A New York Times review of a book “Lifeblood” by Alex Perry describes the role of Ray Chambers, an industry CEO, in coordinating the distribution of mosquito nets, 300 million to date, in Africa. It describes how disorganized efforts and complacency had caused malaria to be a serious disease killing millions in Africa.  Coordinating money, distribution and accounting for flows set the effort in its path to complete eradication of malaria by 2015. Can private sector strategies cause significant efficiencies and impact in the global health arena ? Is the increase in private funding for global health ($ 10 billion more than the US government) suggest less local control of health care needs or less regulation and thus increased efficiency ? How will sustainability of such aid be ensured ?