TIME Magazine

Saving One Life At a Time

Sunday, Oct. 30, 2005 We make a living by what we get, Churchill said, but we make a life by what we give. And to save a life? If you're Bill Gates, the richest man in the world, you give fantastic sums of money, more than $1 billion this year alone. But he also gives the brainpower that helped him make that money in the first place, hunting down the best ideas for where to fight, how to focus, what to fund. If you're a rock star like Bono, you give money. But you also give the hot white lights that follow you everywhere, so that they shine on problems that grow in shadows. If you're Bill Clinton and George H.W. Bush, you raise money—but you also give the symbols of power and the power of symbols: two men, old enemies, who got over it because the needs are so pressing that they now work together. It's a model for unlikely partnerships of the kind that progress demands, partnerships among doctors and pastors and moguls and lawyers and activists and tribal chiefs and health ministers and all the frontline angels of mercy everywhere.

We Americans like to see ourselves as a generous people, but the rest of the world sees us differently. Among advanced countries, the U.S. ranks last in foreign aid development giving as a percentage of national income. The distinctive generosity of Americans is more private than public, countless gifts of time and money—but 98% of that money stays here at home, in part because donors could never be sure whether their money would actually land where it was needed and be used well once it got there.

But something may be changing, because 2005 has been a special test. First the tsunami hit just before New Year's—240,000 lives lost, $1.3 billion raised in the U.S. alone, a record for an overseas disaster. Then more tragedies piled up: flooding and mudslides killed hundreds in Guatemala, and an earthquake killed 80,000 in Pakistan. But most of all, we were reminded what disaster feels like here at home, and we raised $1.7 billion to help hurricane victims.

This is the year Americans got a real-time crash course in all kinds of relief efforts, what governments can do, what charities can do, what heroes can do when they have the resources they need. In a year when we grieved for the people we could not save, maybe we search harder for those we can. You can't stop an earthquake; but you can stop malaria, say the experts, if you just spend the money to do it. And malaria is like an earthquake that kills more than 80,000 every month.

People give for all kinds of reasons. We give out of duty, pity, love or fear. The shrinking world crowds us closer to pain—and risk; SARS began in Asia but caught a flight to Canada and killed people there. If avian flu, now hitchhiking through Europe, migrates to Africa—where there is neither the money nor the medical infrastructure to track it, much less trap it—the already scary scenarios suddenly get even scarier. The "we're safe, it's far away" illusion has died; the sense of being stalked by a disease is now felt in rich countries as well as poor, and we find we have something in common with people who live with such fear every day.

To fight an enemy like this, we need an army nimble as a virus, huge as hunger, brave as Marines. In this special report dedicated to global health, you will meet some of these defenders, models of not just charity but also ingenuity, nerve, patience and faith. There is the doctor building clinics in Rwanda, the motorcycle riders carrying medicines across roadless stretches of Uganda, the survivor of the refugee camps fighting TB in Cambodia, the rape victim who speaks out about AIDS to young people in conservative Muslim villages in Nigeria. There are the grandmothers in Nepal with their little bags of vitamin A, fighting infant mortality; the nutritionist in Honduras teaching mothers hygiene and food handling; the backpack medics who slip from Thailand into Myanmar to deliver care village by village, risking arrest if they are found.

Maybe after all we've seen and heard and feared this year, maybe after all we've learned, something will be different this holiday season. Maybe instead of buying Aunt Margaret a sweater, we'll buy a goat in her name from Heifer International to give a hungry family milk every day. Five dollars buys a mosquito net to guard a sleeping child. We'll find a mission. Raise the money. Raise an army. Save a life.