The status after this program
with a keynote session which will

be in the form of an interview.

It's my great honor and
pleasure to be able to the interviewer and

interviewee although I think that don't
require much introduction actually

we're very happy to have with us
today as the interview we shall none.

We shall spend twenty five years in civic
a public service as a social entrepreneur

a nonprofit C.E.O. and a candidate for
U.S. Senate in Georgia.

She's currently president C.E.O.

of CARE USA nonprofit Times has named
Michelle in its power and influence stuff

fifty list of change agents in the
nonprofit sector seven times and she was

also named one of the one hundred most
influential Georgians interview on shelves

afternoon is Dr Sanjay Gupta he's the
chief medical correspondent for C.N.N. and

won multiple Emmy Awards with his medical
training and public policy experience

he provides a unique perspective in
his reporting from war zones and

natural disasters as well as on a wide
range of medical and scientific topics.

He's also a practicing neurosurgeon
serving on the faculty and

staff of Emory School of Medicine and

associate chief neurosurgery at Grady
Memorial Hospital both here in Atlanta.

I could continue our.

Expanding a list of accolades for both
speakers but I think we all much rather

hear from them so
I would like to get them for you.

Thank you very much.

Sam Now I'm honored to
be here to write about.

I think these types of conferences
are really important and

now we've got a party on the ground from
from many other places when I talk about.

Understanding how it comes together from
an organization standpoint my career

is intriguing to me so I jumped at
the chance to be here today and I asked.

Michelle a few questions that we're
going to open up the question so

the audience as well.

At some points may have questions
start to think about it and

I will be happy to take some
your questions as well.

But we're going to stay
with your first second and

we're going to get in some
of the specifics but.

Now the organization now for about a year.

As was just mentioned you've lived
a life of public service but

can you talk about how this part of
your life came and specifically.

Yes it has in many things.

This was a door opened when
another door had closed.

I was often in my
introduction introductions

people are struggling with how do you
introduce a defeated Senate candidate like

what's the gracious way
of talking about that.

So I I had a tremendous
experience in running for

Senate here in Georgia in two thousand and
fourteen difficult and challenging but

also really inspiring in many ways and

my life has been about trying to find from
a career perspective an opportunity to

make a contribution to find platforms for
leveraging what I have

to offer in the world and
the opportunity to work at Care which

I think has perhaps the most important
mission that I can think of right now

is to end poverty to lift up women and
girls around the world to do that.

Less than two miles from my house here
in Atlanta and to see that work radiate

around the world was really unique
opportunity and a great privilege and

so this and it also ended what could
have been a great midlife crisis.

So I feel very lucky to have

this opportunity and when I've talked to
people who have been transitioning to

just either friends of mine or well or

colleagues things I always ask them
especially for taking on a leadership role

is what is it that you wanted to achieve
by becoming a leader of this organization.

You know the organization
Well I mean I think I'm sure

knows this organization Well there's
something about it that you looked at and

said you know here's
the Michelle Nunn fingerprint or

I have to call the legacy
beliefs your markings on it.

It's a great question because I think as
someone who comes into an organization.

First of all you're a little bit.

It's like drinking from a fire hose right
you're overwhelmed with learning Norbanus

zation for
me also learning a lot about the work

of the organization in a broader sense
in Russia development humanitarian work.

And then you're also trying to to think
about what tactically do you need to

do from an organizational perspective and
I have been asked several times by people.

So what's your legacy
going to be right and

it sort of draws you up to say yeah
what you know if in an organization

institution that's as big as
care that seventy years old.

You do have to think about what is it that
you feel like you can uniquely bring and

that the organization uniquely
needs at this juncture.

So I know that one of the topics that
this group has been talking about

is the changing face of
international development and and

also humanitarian work around the world.

So this is a time of great change and

it's an inflection time for
care as a seventy year old organization.

So some of the things that
I hope to bring to care

are a real unleashing of creativity and

innovation to deal with the to the to with
the changes in the world to keep pace with

the changes in the world to be as care has
been over its history transformational

in a around the kinds of needs
that it can best address.

We have that we have some more prosaic
challenges we have the opportunity

to reimagine how we engage people in our
mission from a fundraising perspective

from a volunteer perspective from
an advocacy perspective I think

again people are much more interested I
think in kind of being co-creators and

support and and meaningful supporters
of organizations sending in a check.

I think is gratifying for people but

they also want to feel like they're part
of the work so how does care open that.

Opportunity for people so

that they really are a part of a movement
for instance to eradicate extreme poverty.

So those are some of the things
that I'm thinking about and

that I'm hoping to bring I think this
idea of movement building is also just

a really important piece I've spent
my career around civic engagement and

citizen action and I do believe that
no single institution is going to be

able to do the work we need to
mobilize millions of people and

as we talk about humanitarian crisis for
instance we know that for

instance you know Syria as an example
there are humanitarian interventions that

are necessary but there is no humanitarian
solution to the crisis that's going to

take advocacy leadership at a global level
and it will take citizen involvement to

ensure that it is on the radar of leaders
leaders and that we insist upon it.

So that's a that's
a really important point.

This idea to find what you know what it
is going to be a solution is going to

be something that's providing assistance
and being really clear about that.

