Not everyone in the third world is starving. If you give out medicine and a poor person survives and has children, who also survive and live relatively normal l

Not everyone in the third world is starving. If you give out medicine and a poor person survives and has children, who also survive and live relatively normal lives, then I view that as a net gain. It's a mistake to simplify charity to 'giving starving people food.' Gates does a lot of work in healthcare, financial assistance, disaster relief, and even charity work here in the US. Most of the beneficiaries of these efforts may be impoverished, but that does not mean that they can't lead fulfilling lives.