19:43,916 --> 00:19:47,356 Speaker 1: you're asking for, have some form of accountability, but I 339 00:19:47,356 --> 00:19:50,516 Speaker 1: think you can debate that, but have been so lacking 340 00:19:51,036 --> 00:19:54,956 Speaker 1: in delivering what they actually were established to do, which 341 00:19:55,076 --> 00:20:00,196 Speaker 1: is peace and security, development, poverty eradication, public health goods. 342 00:20:00,436 --> 00:20:03,236 Speaker 1: And if it is through these kinds of alliances, which 343 00:20:03,276 --> 00:20:08,036 Speaker 1: by necessity are with individuals, institutions which have not been 344 00:20:08,076 --> 00:20:12,996 Speaker 1: democratically establ published nor are democratically lad but can marshal 345 00:20:13,436 --> 00:20:19,156 Speaker 1: both resources, science and technology to what will be determined 346 00:20:19,316 --> 00:20:23,756 Speaker 1: democratically and legitimately as the global public good that we're 347 00:20:23,796 --> 00:20:28,476 Speaker 1: going after. Then I think absent evidence to the contrary 348 00:20:28,556 --> 00:20:30,796 Speaker 1: that this is the best we can do in the 349 00:20:30,836 --> 00:20:33,436 Speaker 1: world that we're in right now, we need to think 350 00:20:33,476 --> 00:20:39,236 Speaker 1: about who has the firetruck, and, without stretching the metaphor 351 00:20:39,236 --> 00:20:41,876 Speaker 1: too much, if it's the wrong guy holding the hose 352 00:20:41,956 --> 00:20:44,196 Speaker 1: for a while, at least he's the guy who had 353 00:20:44,236 --> 00:20:47,396 Speaker 1: the firetruck able to show up on time, and in time, 354 00:20:47,436 --> 00:20:50,076 Speaker 1: hopefully we'll have other trucks around him and others can 355 00:20:50,116 --> 00:20:52,916 Speaker 1: contribute to the solution so that it is not, as 356 00:20:52,956 --> 00:20:57,916 Speaker 1: you rightly point out, leverage simply to one unelectable, unaccountable 357 00:20:57,956 --> 00:21:01,396 Speaker 1: individual and the foundation the mission that he has not. 358 00:21:01,556 --> 00:21:04,036 Speaker 1: Are you mentioned that the context for everything that we've 359 00:21:04,076 --> 00:21:07,596 Speaker 1: been discussing is a global context, with the US and 360 00:21:07,676 --> 00:21:13,316 Speaker 1: China essentially fighting each other the stage only verbally, but 361 00:21:13,396 --> 00:21:15,356 Speaker 1: it's pretty significant, and it's one of the things that's 362 00:21:15,356 --> 00:21:18,636 Speaker 1: hamstringing the international organizations, even though they were a little 363 00:21:18,636 --> 00:21:20,396 Speaker 1: bit designed for the context of the Cold War, so 364 00:21:20,476 --> 00:21:22,196 Speaker 1: in theory they ought to work better than they're working out. 365 00:21:22,196 --> 00:21:25,436 Speaker 1: But that was a long time ago, we've both been obsessed. 366 00:21:25,476 --> 00:21:27,436 Speaker 1: I think it's not too strong a term with the 367 00:21:27,556 --> 00:21:30,516 Speaker 1: US China relationship for a decade. Now, how do you 368 00:21:30,556 --> 00:21:33,796 Speaker 1: see it going at this moment? So I think it's 369 00:21:33,836 --> 00:21:39,116 Speaker 1: not an exaggeration to say that the relationship is at 370 00:21:39,156 --> 00:21:44,756 Speaker 1: a critical stage with very few vectors in favor of 371 00:21:45,076 --> 00:21:50,156 Speaker 1: slowing this