Down in the basement, while taking a shortcut between buildings, I saw pallet after pallet of two-hundred-page guideline books from other groups that had been summoned to make their expert pronouncements. There were guidelines stacked waist-high on malaria prevention, HIV/AIDS treatment, and influenza management, all shrink-wrapped against the gathering dust. The standards had been carefully written and were, I am sure, wise and well considered. Some undoubtedly raised the bar of possibility for achievable global standards. But in most cases, they had at best trickled out into the world. At
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