Lol nope. Wrong on all counts. Try not to have an aneurysm, dear. And funny how you ignore the data re: the nonprofit industrial complex. |
The government awards a contract for lives saved?? |
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Sorry but it sounds like his skills either aren't there, aren't unique, or aren't transferrable.
The problem with a lot of these USAID folks is there's a lot of talk about deliverables and managing programs but it's a lot of words. |
I think the usaid problem is that over the biden years they let the crazies get too much power and public facing attention. Whether you were doing good work or not, all that everyone saw publicly was usaid pushing stuff like drag queen empowerment for Afghanistan type craziness. |
No - the government, in the form of the DOD (sorry, Department of War?), as well as every other department contracts for things like airplanes and AI services and a gazillion other services and products. USAID did too. Same structure, same type of contracts and awards. Same types of oversight. It’s just that instead of preventing infectious disease in Florida or Maine we prevented infectious disease in Malawi or Nepal. You can object that we shouldn’t be using our money that way. I disagree, but fine, that is your opinion. What isn’t opinion but a flat-out lie is that we engaged in fraud, or were incompetent, or that it “didn’t work,” or even that we have no useful skills. Hello, Ebola! |
It estimates the deaths averted through the contracted services usually. So deliver this many doses of vaccines into kids’ arms, and through epidemiology we can know how many won’t die of Measles, tetanus, or rabies. The deliverable is the vaccine service (or nurses trained, or malaria bed nets hung or whatever) not the lives saved. But the goal is lives saved. I mean, that still seems good and noble to me, but apparently saving children’s lives is out of fashion these days. |
No, the problem is that the job market is terrible and the government has poured gasoline on it by dumping 300k extra workers into it all at once. Very few industries or sectors have added any meaningful number of jobs in the past year other than healthcare. |
I'm trying to understand the bureaucracy so I appreciate your reply. So what did USAID contract? I get DoD get Boeing or whoever to build a missile or an airplane. I see references to things like malaria nets or pre natal vitamins but does that really requires the hundreds of millions of dollars and thousands of people? |
If healthcare added all these job why aren't the people who prevent infectious diseases in Africa or stopped ebola working in that field. It sounds like the government propped up the 300k extra workers and they don't really have marketable skills. |
Not for one individual program, no, but USAID had hundreds and hundreds of programs across something like 40 countries. It adds up. Imagine it for the US first, then it might be clearer for what we did in other countries. Say you are the CDC, or the FDA. You want to immunize 1 million people against measles across 3 states in the US with the lowest vaccination rate. Because the government is always being accused of waste, fraud, and abuse, the systems for spending money are seriously robust. You’ll need to publish a request for proposals and have organizations/companies submit bids. The bids take months to prepare and are hundreds and hundreds of pages long, full of accountability information the government requires. Maybe you choose one health care organization in each state to handle the vaccine, train extra nurses to counsel reluctant parents, and run a public service campaign to actually get people to want to vaccinate against measles. Once you look at each of those pieces you’ll see there are a lot of people and a lot of expenses to do each thing. Look at the public service campaign, for example. You need to analyze why people in that community don’t vaccinate, and what might motivate them. You need to pay to create communication content, and then to put it on TV/radio/billboards/influencers. If you were a pharma company introducing your version of Ozempic you’d spend a gazillion dollars and fly your staff to off site training in Hawaii in order to increase uptake of your drug. USAID did the same thing as my example of a measles vaccine campaign but in desperately poor places where the local government couldn’t afford to pay for it itself. Would it be cheaper to simply give the government of Malawi money to run the vaccine program itself, rather than having US organizations come in and do it? Hell yes. But then we have Americans saying we are giving away pallets of cash to dictators. So Congress, in its wisdom, created a system whereby we can ensure every dollar is spent legally and transparently…even though it isn’t efficient. |
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If OP husband has anything listed in his resume concerning USAID that will be a big red flag to any private sector company. Not debating the good USAID did but the whole way the closing went down is something a private sector company is not willing to risk especially with the current Administration.
Second point mid-level managers in private sector, publicly traded companies all most part do not exist anymore. Call it right sizing, lateral support structure or ?basically mean the same thing, less people do more work. You get a report card every quarter, called the earnings call. Guarantee company misses on Wall Street expectations everybody knows to start pedaling faster. |
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i’m solution oriented, with hantavirus and now ebola on people’s minds, could you market something like new dangled PPE, gloves, sanitizer, whatever?
or, if that’s not your thing, how about becoming a social media influencer on public health? sure there are a lot of them— you could be one! and i would follow you if you add in a healthy dose of Trump insults. |
Because the jobs in healthcare are in the provision of healthcare services (doctors, NPs, nurses, hospital and office administrative staff), not in public health (got cut!) or infectious diseases. It sounds like you have no idea what you’re talking about, which is unsurprising. |
Good thing H1Bs cost $100k a pop now, I guess. Now tell us there was no one qualified among the remaining 30. |
So you reinforced the point. These 300k really have no expertise in healthcare or any other field. |