further free fall. You know, the crisis between 372 00:21:50,236 --> 00:21:54,436 Speaker 1: United States and China is fundamentally of a shift in 373 00:21:54,516 --> 00:21:58,916 Speaker 1: Washington from cheating China as a competitor to treating China 374 00:21:58,916 --> 00:22:03,356 Speaker 1: as an adversary and in equally nationalistic shift in Beijing 375 00:22:03,876 --> 00:22:06,596 Speaker 1: of a very different agenda for China and its role 376 00:22:06,636 --> 00:22:09,036 Speaker 1: in its power and influence in the twenty first century. 377 00:22:09,356 --> 00:22:13,076 Speaker 1: So you take that underlying structural change, and then you 378 00:22:13,116 --> 00:22:16,196 Speaker 1: think of all the dimensions. Be at sports, be a business, 379 00:22:16,276 --> 00:22:20,076 Speaker 1: be a technology, be a capital, be at people, and yes, 380 00:22:20,276 --> 00:22:22,916 Speaker 1: a pandemic comes along, Well, is that going to be 381 00:22:22,916 --> 00:22:25,676 Speaker 1: an arena for cooperation? Of course it isn't. If your 382 00:22:25,916 --> 00:22:30,236 Speaker 1: basic disposition is anything that's a win for China is 383 00:22:30,236 --> 00:22:34,236 Speaker 1: a loss to us, than anything that who does that 384 00:22:34,436 --> 00:22:37,596 Speaker 1: is helpful in any way to China is a loss 385 00:22:37,636 --> 00:22:39,836 Speaker 1: for us. And that's how I think it's playing out. 386 00:22:40,156 --> 00:22:42,636 Speaker 1: I think we have to worry a lot about how 387 00:22:42,796 --> 00:22:47,316 Speaker 1: once the pandemic has passed its emergency stage, what are 388 00:22:47,316 --> 00:22:50,116 Speaker 1: we left with. I think we're left with even deeper 389 00:22:50,156 --> 00:22:54,196 Speaker 1: divisions over, yes, the response to the pandemic, but we're 390 00:22:54,236 --> 00:22:58,516 Speaker 1: also left with a mindset where, in a hundred different ways, 391 00:22:58,556 --> 00:23:02,676 Speaker 1: every day, decisions are being made to further separate the 392 00:23:02,676 --> 00:23:06,916 Speaker 1: two economies and societies rather than keep them cooperating. Lots 393 00:23:06,956 --> 00:23:08,356 Speaker 1: more for us to discuss here or not or I 394 00:23:08,396 --> 00:23:10,916 Speaker 1: hope you will come back another time to talk about 395 00:23:10,996 --> 00:23:13,676 Speaker 1: US China and what the world looks like now and 396 00:23:13,756 --> 00:23:15,916 Speaker 1: what it will look like in the aftermath of the pandemic. 397 00:23:15,996 --> 00:23:18,316 Speaker 1: Thank you so much for your time. I really appreciate it. Thanks, 398 00:23:18,436 --> 00:23:21,956 Speaker 1: thank you. Speaking to an honor, I got a feeling 399 00:23:21,956 --> 00:23:24,236 Speaker 1: that I often get when I speak to him, namely 400 00:23:24,316 --> 00:23:29,076 Speaker 1: that there's a whole subworld of how power actually operates 401 00:23:29,356 --> 00:23:33,036 Speaker 1: that is opaque and invisible to even somebody who reads 402 00:23:33,036 --> 00:23:35,636 Speaker 1: the newspapers carefully like I do and tries to figure 403 00:23:35,636 --> 00:23:38,796 Speaker 1: out what's really going on. In Nater's picture, it's really 404 00:23:38,836 --> 00:23:41,556 Speaker 1: the struggle between the United States and China that's weakening 405 00:23:41,556 --> 00:23:47,276 Speaker 1: global institutions like the WHO, creating effectively an open space 406 00:23:47,476 --> 00:23:50,876 Speaker 1: where international leadership is supposed to be. And into that gap, 407 00:23:50,956 --> 00:23:54,276 Speaker 1: he says, have come private foundations, and in particular the 408 00:23:54,316 --> 00:23:58,676 Speaker 1: Gates Foundation, and in particular Bill Gates himself, looking alongside 409 00:23:58,676 --> 00:24:01,996 Speaker 1: elected heads of state to try to coordinate a global response. 