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He may be modeling it as (or similar to) a prisoner's dilemma, with the assumption that only a huge infusion of funds could cure malaria. In this case, assuming a democracy, "spending other people's money" is more like enforcing an agreement contract in a dilemma game.

(This model is wrong, of course, but I doubt many people are aware of the expected disability-adjusted-years-gained-per-dollars-spent-on-mosquito nets statistics)



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