I think a lot of questions I want to
ask some of the background of care but

let me ask this just in fact what you're
saying I think it's been struck and

I covered a lot of these stories for
example in Haiti.

You know I think close to half a billion
dollars was raised in terms of charitable

donations over different amounts of
money that was going to many different

organizations individuals and
you know you sort of wonder

how it's been six years later you wonder
just a simple question what did we get for

about half a billion dollars when I say
we I mean all of us anybody who gave even

a dollar to that organization and we're
going to say should that provide relief.

How do you how do you measure that.

And what is the again no matter
how better some of the donor is

what should they be asking when they're
giving money to an organization like CARE.

So what happened are the soft
questions that we gave.

I think that's incredibly important
question and I think one that

you know everyone in this audience has
undoubtedly struggled with and grappled

with it's at the heart of I think the
enterprise that we're all a part of which

is how do we how do we measure our success
how do we face into failures as well

and and so you know I think when you're
looking at it from the perspective of

a downer I think you want to first of all
think about what is it that you're trying

to achieve you're making choices from the
perspective of are you are you interested

in a sector response a geographic response
a systemic long term response and

alleviation of suffering response and then
there are different organizations that

do different parts of that work I do
think that we need to increasingly

challenge ourselves in our donor
communities I think are doing this for

what are the metrics that we're using
to do that and at the same time that we

are facing into the challenge of ensuring
that we have quantifiable metrics.

I think we also need to recognize that
they are intangibles to this as well and

that there are long term.

Dimensions of this that we have to track
over not three years five years ten years

but over decades and so for cancer as we
think about how do we measure our success

we we have a variety of different
metrics but one of the things that we're

with that we're working hard on is some
common denominators across metrics.

So as an example we do good in nutrition
security work I was told recently

that we had two hundred fifty two
different indicators that we used for

measuring our food and nutrition security.

Now that speaks to the comprehensive and
holistic approach that care takes but

it also makes it awfully
hard to aggregate and

to be able to then tell a specific donor.

This is exactly what your work has done so

we've now said that they're
going to be five common.

Metrics that we're going to use for

All right food nutrition security projects
across the entire system of care and

that's a part of being
able to aggregate up so

I think that these
are incredibly difficult and

important and building policy will and
in building the investment.

I think kind of capacity and
again the the political

sensibility of belief in our past
of our capacity to solve problems.

We need to be able to create these
proof points in the industry.

I'm sure somebody with charisma is
a truth can use as well as I can talk

to what it stands for stands for what it
stood for at least when it was initially.

Besides besides the care people.

OK There's actually
an acronym some of the ocean.

It's a wrapper for
assistance from the sand.

That's impressive from fossil to me

but I think even forever so
you can correct me if I'm wrong and

I can for this but
you know for a start for the.

Cooperative from remittances to.

For the work.

This is nine hundred forty five robots
that were killed as a result was a to

essentially provide remittances to
Europe on behalf of United States.

So care grew out of European crisis and
where people

were threatened with starvation where
there was a huge refugee population and

I think it's a tremendous
tribute in our heritage.

I mean I think we can we start
with American generosity and

ordinary citizens who said
this cannot stand and we.

We'll do something about it and so I sort
of marvel at you all this is a logistics

conference right health and humanitarian
logistics conference so imagine

post World War two Europe a small group of
Americans that decide that they want to do

something about the fact that people
don't have the the basic necessities and

in a place that has been devastated from
an infrastructure perspective from from

also you know every imaginable
calculation and and

this small group of people figured out
in a short period of time how to send

twenty thousand beginning with twenty
thousand care packages to Europe they had

to work with eighteen different
governmental organizations within two

years they had sent three point
six million care packages and

not only I mean to think about the fact
that they were in some ways that became

a missing persons organization they were
actually finding people that nobody knew

how to find and with one hundred within
one hundred twenty days everybody who gave

a care package received a note back that
said this is where it was delivered so

I mean an incredible logistical heritage
and and also I think really gave birth.

Obviously to Kara's humanitarian
mandate that we've carried forward

it's a bribe to a lot then you know I
think there were chapters it cares history

it was like OK now that we've dealt
with the European crisis are we done and

you know obviously each step has led us to
a different evolution where we now are I

focused on women and girls eradicating
poverty around the world operate

in ninety five different countries.

This past year operated in twenty
different humanitarian environments

affecting the lives of over twelve million
people but but I think it's important to

think on that foundational element
of first of all the compassion and

action of ordinary citizens and
then the response that America had and

then how that's grown
because now those same.

Places where we were
sending packages France and

Germany are a part of CARE's network and
they are now obviously providing

a bit of fishing providing beneficiaries
around the world with support so

it's a great circle and I think it's
important for us to to remember that

the human potential that we can
unleash that is a part of the future

that I think is care story as well
I mean just when you're there.

Makes some of your stories
like you mentioned and

I take questions at the end as I mention
but sometimes if you have a question or

thought that you'd like to ask.

Now please just raise your hand
I'm going to keep going but

you know I like this to be as
conversational as possible so don't feel

shy out there there's been some news
a lot of the same thing happening again.

Now seven years later you have refugees.