410 00:24:02,876 --> 00:24:05,036 Speaker 1: Naer thinks that the proof is in the pudding, and 411 00:24:05,116 --> 00:24:09,596 Speaker 1: that the legitimacy and accountability of this weird structure depends 412 00:24:09,636 --> 00:24:12,196 Speaker 1: on whether, in fact we get a vaccine, we get 413 00:24:12,196 --> 00:24:14,836 Speaker 1: good global health response, and if that vaccine is made 414 00:24:14,916 --> 00:24:17,796 Speaker 1: broadly available to the world. In other words, if coordination happens, 415 00:24:17,796 --> 00:24:19,956 Speaker 1: we should just be glad that it's happening. From somewhere, 416 00:24:20,676 --> 00:24:23,636 Speaker 1: I can't help but think that it's difficult to create 417 00:24:23,716 --> 00:24:27,476 Speaker 1: any kind of legitimacy and impossible to create accountability when 418 00:24:27,476 --> 00:24:31,116 Speaker 1: a central person to these global efforts is an unelected billionaire. 419 00:24:31,916 --> 00:24:34,196 Speaker 1: Certainly we have to be pragmatic about the world in 420 00:24:34,236 --> 00:24:36,876 Speaker 1: which we live, but at the same time can also 421 00:24:36,916 --> 00:24:40,516 Speaker 1: identify the structural problems that seem to be making the 422 00:24:40,556 --> 00:24:43,756 Speaker 1: world function less well than it is designed to do. 423 00:24:44,756 --> 00:24:47,956 Speaker 1: Now that we're onto the question of what international organizations 424 00:24:47,996 --> 00:24:50,276 Speaker 1: can and cannot do in this global pandemic. We will 425 00:24:50,276 --> 00:24:52,156 Speaker 1: continue to keep our eye on the story and we 426 00:24:52,156 --> 00:24:54,436 Speaker 1: will come back to you as there are more developments 427 00:24:54,636 --> 00:24:57,876 Speaker 1: in it. Until I speak to you next time, Be careful, 428 00:24:58,276 --> 00:25:02,796 Speaker 1: be safe, and be well. Deep Background is brought to 429 00:25:02,796 --> 00:25:06,116 Speaker 1: you by Pushkin Industries. Our producer is Lydia Jane Cott, 430 00:25:06,436 --> 00:25:10,076 Speaker 1: with research help from zoo Win. Mastering is by Jason 431 00:25:10,116 --> 00:25:14,076 Speaker 1: Gambrell and Martin Gonzalez. Our showrunner is Sophie mckibbon. Our 432 00:25:14,156 --> 00:25:17,236 Speaker 1: theme music is composed by Luis GERA special thanks to 433 00:25:17,276 --> 00:25:20,876 Speaker 1: the Pushkin Brass, Malcolm Gladwell, Jacob Weissberg, and Mia Lobel. 434 00:25:21,276 --> 00:25:24,156 Speaker 1: I'm Noah Feldman. I also write a regular column for 435 00:25:24,196 --> 00:25:27,196 Speaker 1: Bloomberg Opinion, which you can find at Bloomberg dot com 436 00:25:27,236 --> 00:25:31,556 Speaker 1: slash Feldman. To discover Bloomberg's original slate of podcasts, go 437 00:25:31,636 --> 00:25:35,316 Speaker 1: to Bloomberg dot com slash Podcasts. You can follow me 438 00:25:35,356 --> 00:25:39,356 Speaker 1: on Twitter at Noah R. Feldman. This is Deep Background.