Imatinib or transplant for chronic myeloid leukaemia?

countries that can define their priorities convincingly (but do not have large populations of poor people), funding for corrupt and dictatorial governments that have little regard for their poorest citizens, and the enormous waste of the limited talents of many developing countries that have been spent on inventing new approaches to developing competitive proposals to satisfy yet another under-resourced aid bureaucracy with little chance of success. That Périn and Attaran are urging a repeat of the failed design for the Global Fund that Attaran proposed in his and Sach’s 2001 Lancet article as the basis for allocating donor support for the health sector as a whole, is shameful. If there was ever a need for evidence-based thinking about international health policy to replace ideological befuddlement, Périn and Attaran have demonstrated it in their Viewpoint. Cliff Lenton