Although fund accumulation has recently outpaced the epidemic, we argue that plans to spend donor money are too long range in the face of a growing epidemic [6] . Longrange scenarios have no reality to them, so that only shortterm solutions -those that fall within the persistence time of their models -have any possibility of being realistic [3] . Furthermore, disease is a global problem that is only tackled locally [7] ; epidemics cross borders, whereas we fund mostly local or national "solutions".