Total philanthropic spending by the US alone is larger than the gross domestic product of all but the fourteen largest nations in the world. That is before you add philanthropic spending by the rest of the world. And still, almost half of the world lives on less than $2.50 US per day, almost a billion people have no access to clean water, a quarter of the population cannot read and write – two thirds of them women – and millions die of preventable diseases. Something here is terribly wrong.