For different reasons than what was
happening in the mid forty's but

now you know in Europe again moving from
country to country not many one place for

very long by the tens of
now as you well know it was

a logistical challenge back then in some
ways you think the technology in the world

in which we live would help alleviate some
of those those logistical challenges but

how do you address the refugee
situation like this especially

leave aside the politics of just the fact
that there is a transit nature to it.

People aren't even in the same place for
that long.

Well we we recently did a campaign
that we called letters of hope and

it was taking recipients of care packages.

Who are now in there some of
them eighty's ninety's and

asking them to write letters to
Syrian refugee letters of hope and

inspiration and it was turned
into it was it was an incredible

testimony I think to the capacity
of empathy and solidarity and

connection but it also was a reminder
again of the human potential.

Each one of these refugees and
whether it's the almost

five million refugees that have fled Syria
or the millions that remain in Syria.

I think we have to respond
to them in a in a sense.

Remembering their individual agency and
remembering them as families and

as communities and never losing sight of
that because I think the danger is we

we move into a sense of passive
aday based upon the intractable

kind of perception around
the crisis now in Syria and so

I think first and foremost thinking
about it from that perspective

we have there's there's you know
a variety of things that Kerry is doing.

We are working to support
refugees who are leaving and

there is this question of mobility.

I mean I think you know literally we're

trying to we're trying to figure out OK
where where we're long response be next.

Is it Greece you know is it
Eastern Europe where are we going.

Which I think is is is something
that we fundamentally have to be

able to address from
a humanitarian system perspective.

But there are you know there are needs
that we know that need to be addressed.

Everything from education where we just
have an issue of systems and capacity and

and breaking through on that
to unleashing the capacity for

people to start to rebuild their lives by
being able to enter into the job market.

We know that this is a few no fundamental
to their capacity to even begin to

live a life of their own self-sufficiency
capacity for contribution.

So those are all things that care is
involved in right now around livelihoods

around ensuring that we're responding
in immediate sense to people's needs.

Also there is the challenge
of working in Syria.

I know that one of the subjects that I've
been talking about is partnership and

local community engagement.

Syria has become in some sense
the necessary testing ground for

us because we're working
exclusively through.

Are working as a chanst And
as you said so many of them are ordinary

people think about this room and
if any of us were living in Syria.

Some of us would leave
some of us would stay and

a few of us would stay and asks and

actually become humanitarians hill out
weren't necessarily you know didn't work.

Equipped as professional humanitarians but
have taken this on as a through a sense

of mission and so we're now working with
many of these groups in partnership and

seeing the capacity for
local partnership in a whole new light but

also some of the challenges
around that as well.

Michelle and I were talking at
a time about a group of people

mentioned many of you heard of called
the right helmets and Syria and

we did a story and I'm really really
go now and then these were basically

the script was a remarkable thing you know
what was happening in many of these towns

around Aleppo was that there
just was no medical relief

program with a keynote
system ambulances hospitals.

I think sort of shut down and so
you had citizens as Michelle said

who chose not only not to leave but
to study but also go into these situations

immediately after some sort of strike and
how to rescue their fellow citizens.

Most of them a few but most of them don't
have any medical training whatsoever.

And they used to buy these helmets
literally from local stores and

the right balance as it turns out
where the cheapest helmets and that's

why they all got them and they would go to
these sites and they'd see other guys with

white how much and eventually banded
together became the White House once and

we cover that story last year and
they were just nominated for

the Nobel Prize as you probably heard
it's an amazing and amazing story.

And then I remember those lines.

You know we started
reporting on that story.

You know at that point I
think kept Kristoff and

maybe written a little blurb on
that in the times but we had to.

Right.
Of writing the right to make sure you know

they are who they say they are it's
such a good story but sometimes you

know you've got to vet you've got
to know who your partners are and

work case in our case
we're covering a story.

How do you do that when you're partnering
with an organization and one of these

countries is those are some sort of from a
process to become part of CARE's network.

If there is a vetting process and

I will say that I know that many of
you are also struggling with this.

What's the lie between our
capacity to to be responsive from

a pure mission perspective and and
then ensuring the vetting the compliance.

So if you are a citizen
who decided to stay.

Who is devoting themselves putting their
life on the line trying to distribute food

or water and then care since ninety
eight page packet to fill out to

make sure that you are complying with all
of our you know procedures and protocol.

I mean it's part of it's a balancing act.

I think and it's one of the things
that I think we're struggling with as

a humanitarian system is how do
we how do we have the agility and

badness to work in these kind
of settings of insecurity and

especially how do we
empower local community and

neighbors to help one another and
at the same time ensure that

we are putting in place all the protocols
all the vetting so care does have a very

formal system we're trying to that we're
it what we call ensure that we are fit for

purpose in other words you know our
financial systems in South Sudan probably

can look a little bit different than
they look in Egypt or you the O.P.'s so.

So how do we ensure that we are fit for
purpose in our protocols

in Syria as an example we're using
other partners as vetting mechanisms.

So we're actually asking other
partners in a peer to peer

way to be able to help measure and
evaluate effectiveness.

So I do think that part of the larger
humanitarian system questions and.

And sort of imperatives is to
continue to sort through these and

some times contradictory impulses and
needs a bit of

a breakdown how much care is working this
you know there's a hundred million people.

