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Mittendorf suggested it might be best to zero in on the Clinton Health Access Initiative, now a spin-off of the Clinton Foundation, as an example of the foundation's activity. If it's effective, he noted, that might be a sign that the larger organization is, too.
But that's not an easy task. The 2015
annual report of the CHAI, naturally, tells an inspiring story. The outfit has helped more than 11.8 million people in more than 70 nations gain access to low-cost HIV medicines (saving the global health system billions of dollars). It has distributed vaccines that annually helped save 138,000 lives. In 2015, it distributed 10.5 million long-acting reversible contraceptives in low-income nations and 13.7 million vials of anti-malaria medicine that allowed 2.1 million people to be treated and saved 52,000 lives. The initiative also promoted midwife mentoring in Ethiopia, developed a program to deal with child malnutrition in several nations, and helped amass supplies of medicines to treat pneumonia and diarrhea in India, Kenya, Uganda, and Nigeria. That's some story, if accurate. Has anything Trump ever done helped as many people?
The bottom line? Well, there may not be one. If the CHAI has accomplished only a portion of what it purports, it has done tremendous good and saved or improved the lives of millions. Could it have scored more successes with the resources at its disposal? Has it mounted projects that have failed? We don't know. Does it have a lot of highly paid staff? Yes, it does. But maybe that's justifiable, if the results are strong enough. (None of the Clintons are on the payroll—and that's true for the Clinton Foundation, too.) Still, rendering an ultimate verdict is tough. A journalist might have to travel to a dozen or more countries and interview health care providers and recipients on the ground to determine whether the annual report's claims fully match reality.
"Measuring successes in the other initiatives of the [Clinton Foundation]," Mittendorf notes, "is likely to be even more delicate since the outcomes are more 'fuzzy' and often entail shifting perceptions, altering policies of governments, developing partnerships, etc."
The Clinton Foundation is now a political football. Giuliani compares it to the mafia. Trump, who has barely even donated to his own foundation (and who has made contributions to the Clinton Foundation), has called for the organization to cease operations immediately, without apparent regard for what would happen to the people it serves. Conservative trolls on and off Twitter hysterically insist it is a Hillary Clinton crime scene and nothing but a scheme for Clinton self-enrichment. (The foundation has
announced that if Clinton wins, her husband will leave its board and the foundation will cease accepting money from foreign and corporate sources. Its president, Donna Shalala, also said it will shrink and spin off programs if Hillary Clinton is elected.)
Yet in the real world, the foundation and its initiatives have endeavored for years to assist millions. It's a pity that, as is often the case with many nonprofits, the results of its high-minded efforts are not fully verified in a manner that could transcend agenda-driven political squabbling.
http://www.motherjones.com/politics/2016/08/clinton-foundation-controversy-actual-work