. >> it's a come bination. you have to have the government at the table. private enterprise is bringing the scale, the ability to deliver scale. if you are a pharmaceutical company, you have the scale. you know how to do the distribution, the training, all of those things at a high level. what companies can bring is a lot to help with the scale. if you don't have the government, and organizations at the community level, it is not going to happen. >> i ask you this, because you didn't start in the world of n.g.o.s and these organizations, you had a successful life in the private world. you had coffee shops. >> yes. >> tell me about it. >> i started with american express. when i lived in asia, we started a chain of coffee shops, which is still this, pacific coffee company. great coffee, by the way. that opportunity to start something from the beginning in an enpre preppurial way, before starbucks came to asia taught me a huge amount that sometimes you have to see an opportunity and go for it. there's a lot of parallels between what i did then and at save the