I think Michel around the world
that are either displaced or

at risk of being displaced.

You know at least forty different
countries around the world.

How do you how do you decide I mean you
know have to have this resources but.

You asked me how we decide what
stories we're going to cover.

How do you decide what care is
going to be and well it's it's more

than science we have a set of
relationships that are longstanding and

I think one of the things that
they care does obviously is

stay it stays in countries for
long periods of time for for

a long time and
systemic and gateman And so

it's really I also think I've been
spending some time talking about this

continuum between humanitarian response
and long term development and we're

finding that increasingly those things
you know it is a continuum right and.

When I visited Ethiopia this past winter.

It was it was sometimes hard to tell where
does the long term development project

begin and

end versus the humanitarian response
to the drought that they're facing now.

So we want to be able to in that
sense be able to use our assets and

advantage to ensure that we
are they are over the long term and

that we use those deeply
rooted community relations.

To to get a fact as I said we're
ninety five different countries.

We have a certain set of countries that
we look at as we sort of say OK we

are the most vulnerable where
can we make a differentiated and

categorical contribution and
at the end you know especially given

carers methodology around women and girls
where can we complement other players.

So all of those things come into play.

And then there's there's just
some of the basic dimensions of.

The capacity issues.

You know we can't be everywhere
that we would like to be and and

how do we ensure that we
are building scale and

impact in the places where we
can have the greatest effect.

And I want to ask you a couple of
questions about climate change.

You sort of have brought this up a little
bit with with the discussion about

droughts and
how the climate is changing but

it's interesting I covered the famine
in Somalia in two thousand and

eleven and spent a lot of time outside of
Mogadishu and I remember I remember I mean

I remember the stories of people there was
a lot of venting of compassion lot of aid

that was coming in in the form of food for
the non-perishables tap tap for

really hungry people and yet
you had organizations like al Shabaab.

And this is well documented
who were preventing these

these shipments from getting in the areas.

That was most needed and I doing an
interview with a couple of young members

who approached me and wanted to talk about
this and some totally unconscionable and

indefensible and that's what I told them
at the beginning of the interview to

to with what is humanitarian
relief to people who need it and

they were talking about the fact that
oftentimes when so much food and so

much supplies some of
various resources coming in.

In the wake of some sort of disaster
in this case a disaster of famine.

But it's sadly short term problem but
at the same time not so

decimates the local markets anybody who
is potentially going to be selling food

in and around Mogadishu
will not have a market and

within six months they will
never come back to that market.

So you are a short term problem and

create perhaps as big if not
a bigger long term problem.

You said this a few times this notion
of we're going to be there for

the short term in the long term.

How do you deal with the acute
versus the Klondyke How do you.

How much percent.

Your your money is going to go
towards the immediate problem.

How much you think about
long term infrastructure and

I ask you I'm curious if they
had an alternative solution.

To try to prevent what they thought
was a worst case outcome be worse

in the long term for this to happen and
you know I'm not defending my position you

know I was curious actually really if the
let's talk about the fact that you know

two thousand and seven is when I think
much of the work paid attention to this

sort of my generation was you know
ninety three there was a terrible

famine in Somalia where there was a pretty
bad one in two thousand and eight.

So it's happened that had a history of.

Plays out.

Sometimes in the wake of these things
sometimes unintended consequence

on the summit but yeah.

I mean everyone know that there has
been an advocate for food aid reform for

a number of years and care was a part
of the movement towards the shipment of

resources from the United States to other
countries to cases of excess grain and

production here but we also came
to realize that in some instances

it was creating unintended consequences it
was suppressing the local marketplace and

care has been a big advocate and
I would say it happened before my time so

I can brag about it and equivocally
that it still is stood on principle and

actually said we're not going to take that
kind of aid and assistance because we

think over the long term it doesn't
help and and so we have a approach that

I believe is about trying to customize
solutions based upon local conditions.

So as an example.

Wherever we can we are we
are trying to use cash and

we're trying to use credit and we're
trying to ensure that a local marketplace

is lifted up and
in some instances that that's.

You know that's not possible for local
marketplace is not functioning in Ethiopia

for instance we're doing a combination of
things both in terms of the delivery of

actual literally you know U.S.
grain and then also other forms

of assistance around safety net and
long term development livelihood work but

I do think we have to think about it
from the bottom term perspective and

I also think we really do
whenever possible increasingly

need to move to a local and community
based approach that is sustainable and

that does not displace people or
markets unintentionally.

When we talk about these these types
of efforts again in the context of

people who are environmental I would say
refugees more than political refugees.

I mean I don't know what
the numbers are exactly but

you know maybe it's already happened where
you actually have more environmental

refugees right now than
political refugees in the world.

Some of the you can anticipate you
can anticipate what the weather

patterns are going to be you can
anticipate where droughts may occur.

Rising Seas May man century
render crops useless on island

communities things like that from

from the logistics standpoint given that
that's the theme of the conference how do

you how do you think about environmental
refugees differently than the political.

Well I think we have reached
that tipping point and

I think it is often hard for

us from a humanitarian system
perspective to galvanize support for

crisis that we can see coming.

