Dr. Rajiv Shah

I want to solve a problem like vaccine preventable disease, do it at massive scale. And if it takes 25 years, and if there are going to be ups and downs, and we're experiencing a down point right now, I'm going to stay in the fight.

I want to solve a problem like vaccine preventable disease, do it at massive scale. And if it takes 25 years, and if there are going to be ups and downs, and we're experiencing a down point right now, I'm going to stay in the fight.

Well, I think that methodology, by the way, is textbook Silicon Valley, right? It's just starting with a clean sheet of paper and saying, I'm going to disconnect from the current way things are done to understand what could be and to identify a strategy for achieving a truly audacious goal.

Well, I think that methodology, by the way, is textbook Silicon Valley, right? It's just starting with a clean sheet of paper and saying, I'm going to disconnect from the current way things are done to understand what could be and to identify a strategy for achieving a truly audacious goal.

In that case, vaccinating every child on the planet, which by the way, we estimated would cost many, many multiples on an annual basis of the entire endowment of the Gates Foundation at that time. So it wasn't even something we had anywhere near the resources ourselves to accomplish. It just helped the world see

In that case, vaccinating every child on the planet, which by the way, we estimated would cost many, many multiples on an annual basis of the entire endowment of the Gates Foundation at that time. So it wasn't even something we had anywhere near the resources ourselves to accomplish. It just helped the world see

if we came together and they did in this platform now called the Vaccine Alliance, that we could solve this problem together. And I'd say that the biggest part of that methodology is being clear about the goal. And that's where Bill was extraordinary. Whenever we all tried, and I tried, we all tried to say, can we kind of have a more incremental and more quote unquote achievable goal

if we came together and they did in this platform now called the Vaccine Alliance, that we could solve this problem together. And I'd say that the biggest part of that methodology is being clear about the goal. And that's where Bill was extraordinary. Whenever we all tried, and I tried, we all tried to say, can we kind of have a more incremental and more quote unquote achievable goal

And the answer was, well, you can do whatever you need to do initially, but you got to stay focused on the big picture goal. And we're going to use that to make criteria-based decisions. A second big thing is asking a lot of others.

And the answer was, well, you can do whatever you need to do initially, but you got to stay focused on the big picture goal. And we're going to use that to make criteria-based decisions. A second big thing is asking a lot of others.

And we would go around and people would say, well, you can't do this because the regulations at UNICEF don't allow you to procure vaccines in a multi-year contract over a long period of time. You'd say, okay, how do you get people to think differently, think outside of their own set of constraints? And we would say, if you have a magic wand, what would you do?

And we would go around and people would say, well, you can't do this because the regulations at UNICEF don't allow you to procure vaccines in a multi-year contract over a long period of time. You'd say, okay, how do you get people to think differently, think outside of their own set of constraints? And we would say, if you have a magic wand, what would you do?

And then you'd get these folks who you could call them bureaucratic, But the minute you unlock their creativity, they have the expertise and the knowledge to actually generate solutions that are transformational.

And then you'd get these folks who you could call them bureaucratic, But the minute you unlock their creativity, they have the expertise and the knowledge to actually generate solutions that are transformational.

And so the magic wand tool is just a way to break people out of the sort of, well, we're not allowed to do this, or we don't do this, or this isn't how things are, and let them get to how things could be. And then the final thing I'd just say is success begets success. So once we started to make some small progress, more people got on board.

And so the magic wand tool is just a way to break people out of the sort of, well, we're not allowed to do this, or we don't do this, or this isn't how things are, and let them get to how things could be. And then the final thing I'd just say is success begets success. So once we started to make some small progress, more people got on board.

When we got Wall Street to really help us shape, I think it was the world's first notable large-scale social impact bond that raised $5 billion, that sold without any unique backing, and that was outcomes driven by actually vaccinating kids and measuring the results along the way. That unlock the market and the supply base for a global initiative that went on for many decades.

When we got Wall Street to really help us shape, I think it was the world's first notable large-scale social impact bond that raised $5 billion, that sold without any unique backing, and that was outcomes driven by actually vaccinating kids and measuring the results along the way. That unlock the market and the supply base for a global initiative that went on for many decades.

So success begets success. And those are some of the themes I think that come together to make it possible.

So success begets success. And those are some of the themes I think that come together to make it possible.