A little while ago, I had a conversation with Dr. Madhukar Pai about vaccine equity.

In it, I tried to understand why and how developed countries were spending billions on COVID vaccine boosters, but so relatively little in low-income countries.

Not to say that nothing has been done, but it’s a pretty clear-cut case where whatever we have done, however complex the system, it’s nowhere near enough.

I can’t be more clear here. This will affect you.

We’re handing out 21 million shots a day across the world, and yet, 36.8% of the world’s population – 2.9 billion people – still haven’t received a single shot.

87% of people in low-income countries still haven’t received a single shot.

The international organization that was supposed to shepherd this whole endeavor to vaccinate the world, COVAX, has, however you squeeze it, failed.

I want to understand technically what the issues have been, but also as always, to understand why we do what we do when it’s so morally corrupt, when it costs so many lives, and even when all of the evidence tells us that it will come back to bite us.

My guest today is Gayle Smith.

Gayle served until recently as Coordinator for Global COVID Response and Health Security at the Department of State and has recently returned to her role as the President and CEO of the ONE Campaign.

Prior to the ONE Campaign, Smith was the Administrator of USAID, where she led a staff of more than 10,000 people working to end extreme poverty, foster sustained and inclusive economic growth, and promote resilient, democratic societies all over the world. 

Smith has also served as Special Assistant to President Obama and Senior Director for Development and Democracy at the National Security Council, where she helped lead the U.S. and global response to the Ebola crisis in 2014 and 2015, and as Special Assistant to President Clinton and Senior Director for African affairs at the National Security Council.

If anyone can help me understand where the US, in particular, has fallen short of helping to vaccinate the world and get us out of this thing, it’s Gayle.

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• Edited by Anthony Luciani
• Intro/outro by Tim Blane: timblane.com
• Artwork by Amrit Pal