But that haven't yet arrived right I think
as human beings we're better at reacting

than we are at preventative it's harder
for us to we were talking earlier it's

harder for us to get media attention about
a crisis that we that we can see coming.

But it's not there.

Right.
There's nothing to take a picture of right

now and and so I think learning how to
do this more creatively in terms of.

Telling the story is really important
thing analysis and ability to forecast

I believe you know we have very good
capacity around that we're not as good at.

I think therefore are really
galvanizing the attention.

The leadership and the and the sort
of focus that is going to be required

as an example right now and I was just
talking to colleagues and southern Africa.

Right.

We all know that there is a huge crisis
there born from the drought we know that

over the last few decades the proportion
of drought affected areas in

the world has doubled.

We can see these things coming we've been
speaking about this my colleagues have

been speaking about this about Southern
Africa in the Horn of Africa for months.

It is a different form of crisis
partly born out of our success

in the one nine hundred eighty S.
when you had the famine.

You know literally people were starving
because we've been able to forecast

it because there has been cooperation
between N.G.O.s and the government.

We actually have largely prevented
that level of the impact but

it is much harder to tell that story.

How do you create a sense of urgency
around the need to help in Ethiopia

without showing a starving child.

How do you how do you actually talk about
it from the perspective of urgency.

When and when you're talking again about
preventing something that could and will

happen without intervention and so I'd
love to actually turn it back to you and

say what I'm got your advice to us about
how to break through here because part

of the will of governments and leaders and
citizens is based upon what they learn and

understand from a media perspective and
it is a different and

more challenging thing I think that's
funny because I think there's a parallel

with with doctors as well you know I mean
you know I think the hardest parts of

the job sometimes is at the moment I play
I think we're trying to prove a negative.

We're trying to say if you're right and
you exercise not.

What happened here.

It's not a particularly inspiring message.

You know.

But this isn't exactly the answer to
your question because I think that

the I mean the media is a is
a difficult to predict and

it fluctuates so wildly in the Right now
you have so many important stories that I

think are going on around the web and
domestically at least were locked and

you know sixty nine days away
from a presidential election.

So it's tough to capture
the attention the media sometimes but

we're talking about this or that again.

For instance I think.

You know I used to go where you and

a half ago and within the sort
of a lot of attention on it.

There wasn't as much and but
when we did the White House story.

It did break through and I think it's

not that I want to whitewash those types
of what's happening in these places but

I think not forgetting that there are
incredible people that are sometimes you

know you see the worst tragedies in the
best of humanity at the exact same time.

And sometimes almost
necessary to co-exist.

You don't see the best of humanity
unless those tragedies are occurring and

to shy away from from those stories we
want to wash again we want to be very

clear what it is it's happening there.

With regard to drought I think
I was mentioning to you.

I became really fascinated with the fact
that these there were a group of

scientists whose life's work Little
became drought resistant agriculture

they wanted to learn how to
grow without much water and

I thought that was incredible and that
became their life's work because of their

experiences they had the lives
they had led the last they had.

They decided to make a real impact and

these are scientists who would
never get any attention.

You know for that sort of thing and I was
sudden we could we could the story of love

of Somalia at the time so
I know that that's helped but I think that

the good stories out there that you know
not on face value when you hear them.

You know there's a notion of can and
often times are good strong.

To pile on.

I think.

Question remember a few minutes ago
as we got through running here for

some questions but proof of my just
going to stand up and if you could tell

me what you know if you were part
of an organization that questions

to another that would be about.

Hello my name is Charles
coffee I work with boys and

girls village in Connecticut.

My question is about ethics
in international development.

A few times you see N.G.O.s you know
use children's images to solicit for

funds which has been termed as
you know child pornography and

I would like your perspective
about that and how.

Cat is you know promoting.

Ethics in international development.

When they are soliciting for finance
you seen images of children without

you know who are they and the prejudices
that you know children in the south.

I very needy very dependent and
must depend on foreign aid for everything.

Thank you.

Thanks.
It's an excellent question.

So I think we're very mindful of this and
a storytelling we've spent almost

an allotted time thinking about this and
the essence of the story they care wants

to tower and I think what we want
to tell you is about the power and

dignity of individuals around the world
and how they are untapped that I had to

release that and
ensure that it's painful felt and so

we literally have screens around you
know what kind of images we will use and

what kind of images we
will not use we sat around

just this past week and worked at the kind
of stories that we wanted to tap and.

And we have like through our storytelling
principles that we're using now.

And it is a back and
they are about hope and

breaking through stereotypes and
also the dignity of our people.

And so we hope that we're really
going to use those in a powerful way.

Now I'll tell you candidly that there are
a number of people that are challenging

that and saying you know statistically
we know what works when it comes to

raising money and and
they're wondering if that kind of

approach is going to is going to work and
I think ultimately we want to

tast the capacity to engage
people around about hope.

And possible story and how they can be
agents of change in that and I think

transcend that way a big part of care is
work is to recognize the common humanity

and to break through the stereotypes
that can be over the wrong time.

I think so.
Systemically destructive.

So I'd We struggle with that and

love continued commentary and
thoughts and reflections from others.

I'm sure others are also.

Thinking about this and bringing
wisdom to it with other questions.

So yes I got one.

Good afternoon Michel I'm
sure Basim with Dr G.P.O..

