"Wealthy elites tend to think it’s a question of management strategies and transparent accounting – that surely the administrators of charities must be wasting money instead of running a lean and brutally efficient private sector industry. So, yes, the global aid sector... is broken because it has to pander to billionaire donors like Musk, while boardrooms of mostly Western white men make decisions based solely on the preferences of their billionaire donors... If he were truly interested in helping, he would reflect on hunger as a health equity issue. For example, why does hunger disproportionately affect women and girls? For example, why does hunger disproportionately affect women and girls? Why are lower-income countries hit hardest by famine?.. In 2019, an estimated 650 million people were undernourished worldwide. As a result of the pandemic, that surged to 811 million, or about one in every nine people... approximately 60 percent are women and girls. Unequal access to opportunities in education and careers, lower wages, laws that favour men, and cultural traditions are all contributing factors.... At its core, hunger is a health equity problem. Solutions won’t be found in the form of a cheque for $6 billion. They’ll require structural change and a multilateral approach."