The article “Will Bill Gates’ Millions Save Us? (www.pambazuka.org/en/category/comment/37900) is brilliant and exposes the stark reality of the failure of public health as well as the failure in prevention of communicable diseases, particularly in Nigeria. This has resulted in very low life expectancy. The life expectancy in Nigeria is 50 years, the lowest expectancy rate even in most developing nations in Asia, Africa & Latin America. The local government must channel increased percentages of its GDP into health promotion. It must subsidise the training of its medical and paramedic staff as well and introduce grassroots health programmes, like multi-purpose health worker schemes, to decrease overall mortalities.