So as a C.E.O. of a I mean you're
in Geo What do you see your

revenue is in communicating with the other
C.E.O.'s in the Arab leadership and

your community to be able to
start bringing them together

to create a kind of run fat
process around addressing.

Many of these issues because as we've
talked about here at this conference.

Many times N.G.O.s are dare we say
competing with one another because of

the present issue if I'm raising a dollar.

So how do we break through that way and
start to talk with one another and

find collaboration and
ways to work together

to overcome some of these issues
because the dollars continue to.

It's a terrific question and I am.

I will confess that in my first year I
didn't spend as much time doing some of

that extra My partnership broke as I
would like to Cannes has made one of our

fundamental right for arms for a for going
forward is to be an open platform and

to think about Iraq from
a partnership perspective.

So I think that this is incredibly and
terribly important.

I think we do it well in some instances
many of you all know that for

instance a piece of legislation
called the Global Food Security Act

was passed this summer and
signed into law by President Obama.

It would not have happened without
the collaboration and engagement of

the broader international and do you
know community local N.G.O.s and and

really I think a collaborative
approach I think we will but

I think we in order to solve
the kind of big challenges that

we're trying to address whether it's
changing the humanitarian system or

thinking about at a moment
in time in which girls and

women have been lifted into the agenda but
I think we need to have a more specific

set of intellectual sort of ideas for
how to carry that forward.

I think is going to have to come
through a cooperative approach.

I think a variety of different mechanisms
and I think the real challenges we are get

into keeping the rights on right and and
moving forward with our organizations and

carving out that time and
making it a priority.

And finding the places where
there are collaborative and

breakthrough opportunities I
think is really important and

just as a smile and
we we've had a partnership with.

W.W. half and we've worked in Mozambique
around fisheries and around for I mean and

really thinking about ecosystems from a
human perspective it's been an incredibly

powerful program but I think at this
juncture one of the things we need is

we need like a transcendent possibility
for how we can work together in order to.

Galvanized better organizations to feel
like this is as important as we know

it can be so I think some of it is around
how do we how do we ensure that we

are focused on the really big
possibilities that we know can

only be accomplished by working together.

Can I just telling us.

You're not in a recession.

Video if you don't like
the room with one room one way

and of the way I look at the situation
I can't help but say to myself.

The human seems useless.

So I'm thinking to myself How can you or
can you rally together these injuries

as a collaborative to effectuate
change with an institution that should

take you eight positives in humanitarian
area but appeared to me and

to others as being worthless.

That can be observed.

Just before the president

just drawing room which is talking
about with regards to replying to.

Maybe a little detail and
let me make this very easy.

I'm looking at it and I can't but

the media the social media
is our one conduit senior.

C.N.N. is our conduit to what's going on
in the world but I hate turning the T.V.

want to looking and
seeing what's going on and I can't help

seeing it's come on a Saturday and I think
of myself as a bit like this is trying.

So as United Nations
are they doing to effect to.

Change.

Why no one cares to me.

I know what some of the other Rangers are
doing but it seems like they don't have

a partner and
that that that it shocks me and

I'm not the only one the banks I think
others are being politically correct but

I don't think there's anybody here to get
honestly say if the United Nations is

an effective or was a mission.

Well I get some conversation dialysis.

You can see me list past Mike

Mike.

Thank you.

I mean Elizabeth after and I think
secular director of the Partnership for

quality medical donations but
previously previous lives or

at the World Bank in USA ID So
I've had a lot of experience working with

the UN in different parts of the UN So
U.N.H.C.R. UNICEF.

I mean it's a huge organization so it's
very hard to to make a mass generalization

and we have to also remember these big
institutions are made up of people and so

in some Having worked all over the world
and with offices all over the world

with different institutions some of them
are very effective some of them not so

much but I just think it's really
easy to be highly critical.

I think there is a tremendous effort
on the part of all of these U.N.

agencies to reach out to
the private sector to N.G.O.s to

civil society organizations
to community organizations.

And they really have absolutely without
a doubt recognized the importance

of really working in partnership with
big giant organizations like CARE and

an American Red Cross and
Red Cross and general I.C.R.C.

and others but also the small
community based organizations.

And they really do have the experience and

I don't mean to be you
know Pollyanna about it.

There are definitely challenges but.

I just think it's you know I would
I would invite you to explore

a little bit more about
the organizations and be specific and

critical where appropriate but also be
careful not to throw the baby away with

the bathwater as they say to sound here.

But I'm not sure it is just
something that perception is

so it's an important
conversation to tell but

I think that you know I believe that
the U.N. is a fundamental institution and

that we need to be critical in order for
it to realize its greatest potential but

we also need to be our eyes
in order to ensure that

that it's fundamental purpose and
capacity is understood and

I do think ultimately institutions are
made up of people in the UN It's also made

up of nations Tate's So
I think we need to take responsibility

from a governmental perspective to think
about what is the U.S. responsibility what

are the individual states responsibility
in order to make it effective.

I do think it's important and
I believe that in many instances the U.N.

is inviting critique and
and the coachman of of it.

Of the community.

So I think it's a we have to find
the right balance around it.

I think I don't know how many of you.

I believe you read this article in
The New York Times this past weekend about

the intractable nature
of the Syria crisis.

Very depressing right number of pages
of us in which it said that there

it created a kind of uproar text it's
almost seemingly impossible to escape and

so I don't think we can
hold any one institution.

Sponsible for breaking through that but

I do think we need to challenge ourselves
as it is in G.L.A. to the platforms

that we have to ensure that we
are looking at places for real solutions

calling attention to the humanitarian
crisis they are being critical.

So wanted in order to ensure that
we are on beholding ourselves and

others accountable.

But these are that we do have to
build political will better for.

The kind of leadership that we would
want from the U.N. and also from my

own government in order to break through
what I have there a difficult situation.

So it's a it's a I got to
continue the conversation far and

long after we've left the stage room
in the sense that a specific thing

I think is related to that has.

And that are from this part of
the metric I think in terms of

you sending people when you're
feeling a sense of responsibility for

care workers on the ground
in some of these places.

How do you how do you deal with that.

I mean some sort of but
I'm going to run a litmus test in terms

of what you're going to do in terms
of actually sending personnel and.

I mean we have.

Yeah absolutely.

Yeah yeah.

So first so

this is John who is our country director
in Yemen who speaks from direct experience

of really the difficulties of navigating
some of these car to mission and car

to the safety and security of our staff
around the way that we have a very big.

Safety and security instrument and
system throughout.

We have classifications of threat.

We have a lot of safety and
security protocols constantly Balanchine

the humanitarian mandate and our duty for
can protection of our staff.

I think that this is a bride humanitarian
challenge because you know we have

now as a situation in which our
humanitarian workers are threatened

directly I mean not not just as
collateral damage but directly threatened

this is a change changing world in which
our humanitarian leaders are operating.

And I don't think that the the system
I know care has not yet

found the reconciliation of these
of these of these tensions.

I think we probably will never
find the exact calibration but but

I think it is a journey to determine how
are we going to the film because it's not

only just our humanitarian mandate it's
our long term international development

mandate increasingly poverty is going
to be located in some of the areas

where there is long term protracted crisis
environmental degradation how I But

how are we going to how are we going to
deal with that over the wrong time and

how is the humanitarian system
going to establish itself for

effectiveness in an environment in
which there are I think enormous

challenges and do a real dual imperatives.

So how do you tell us about
how you do it yourself and

meet a person I love your
father of three little girls.

C.N.N. has its own I'm sure duty to
care that they're very cognizant that

you know I think I think it's one of those
things where mandate that any of us ever

go into one of these situations covering a
war covering the aftermath of a disaster.

You know it's we're going to say
now you know there's an answer and

so usually a collaborative decision.

You know.

I think kind of on the same
lines of what you're saying.

I mean you've got to think that it's

it's worth it in the sense that
when I cover these stories.

I was saying in the shower earlier that I
think many people can identify were Aleppo

is on a map.

They wouldn't even know where it is and
let me tell the story of

people who are going without talking about
entire towns being cut off in terms of

power in terms of any kind of medical
care you can imagine your own family.

You can imagine your neighbors.

You know or yourself even dealing
with that sort of thing and

I think that those stories for
me tend to make a I

was always impacted by those stories
before I ever became a news guy.

And I felt like those are the sort
of stories I want to tell because I

think health and

medical A lot of what you're talking
about is the big common denominator.

It's the one thing we all
share together globally so

I don't I'm not a somebody the chest
kind of journalist I very careful but

I was going to be things that
are out of your control.

I've had colleagues who've been killed but
they you know we talk as much care as we

can control as many of the variables as
we can and then feel that it's worth it.

And by the way you know the times I've
come home and talk to my wife about it.

You know I guess you marry the person
who you have a lot in common with so

I guess but
she often wants to go with me you know.

So that that's you know that's kind of
the you know we think it's worth it.

We think it's worth it.

So I think there's a question like that.

Yeah sure.

So thank you both for being here.

I'd like to maybe bring it back
home with a question about it.

Land.
So

I'm Jason sure not to work in that
chair and based organization.

And I'm wondering having been
involved with a number of Atlanta

key civic organizations yourself.

What is it about the city or this area.

That kind of allows care or hands on or

points of light or others to thrive and
grow and have such a.

Global impact.

And what is it that the city or
region could be doing to sort of grow

guidance and mentor and
collectively around.

Great great question.

I mean a proud Atlanta and so

I have my my my bias would come out
here but I do think there's a real.

Spring of civic leadership and
responsibility in Atlanta.

I think it transcends that and
it includes a real history of

being a part of movement building whether
it's human rights or civil rights and

I think we have extraordinary heroes
among us like John Lewis and C.T.V.

and and Andrew Young and
you know these are these are historic

figures that represent the best of
humanity and I think the best of of

the humanitarian impulse
that all Rice aspire to and

so I think it's sort of in the water right
I mean if you're where the home of Dr King

and and so I think really whether it's
institutions like the Carter Center or

the C.D.C. or imagine the task force of
global health or the Carter Center C.N.N.

all of this from my perspective
gives us a nexus as an ecosystem.

We have corporate citizens like U.P.S.

that are at the I think the leading
edge of a logistical and

humanitarian response and
I think that our creates a real.

I really do ship position for
the city and just to put in a plug for

Atlanta I feel like Atlanta
is a is a city in which we

bike about things that we may not even
have any right to brag about right.

But really have a real right to brag
about our leadership as a as a hub for

several in human rights and
as a hub for Global Public Health.

Again and I got to Atlanta to be more self
conscious in recognizing our position and

to lean into it and
living into it at all sorts of levels.

Because of course.
Yeah place.

A pier and some Yeah.

Throw your hand up there.

OK.

And somebody's last question I think
because we're running out of time a place.

Thank you so much for your contribution
and for inspiring students like me

to pursue a field in global health and
humanitarian work.

I might enjoy so I'm a student
undergrad student Georgia Tech and

my question is you know with
your work both abroad and

home what would you say are some
of the biggest threats that face.

You know the future that the few
generations that I'll be working in

what do you think of the biggest
threats to health or.

That we should be focusing on now you know
something that you really feel that we're

not doing enough in yet and
we really should start focusing on more.

Thank you so

can I turn that to you because that's
the exact question I asked you earlier.

Remember that there's not an absolute
I think objective answer to this and

I think as Michelle was saying earlier
sometimes you're trying to you're working

on a bit of a vacuum because you're trying
to predict the future to some extent and

also trying to predict not just the future
but how various interventions now may

affect that future but I think you know
from a health perspective of the world.

We're about the most I think it has
around the world infectious diseases.

I think we've seen some glimmers of
that we saw in a in a sort of powerful

way last summer with Ebola to
summers ago now I guess and

seeing what was happening in
West Africa and then saw the impact of

the new globalized world in which
we live where kind of Guinea.

You know a pretty small town just a town
that has a International Airport now could

be a place where people could be infected
with the virus could travel around

the world and every city in the world
could potentially you know be affected by

this this pathogen with zinc or we saw
it we saw How's it has moved now from.

You know smile.

Rain Forest in Uganda now to
many places around the world.

I think that's going
to continue to happen.

And unfortunately I think we often
pay attention these things only

when we're in the midst of it.

Really confronted with it and

you know how it's unfortunate the work
that way we can and we don't.

I was there we don't talk
about H one N one anymore.

We were frightened of H one N one and

we had a seventy percent mortality rate at
one point in Southeast Asia and this year.

If you get your flu vaccine it was one of
the three of elements of the flu vaccine

so it's kind of incredible that we don't
it's not even a topic of conversation and

for good reason because we
can take care of it but

we need to have the planning and
the preparation for these sorts of things.

So I do think about that issue and

I think I'd lump in there as well and
I buy a ticket resistance.

We've now seen a pathogen in the United
States that is that does not respond to

antibiotics known to man.

That's happened already.

As it turns out this particular
pathogen doesn't cause disease or

significant disease at least but
they're right there.

And when they mutate into a form that is
both resistant and makes people sick.

That's obviously a combination that the
whole world to have to pay attention to.

So let me just

let me just ask you because you sort
of joked about this in the beginning.

How do you introduce somebody who ran for
Senate.

And this isn't a political question
about this campaign or this election but

this election in some ways does seem
to be about the idea of private

sector free market being used to
address problems versus governmental

programs you know take things like health
care like the Affordable Care Act and

people who want to keep it.

People want to completely get rid of it.

I'm just thinking about
electoral politics and

now in this position as
an NGO head is where

you feel the ability to get things done
more clearly in one job versus the other.

I mean when you said it was not easy.

Obviously it's a legislative process but.

Did you spend time thinking about that.

I found that it's nice to be on
the sidelines during this election.

It's you know it's a particularly
rancorous one and probably rising run but

I believe that when I say I'm on the
sidelines I'm in a nonpartisan position I

believe that nobody can afford to be on
the sidelines in this election because

it's really important and historic in
terms of the direction of the country and

without getting political I do
believe to turn it back to you all and

mandate that you have that.

That we need people across
disciplines to come together for

solutions and so you know I ultimately
absolutely believe right when you do.

Dr King and we needed Lyndon Johnson and
and there is an important

role that we are play from an injury oakum
unity we also need to be involved and

understand the political system because we
need institutional leaders we need a U.N.

system that works and we need to
advocate to make sure that it is

I think that we need a private sector set
of partnerships I mean my hope is that

the people in this room can help
reinvent the humanitarian system and

health systems for the future and
you can't do it from within a single.

Sector or Lance you're going to have to
be entrepreneurs and technologists and

designers and folks that
understand the private sector and

people that understand how to advocate and
ensure that you can scale through

governmental intervention and systems and
so I hope that you're being Zara's really

committed to the kind of
humanitarian purpose that we

that we embrace but to do it in and
in very creative and new kinds of ways

because I don't think we're able to
solve our challenges from within

any one system I think we all have to live
out our capacity as change agents with.

And but in a collaborative way
in order to ensure that we

are that we're going to come close to
meeting the challenges of the future.

Thank you very much more
questions just want to say

to me and thanking Sanjay for
being with us and also for being

someone who sets are right on incredibly
important issues around the world and.

And.

This man has won the Emmy Awards
has three children writes books and

is a neurosurgeon like
how is that possible.

Thank you for your leadership.